摘要
目的了解《中国儿童和妇女发展纲要（2011-2020年）》（以下简称《新两纲》）中期中国内地各区县婚检人群梅毒感染率状况,揭示婚检人群梅毒感染率变化趋势,促进中国婚检工作发展,提升婚检机构的性病防治水平。方法检索中文数据库,收集整理2011年1月1日-2016年6月30日公开发表的针对中国内地婚检人群的文献进行回顾性分析,使用SPSS17.0软件进行统计学分析,用卡方检验对梅毒感染率进行分析。结果中国内地各区县婚检人群梅毒总感染率加权平均为0.325%,其中广西壮族自治区防城港婚检人群的感染率为1.03%,明显高于全国其他各区县（0.11%-1.03%）。通过统计分析,中国内地各区县婚检人群梅毒感染率差异有统计学意义（χ^2=637.322,P〈0.001）,华南、华东和西南三个大区之间婚检人群梅毒感染率差异有统计学意义（χ^2=31.702,P〈0.001）,但男性与女性梅毒感染率差异无统计学意义（χ^2=0.478,P=0.489）。对三个大区梅毒感染率进行Pearson卡方与两两比较,华南与华东地区梅毒感染率差异有统计学意义（χ^2=20.684,P〈0.001）,华南与西南地区梅毒感染率差异有统计学意义（χ^2=19.173,P〈0.001）。华东与西南地区梅毒感染率差异无统计学意义（χ^2=2.908,P=0.088）。华南和华东地区、长江和珠江三角洲地区婚检人群梅毒感染率处于较高水平,可能与当地经济状况、文化教育程度、地方性风俗习惯、人口流动性、婚检意识、医疗水平和预防干预措施的差异有关。结论中国内地各区县婚检人群梅毒感染率近几年有增高趋势,地区差异大,中国各级政府、婚检和疾控机构应加强合作和监管,只有形成合力才能阻断传染病传播,避免胎传性梅毒的发生,减少出生缺陷发生率,维护家庭与社会的稳定与和谐。
Objective To understand syphilis infection rate in China's Mainland premarital population during the middle stage of ＂ Chinese children and women＇s development program（2011- 2020） ＂,reveal change trend of premarital syphilis infection rate,promote the development of Chinese antemarital examination work, improve STD prevention and control level in premarital care institutions.Methods Chinese databases were searched,the published literatures in China's Mainland premarital population from January 1st,2011 to June 30 th,2016 were collected and summarized,SPSS 17. 0 software was used for statistical analysis,χ~2test was used to analyze syphilis infection rate. Results The weighted mean value of syphilis infection rate in China's Mainland premarital population was 0. 325%,syphilis infection rate in Fangchenggang of Guangxi Zhuang Autonomous Region was 1. 03%,which was significantly higher than those in the other regions（0. 11%- 1. 03%）. There was statistically significant difference in syphilis infection rate among different regions in China's Mainland（χ~2= 637. 322,P 〈0. 001）,there was statistically significant difference among Southern China,East China,and West China（ χ^2=31. 702,P 〈0. 001）,but there was no statistically significant difference between male and female（ χ^2= 0. 478,P = 0. 489）. There was statistically significant difference between Southern China and East China（ χ^2= 20. 684,P 〈0. 001）,and there was statistically significant difference between Southern China and West China（ χ^2= 19. 173,P 〈0. 001）. There was no significant difference between Southern China and West China（ χ^2= 2. 908,P = 0. 088）. Syphilis infection rates were high in Southern China,East China,Yangtze River and the Pearl River Delta region,which might be correlated with the differences of local economic conditions,educational level,local customs and habits,floating population,consciousness of premarital examination,medical level,and prevention interventions. Conclusion Syphilis infection rate in recent years has increased in China's Mainland premarital population,regional differences are large,Chinese government at all levels and premarital examination and disease control institutions should strengthen cooperation and supervision,a concerted effort can block the spread of infectious diseases,avoid congenital syphilis,reduce the rate of birth defects infants,and maintain the stability and harmony of the family and society.
出处
《中国妇幼保健》
CAS
2016年第24期5242-5245,共4页
Maternal and Child Health Care of China
关键词
婚前医学检查
梅毒
感染率
地区差异
Premarital medical examination
Syphilis
Infection rate
Regional difference
