文章摘要
2018~2020年马鞍山市城区婚前医学检查中艾滋病 梅毒及乙型肝炎检出情况分析
Analysis ondetection results of AIDS syphilis and hepatitis B in premarital medical examination in Ma'anshan city from 2018 to 2020
投稿时间：2021-03-23  
DOI：10.3969/j.issn.1000-0399.2021.09.028
中文关键词: 婚前医学检查  艾滋病  梅毒  乙型肝炎
英文关键词: Premarital medical examination  Acquired immune deficiency syndrome  Syphilis  Hepatitis B
基金项目:中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(项目编号:2019FYH020)
作者单位
陶玲玲 243000 安徽省马鞍山市妇幼保健院妇保科 
严双琴 243000 安徽省马鞍山市妇幼保健院妇保科 
黄小红 243131 安徽省马鞍山市博望区妇计中心 
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中文摘要:
      目的 探讨2018~2020年马鞍山市城区婚前医学检查人群中艾滋病、梅毒及乙型肝炎检出情况。方法 以2018年1月1日至2020年12月31日于马鞍山市妇幼保健院、博望区妇计中心行婚前医学检查的35 162例受试者为研究对象，根据性别（男、女）和年龄（青年组：44岁及以下，中年组：45~59岁，老年组：60岁及以上）分组，统计其艾滋病、梅毒及乙型肝炎检出情况。结果 2018~2020年马鞍山市城区婚前医学检查人群中乙肝表面抗原（HBsAg）阳性率分别为1.71%、1.41%、1.33%，呈逐年下降趋势（χ2=6.697，P<0.05）；梅毒阳性率分别为0.20%、0.19%、0.23%，基本持平（χ2=0.409，P=0.815）。青年组HBsAg阳性率显著高于中年组（χ2=26.591，P<0.05）和老年组（χ2=30.645，P<0.05），年龄组间差异有统计学意义（χ2=49.246，P<0.05）；不同年龄组梅毒阳性率差异无统计学意义（χ2=0.768，P=0.681）。男性HBsAg阳性率高于女性，差异有统计学意义（χ2=9.457，P<0.05）；不同性别研究对象的梅毒阳性率差异无统计学意义（χ2=0.124，P=0.716）。2018~2020年共检出艾滋病9例，阳性率分别为0.23‰、0.09‰、0.46‰，其中男性8例，年龄26~66岁，平均（41.29±14.06）岁；女性1例，35岁。结论 应重点关注城区44岁及以下青年和男性人群的乙型肝炎筛查和防治，进一步提高婚检率，加强对乙类传染病的预防宣教，提高人口出生质量。
英文摘要:
      Objective To analyze the detection results of AIDS, syphilis and hepatitis B in premarital medical examination in Ma'anshan city from 2018 to 2020. Methods Thesubjectswere 35162 people who had done premarital medical examination in Health Center for Women & Children of Ma'anshan City andBowang Maternal and Child Health and Family Planning Service Centerfrom January 1, 2018 to December 31, 2020, andthe detection results of AIDS, syphilis and hepatitis B from 2018 to 2020 were analyzed.According to the World Health Organization(WHO) age classification criteria, the subjects were divided into young group (44 years old and below), middle-aged group (45~59 years old) and old group (60 years old and above), then the distribution of diseases in different age and gender groups was summarized. Results From 2018 to 2020, the positive detection rate of hepatitis B among the subjects wwas 1.71%, 1.41% and 1.33% respectively, showing a downward trend year by year(χ2=6.697,P<0.05), the positive detection rate of syphilis among the subjects was basically the same as 0.15%, 0.13% and 0.19% respectively (χ2=0.409,P=0.815). The positive rate of HBsAg in young people aged 44 years and below was higher than that in middle-aged group(χ2=26.591, P<0.05) and old group(χ2=30.645,P<0.05), and the difference among the age groups was statistically significant(χ2=49.246, P<0.05).There was no significant difference in the positive rate of syphilis among different age groups (χ2=0.768, P>=0.681). The positive rate of HBsAg in males was higher than that in females, and the difference was statistically significant (χ2=9.457,P<0.05); there was no significant difference in the positive rate of syphilis between different gender groups(χ2=0.124, P=0.716). From 2018 to 2020, a total of 9 HIV cases were detected, the positive detection rate of HIV among the subjects was0.23‰, 0.09‰ and 0.46‰ respectively,including 8 males, the oldest 66 years old and the youngest 26 years old, with an average age of (41.29±14.06) years old, and one case was female, 35 years old. Conclusions We should pay more attention to the screening, prevention and treatment of hepatitis B among men and young people under 44 years old in urban areas, further improve the rate of premarital medical examination and strengthen the publicity and education of AIDS and syphilis prevention knowledge for people, so as to improve the child bearing quality.
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