Epidemiology of genital Chlamydia trachomatis infection among youth aged 15-24 years in Beijing during 2010-2019
-
摘要:
目的 了解2010—2019年北京市15~24岁人群生殖道沙眼衣原体感染流行情况, 为制定防治策略提供科学依据。 方法 通过中国疾病预防控制信息系统收集2010—2019年北京市15~24岁人群生殖道沙眼衣原体感染报告数据, 应用描述流行病学方法进行分析。 结果 2010—2019年北京市15~24岁人群生殖道沙眼衣原体感染报告病例数累计为1 871例, 其中女性1 287例(68.79%); 报告率由3.16/10万增加到25.15/10万, 年均增长25.92%, 年增长趋势有统计学意义(χ2=836.86, P < 0.01)。人群报告率均呈增长趋势, 除2010和2012年外, 女性报告率均高于男性。2010—2019年各年龄组报告率均呈增长趋势, 增幅最大的为15~19岁人群。 结论 北京市15~24岁人群生殖道沙眼衣原体感染报告率呈增长趋势, 要关注青少年的性与生殖健康教育、重视生殖道沙眼衣原体的流行, 提高监测水平。 Abstract:Objective To investigate epidemiological features of genital Chlamydia trachomatis(Ct) infection among youth aged 15-24 years in Beijing, so as to provide scientific basis for developing control strategies. Methods Data regarding genital Ct infection among youth aged 15-24 years were collected from the disease surveillance information reporting system in Beijing between 2010 and 2019 and were analyzed with the descriptive epidemiological method. Results During 2010-2019, a total of 1 871 cases of Ct infection was reported, 1 287(68.79%) of the cases were female. The reported incidence rate of genital Ct infection increased from 3.16 per 100 000 in 2010 to 25.15 per 100 000 in 2019, with an average annual increasing rate of 25.92%(χ2=836.86, P < 0.01). Increasing trends in the reported incidence were observed among males and females, females being higher than males in the year 2010 and 2012. The reported incidence rates increased annually in all age groups between 2010 and 2019, and the average annual rate of increase was highest in the group aged 15-19 years. Conclusion The reported rate of genital Ct infection showed an increasing trend among youth aged 15-24 years in Beijing, and increased rapidly among youth aged 15-24 years. More attention should be paid on sexual and reproductive health education among adolescents. Epidemic of genital Ct infection should be concerned, and its surveillance need to be improved. -
Key words:
- Chlamydia trachomatis /
- Infection /
- Epidmiologic studies /
- Incidence
-
表 1 北京市不同年份15~24岁人群生殖道沙眼衣原体感染报告率
Table 1. Reported incidence of genital Chlamydial infection among persons aged 15-24 years in Beijing
年份 男生 女生 合计 人数 报告人数 人数 报告人数 人数 报告人数 2010 1 242 764 44(3.54) 1 134 019 31(2.73) 2 376 783 75(3.16) 2011 1 681 528 29(1.72) 1 481 084 30(2.03) 3 162 612 59(1.87) 2012 1 936 141 24(1.24) 1 776 727 13(0.73) 3 712 868 37(1.00) 2013 1 935 130 43(2.22) 1 768 940 98(5.54) 3 704 070 141(3.81) 2014 1 970 823 48(2.44) 1 804 527 117(6.48) 3 775 350 165(4.37) 2015 1 965 485 43(2.19) 1 874 937 110(5.87) 3 840 422 153(3.98) 2016 2 000 851 50(2.50) 1 849 663 139(7.51) 3 850 514 189(4.91) 2017 1 963 473 70(3.57) 1 820 661 212(11.64) 3 784 134 282(7.45) 2018 1 932 826 106(5.48) 1 802 210 238(13.21) 3 735 036 344(9.21) 2019 899 635 127(14.12) 794 497 299(37.63) 1 694 132 426(25.15) 注：( )内数字为报告率/10-5。 
下载: 导出CSV
表 2 北京市不同性别各年龄组人群2010—2019年生殖道沙眼衣原体感染报告率
Table 2. Reported incidence of genital Chlamydial infection by age and sex in Beijing, 2010-2019
性别 年龄/岁 2010年 2011年 2012年 2013年 2014年 人数 报告人数 人数 报告人数 人数 报告人数 人数 报告人数 人数 报告人数 男 15~19 608 657 4(0.66) 780 461 4(0.51) 536 697 5(0.93) 508 058 4(0.79) 517 892 5(0.97) 20~24 634 107 40(6.31) 901 067 25(2.77) 1 399 444 19(1.36) 1 427 072 39(2.73) 1 452 931 43(2.96) 女 15~19 538 090 2(0.37) 666 669 5(0.75) 479 355 1(0.21) 449 786 14(3.11) 459 163 22(4.79) 20~24 595 929 29(4.87) 814 415 25(3.07) 1 297 372 12(0.92) 1 319 154 84(6.37) 1 345 364 95(7.06) 性别 年龄/岁 2015年 2016年 2017年 2018年 2019年 人数 报告人数 人数 报告人数 人数 报告人数 人数 报告人数 人数 报告人数 男 15~19 516 490 1(0.19) 524 152 8(1.53) 514 252 7(1.36) 506 604 16(3.16) 260 930 23(8.81) 20~24 1 448 995 42(2.90) 1 476 699 42(2.84) 1 449 221 63(4.35) 1 426 222 90(6.31) 638 705 104(16.28) 女 15~19 477 057 22(4.61) 469 197 31(6.61) 461 737 29(6.28) 458 059 26(5.68) 237 997 46(19.33) 20~24 1 397 880 88(6.30) 1 380 466 108(7.82) 1 358 924 183(13.47) 1 344 151 212(15.77) 556 500 253(45.46) 注： ( )内数字为报告率/10-5。
下载: 导出CSV
-
[1] WHO. Report on global sexually transmitted infection surveillance, 2018[EB/OL]. [2020-11-29]. https://www.who.int/reproductivehealth/publications/stis-surveillance-2018/en/. [2] 王千秋, 刘全忠, 徐金华. 性传播疾病临床诊疗与防治指南[M]. 上海: 上海科学技术出版社, 2014: 104-108.WANG Q Q, LIU Q Z, XU J H. Guidelines for clinical diagnosis, treatment and prevention of sexually transmitted diseases[M]. Shanghai: Shanghai Science and Technology Press, 2014: 104-108. [3] 岳晓丽, 龚向东, 李婧, 等. 2015—2019年中国性病监测点生殖道沙眼衣原体感染流行病学特征[J]. 中华皮肤科杂志, 2020, 53(8): 596-601.YUE X L, GONG X D, LI J, et al. Epidemiologic feature of genital Chlamydia trachomatis infection at national sexually transmitted disease surveillance sites in China, 2015-2019[J]. Chin J Dermatol, 2020, 53(8): 596-601. [4] 王玉琴, 徐敏, 卢红艳, 等. 2008—2017年北京市生殖道沙眼衣原体感染流行特征[J]. 首都公共卫生, 2019, 13(4): 176-179. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW201904004.htmWANG Y Q, XU M, LU H Y, et al. Epidemiologic feature of genital Chlamydia trachomatis infection in Beijing during 2008-2017[J]. Capital J Public Heath, 2019, 13(4): 176-179. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW201904004.htm [5] 刘朝晖, 薛凤霞. 女性生殖道沙眼衣原体感染诊治共识[J]. 中国实用妇科与产科杂志, 2015, 31(9): 791-793. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201509004.htmLIU Z H, XUE F X. Expert consensus on female genital chlamydial infections diagnosis and treatment[J]. Chin J Pract Gynecol Obstet, 2015, 31(9): 791-793. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201509004.htm [6] 叶健滨, 王洪琳, 蔡于茂, 等. 性病相关门诊女性就诊者生殖道沙眼衣原体感染危险因素分析[J]. 国际流行病学传染病学杂志, 2020, 47(5): 410-414. doi: 10.3760/cma.j.cn331340-20200825-00265YE J B, WANG H L, CAI Y M, et al. Risk factors of urogenital infection with Chlamydia trachomatis among females at sexually transmitted disease clinics[J]. Int J Epidemiol Infect Dis, 2020, 47(5): 410-414. doi: 10.3760/cma.j.cn331340-20200825-00265 [7] Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2018[EB/OL]. [2020-11-29]. https://www.cdc.gov/std/stats18/default.htm. [8] European Centre for Disease Prevention and Control. Chlamydia infection//ECDC. Annual epidemiological report for 2018. Stockholm: ECDC, 2020[EB/OL]. [2020-11-28]. https://www.ecdc.europa.eu/sites/default/files/documents/AER-for-2018-STI-chlamydia.pdf. [9] 刘全忠. 生殖道沙眼衣原体感染研究的挑战: 临床与检验[J]. 国际流行病学传染病学杂志, 2020, 47(5): 392-397. doi: 10.3760/cma.j.cn331340-20200902-00288LIU Q Z. Challenges on urogenital Chlamydia trachomatis infection research: clinical and laboratory aspects[J]. Int J Epidemiol Infect Dis, 2020, 47(5): 392-397. doi: 10.3760/cma.j.cn331340-20200902-00288 [10] PENG L, CHEN J L, WANG D. Progress and perspectives in point of care testing for urogenital chlamydia trachomatis infection: a review[J]. Med Sci Monit, 2020, 26: 920873. http://www.researchgate.net/publication/340717504_Progress_and_Perspectives_in_Point_of_Care_Testing_for_Urogenital_Chlamydia_trachomatis_Infection_A_Review [11] LAMONTAGNE D S, FENTON K A, RANDALL S, et al. Establishing the national chlamydia screening programme in england: results from the first full year of screening[J]. Sex Transm Infect, 2004, 80(5): 335-341. doi: 10.1136/sti.2004.012856 [12] Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia: annual surveillance report 2018[EB/OL]. [2020-11-28]. https://kirby.unsw.edu.au/sites/default/files/Kirby/report/KI_Annual-Surveillance-Report-2018.pdf. [13] 张妍, 韩历丽, 高丽丽, 等. 北京市大学生不安全性行为现况及相关因素调查[J]. 中国计划生育学杂志, 2019, 27(12): 1585-1588, 1594. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY201912006.htmZHANG Y, HAN L L, GAO L L, et al. Investigation on the status and relative factors of unsafe sex among college students in Beijing[J]. Chin J Plann, 2019, 27(12): 1585-1588, 1594. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY201912006.htm [14] 韩耕愚, 雷园婷, 吕若然, 等. 北京市高中生网络成瘾行为现状及其影响因素分析[J]. 中国儿童保健杂志, 2018, 26(10): 1115-1119. doi: 10.11852/zgetbjzz2018-26-10-19HAN G Y, LEI Y T, LYU R R, et al. Characteristics and associated factors of internet addiction behaviors among senior high school students in Beijing[J]. Chin J Child Health Care, 2018, 26(10): 1115-1119. doi: 10.11852/zgetbjzz2018-26-10-19 [15] 罗倩倩, 陈子煌, 马跃, 等. 2017年北京市使用某手机社交软件的男男性行为人群感染HIV风险及相关因素[J]. 中华预防医学杂志, 2018, 52(12): 1220-1224. doi: 10.3760/cma.j.issn.0253-9624.2018.12.005LUO Q Q, CHEN Z H, MA Y, et al. Risk of HIV infection and its factors among men who have sex with men: a geosocial networking application-based survey in Beijing of China, 2017[J]. Chin J Prev Med, 2018, 52(12): 1220-1224. doi: 10.3760/cma.j.issn.0253-9624.2018.12.005 [16] Centers for Disease Control and Prevention(CDC). Summary of notifiable disease, United States, 1995[J]. MMWR Morb Mortal Wkly Rep, 1996, 44(53): 1-87. http://www.ncbi.nlm.nih.gov/pubmed/8926993 [17] LOWNDES C M, FENTON K A. Surveillance systems for STIs in the European Union: facing a changing epidemiology[J]. Sex Transm Infect, 2004, 80(4): 264-271. doi: 10.1136/sti.2004.010389 [18] 李雅梅, 修乐山, 彭俊平. 沙眼衣原体疫苗与淋病奈瑟球菌疫苗的研究进展[J]. 国际流行病学传染病学杂志, 2020, 47(5): 439-443. doi: 10.3760/cma.j.cn331340-20200829-00278LI Y M, XIU L S, PENG J P. Devepment of vaccines against Chlamydia trachomatis and Neisseria gonorrhoeae[J]. Int J Epidemiol Infect Dis, 2020, 47(5): 439-443. doi: 10.3760/cma.j.cn331340-20200829-00278 -
点击查看大图
表(2)
计量
- 文章访问数: 553
- HTML全文浏览量: 300
- PDF下载量: 18
- 被引次数: 0
