中华皮肤科杂志 ›› 2016, Vol. 49 ›› Issue (5): 308-313.

• 论著 • 上一篇    下一篇

2008—2015年中国性病监测点生殖道沙眼衣原体感染流行特征分析

岳晓丽1,龚向东2,滕菲1,蒋宁1,李婧3,门佩旋2,王建4   

  1. 1. 南京,中国医学科学院北京协和医学院皮肤病研究所 中国疾病预防控制中心性病控制中心
    2. 南京 中国医学科学院北京协和医学院皮肤病研究所
    3. 南京 中国医学科学院皮肤病研究所
    4.
  • 收稿日期:2016-02-03 修回日期:2016-03-02 出版日期:2016-05-15 发布日期:2016-05-04
  • 通讯作者: 龚向东 E-mail:gxdchina@163.com

Epidemiologic features of genital Chlamydia trachomatis infection in national sexually transmitted disease surveillance sites in China from 2008 to 2015

  • Received:2016-02-03 Revised:2016-03-02 Online:2016-05-15 Published:2016-05-04

摘要:

目的 了解中国生殖道沙眼衣原体感染流行特征,为制定控制对策提供依据。 方法 用描述性流行病学方法对2008—2015年中国105个性病监测点报告的生殖道沙眼衣原体感染病例资料进行“三间分布”分析。 结果 生殖道沙眼衣原体感染报告发病率由2008年的32.48/10万增长到2015年的37.18/10万,年均增长1.95%。不同监测点报告发病率差异很大,最高达615.99/10万,最低 < 1/10万。高发监测点主要分布于珠江三角洲、长江三角洲、闽江地区和西部部分少数民族地区,报告发病率较低的监测点主要分布于华北部分地区和中部地区,少数农村监测点无病例报告。各年报告发病率女性均高于男性,男女性别比有下降趋势,由2008年的0.61 ∶ 1下降至2015年的0.46 ∶ 1。高发年龄段为20 ~ 44岁性活跃人群,报告发病率最高的年龄组为25 ~ 29岁(116.72/10万 ~ 142.98/10万),以15 ~ 19岁年龄组增幅最大(10.06%)。综合医院报告病例数最多(66.00% ~ 74.22%),其次为妇科医院与妇幼保健院、皮肤性病专科医院。 结论 生殖道沙眼衣原体感染是重要的公共卫生问题之一,应重视该病的防治,根据其流行特点采取有效的防治措施。

Abstract:

Yue Xiaoli, Gong Xiangdong, Teng Fei, Jiang Ning, Li Jing, Men Peixuan, Wang Jian Division of Sexually Transmited Disease Epidemiology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College; National Center for Sexually Transmitted Disease Control, China Center for Disease Control and Prevention, Nanjing 210042, China Corresponding author: Gong Xiangdong, Email: gxdchina@163.com 【Abstract】 Objective To investigate epidemiologic features of genital Chlamydia trachomatis (Ct) infection in China, and to provide scientific evidence for developing control strategies. Methods A descriptive epidemiological study was conducted to analyze personal, spacial and temporal distribution of genital Ct infection cases reported from 105 national sexually transmitted disease (STD) surveillance sites in China between 2008 and 2015. Results The reported incidence rate of genital Ct infection increased from 32.48 per 100 000 in 2008 to 37.18 per 100 000 in 2015, with the average annual rate of increase being 1.95%. There was marked variation in the reported incidence of genital Ct infection (range, < 1/100 000 - 615.99/100 000) among different STD surveillance sites, which was relatively high in the Pearl River Delta region, Yangtze River Delta region, Minjiang River region and some ethnic minority areas in western China, but low in north China and central China. In addition, no cases were reported at a few sites in rural areas. The reported annual incidence rate was higher in females than in males from 2008 to 2015, and the ratio of male to female cases decreased from 0.61 ∶ 1 in 2008 to 0.46 ∶ 1 in 2015. Among all age groups, the sexually active population aged 20 - 44 years showed high reported incidence of genital Ct infection, with the highest reported incidence observed in the group aged 25 - 29 years (range, 116.72/100 000 - 142.98/100 000); the group aged 15 - 19 years showed the highest average annual rate of increase (10.06%) in the reported incidence of genital Ct infection. Among all kinds of medical institutions, general hospitals had the largest number of reported cases (range, 66.00% - 74.22%), followed by gynecology hospitals, Maternal and Child Health (MCH) hospitals and specialized dermatovenereology hospitals. Conclusions Genital Ct infection has been one of important public health issues in China, more attention should be paid to its prevention, and effective preventive measures are needed to be developed according to epidemiologic features.