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目的了解浙江省海盐县梅毒流行特征及发病趋势。方法采用描述流行病学方法对海盐县2002-2008年梅毒疫情资料进行研究分析。结果 2002-2008年海盐县梅毒年均发病率为37.90/10万,梅毒发病率从2002年的7.66/10万上升到2008年的113.76/10万,年均递增56.78%,呈快速上升趋势(χ2=744.43,P<0.005);发病年龄主要集中20～39岁年龄组最高,占梅毒总数的51.91%,男性发病率50～59岁年龄组最高,为68.00/10万,女性20～29岁年龄组最高,为81.92/10万;男性发病率为39.46/10万,女性发病率为36.35/10万,男、女性年均发病率差异无统计学意义(χ2=1.65,P>0.05);职业主要为农民、工人、民工,分别占总数的49.20%、16.79%、7.11%。结论海盐县梅毒发病率呈快速增长趋势。应加强健康教育,提倡安全性行为,加强高危和重点人群的监测,以有效遏制梅毒的流行。
Objective To understand the prevalence and trend of syphilis in Haiyan County, Zhejiang Province. Methods Descriptive epidemiological methods were used to analyze the epidemic data of syphilis in Haiyan from 2002 to 2008. Results The annual average incidence of syphilis in Haiyan from 2002 to 2008 was 37.90 / 100 000. The incidence of syphilis rose from 7.66 / 100 000 in 2002 to 113.76 / 100 000 in 2008, with an average annual increase of 56.78%, showing a rapid upward trend ( χ2 = 744.43, P <0.005). The age of onset was the highest in the age group of 20-39 years, accounting for 51.91% of the total number of syphilis. The male incidence was highest in the age group of 50-59 years, 68.00 / lakh and 20- 29 years The highest incidence was 81.92 / lakh in age group. The incidence of males was 39.46 / lakh and the incidence rate of females was 36.35 / lakh. The average annual incidence of males and females was no significant difference (χ2 = 1.65, P> 0.05). Occupation mainly farmers, workers, migrant workers, respectively, the total number of 49.20%, 16.79%, 7.11%. Conclusion The incidence of syphilis in Haiyan County shows a rapid growth trend. We should strengthen health education, promote safe sex behavior, and strengthen the monitoring of high-risk and key populations so as to effectively contain the prevalence of syphilis.