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目的通过了解唐山市2012—2015年老年人性传播疾病(sexually transmitted diseases,STDs)的流行病学特征,为制定防治措施提供科学依据。方法对唐山市2012—2015年老年人STDs的流行情况进行趋势及描述性分析。结果近4年来,唐山市老年人STDs报告病例数为1 608例,年均发病率为16.76/10万;各病种发病率均成上升趋势。病种构成中以梅毒比例最高(88.12%),其次为淋病(5.29%),尖锐湿疣居第3位(3.54%)。4年内老年人STDs男女性别比为1.77∶1,以50~59岁年龄比例最大(40.11%);农民、离退人员、工人和家务及待业占总发病人数的87.12%;发病人群文化程度以小学及以下为主(15.11%);婚姻状况以已婚有配偶为主(26.74%)。4年中老年人STDs以异性传播为主(6.65%);实验室诊断患者占16.17%。结论该市STDs有老龄化趋势,总体男性患者多于女性,应加强对老年人性病防治知识的宣传和教育工作,努力控制STDs在老年人中的传播和蔓延,提倡安全性行为,降低老年人性病的发病率。
Objective To understand the epidemiological characteristics of sexually transmitted diseases (STDs) in the elderly in Tangshan from 2012 to 2015 and provide a scientific basis for the development of prevention and control measures. Methods The trend and descriptive analysis of prevalence of STDs in the elderly in Tangshan from 2012 to 2015 were analyzed. Results In the past 4 years, there were 1 608 cases of STDs reported in the elderly in Tangshan City, with an average annual incidence of 16.76 / 100 000; The proportion of syphilis was the highest (88.12%), followed by gonorrhea (5.29%) and genital warts was the third (3.54%). The male to female ratio of STDs was 1.77:1 in 4 years, the highest was 40- 50 years old (40.11%). The peasants, retirees, workers, household and unemployed accounted for 87.12% of the total. The educational level Primary school and below (15.11%); marital status mainly married spouse (26.74%). The prevalence of STDs in middle-aged and elderly people was mainly heterosexual transmission (6.65%) in 4 years and 16.17% in laboratory diagnosis. Conclusion The trend of STDs in the city is aging. The overall male patients are more than the female ones. The propaganda and education on STDs prevention and control should be strengthened, and efforts should be made to control the spread and spread of STDs in the elderly, to promote safe behaviors and to reduce the elderly The incidence of STDs.