2008—2010年兰州市性病疫情的流行病学分析

目的了解兰州市性病疫情发病趋势和流行特点,为制定性病控制策略提供科学依据。方法收集了兰州市2008—2010年3年各医院报表资料并利用Microsoft Excel软件进行汇总,用SPSS软件进行统计分析。结果 2008—2010年兰州市共报告5种监测性病4 310例,年平均报告发病率为45.1/10万。3年总报告发病率呈明显上升趋势。而且实验室诊断病例数在每种诊断病例中所占比例逐年升高。男性报告发病率为56.9/10万,女性报告发病率为43.1/10万,男女性别比为1.3∶1。各年龄组均有性病病例报告,以性活跃年龄组发病最多,主要集中在20～54岁年龄段,占3年总报病的76.0%,65～80岁组占11.9%,形成一个局部高峰。不同性病病种职业分布具有不同特点。以非婚性行为传播为主,占总报告数的64.3%,初高中文化程度,已婚人群占较高比例,外来流动人群上升明显。结论根据该市性病发病特点,提示对防治措施和资源分配应作相应调整。

Epidemiological analysis of sexually transmitted diseases in Lanzhou city 2008-2010

Objective]To study the incidence trend and epidemic characteristics of sexually transmitted diseases(STD) in Lanzhou city,provide a scientific basis for developing the STD control strategies.Methods]The reporting data were collected from hospitals of Lanzhou city during 2008-2010,summarized by Microsoft Excel software,and analyzed by SPSS statistical analysis software.Results]4310 cases of 5 monitored STDs were reported in Lanzhou city during 2008-2010,and the average annual reported incidence rate was 45.1/lakh.The total reported incidence showed an obvious increasing trend in 3 years.The proportion of laboratory-diagnosed cases increased year by year.The reported incidence rate in males and females was 56.9/lakh and 43.1/lakh respectively,and male-to-female ratio was 1.3∶1.STDs cases were reported in every age group,and most patients were in 20-45 years old group which was the sexually active population,accounting for 74.0% of total reported cases in 3 years.Patients aged 65-80 years old accounted for 11.9 %,which was a local peak.The occupational distribution of different STDs had different characteristics.64.3% of total reported cases had a history of sexual behavior with non-spouse.The proportions of patients with middle and high school education were high,most of patients were married people,and incidence of floating population increased significantly.Conclusion]It is suggested that the control measures and resource allocation should be adjusted according to the epidemic characteristics of STDs in Lanzhou city.