广东省结核病患者艾滋病病毒感染现况调查分析  

Analysis of the situation of HIV infection among TB patients in Guangdong province

作　　者：钟球[1] 李建伟[1] 周琳[1] 蒋莉[1] 连永娥[1] 

机构地区：[1]广东省结核病防治研究所,广州510630

出　　处：《中国防痨杂志》2011年第7期430-433,共4页Chinese Journal of Antituberculosis

基　　金：2008年广东省医学科研课题(C2008007);"十一五"国家重大科技专项(2008ZX10003-007)

摘　　要：目的了解广东省结核病患者艾滋病病毒（HIV）感染现况及其流行病学特征。方法采用横断面调查方式,在30个调查县区中对2008年9月至2009年1月期间新登记的结核病患者进行问卷调查和HIV抗体检测。结果调查期间共5447例结核病患者接受调查,其中HIV阳性25例,HIV感染率为0.46%（95%CI：0.28%~0.64%）。粤西地区结核病患者的HIV感染率为1.28%（95%CI：0.67%~1.88%）,高于全省平均水平,也明显高于粤中、粤东地区（P〈0.01）。人群分布方面,30~50岁的结核病患者HIV感染率最高（χ2=8.883,P=0.012）,为0.85%;本地户籍结核病患者的HIV感染率高于外地户籍（χ2=4.624,P=0.032）。结论广东省结核病患者HIV感染率处于较低水平,但局部地区结核病患者HIV感染率偏高。Objective To investigate the HIV infection situation among TB patients in Guangdong province and to analyze its epidemiological characteristics.Methods This is a cross-sectional design.New registered patients registered from September 2008 to January 2009 in 30 counties were investigated by questionnaire and tested for HIV infection.Results 5447 TB cases were investigated,of which 25 cases were found HIV-positive.The HIV infection rate was 0.46%（95%CI：0.28%~0.64%）.The HIV infection rate among TB patients in Western Guangdong was 1.28%（95%CI：0.67%~1.88%）which is higher than the average rate of the whole province,and also higher than Middle and Eastern Guangdong（P0.01）.For age distribution,the HIV infection rate was highest of 0.85% in TB patients between 30 to 50 years old（χ2=8.883,P=0.012）.The HIV infection rate among TB patients in household population was higher than the floating population（χ2=4.624,P=0.032）.Conclusion The overall HIV infection among TB patients was at a low level in Guangdong,but high in part areas.It is necessary to implement TB/HIV prevention and control in the area with high HIV/AIDS epidemic and/or high TB/HIV co-infection rate.

关 键 词：结核 HIV感染 重叠感染 问卷调查 广东省 

分 类 号：R512.91[医药卫生—内科学]