基于低流行地区2000-2015年艾滋病疫情时空分析  

Temporal and spatial analysis of AIDS epidemic in low endemic areas in 2000-2015

作　　者：冯演东 谢东生[2] 何铸海 倪玉飘[2] FENG Yan-dong;XIE Dong-sheng;HE Zhu-hai;NI Yu-piao(Gongguan Central Hospital in Maonan District of Maoming City,Maoming,Guangdong 525024;Maoming Maonan District Center for Disease Control and Prevention,Maoming ,Guangdong525000,China)

机构地区：[1]广东省茂名市茂南区公馆中心卫生院,广东茂名525024 [2]广东省茂名市茂南区疾病预防控制中心,广东茂名525000

出　　处：《热带医学杂志》2018年第12期1662-1665,共4页Journal of Tropical Medicine

摘　　要：目的分析基于低流行地区广东省茂名市茂南区2000-2015年艾滋病(AIDS)疫情流行特征,为制定防治对策提供科学依据。方法通过"中国疾病预防控制信息系统"收集广东省茂名市茂南区2000-2015年艾滋病报告病例数疫情数据。比较不同区域和年份间艾滋病疫情发病率、新发病率及死亡率的差异。结果 2000-2015年茂南区共报告HIV/AIDS 260例,其中AIDS 134例,死亡97人,死亡率为36.16%;茂南区艾滋病总体发病率为29.39/10万,郊区乡镇发病率为33.83/10万,城区街道发病率为23.14/10万,城郊之间发病率差异有统计学意义(χ~2=8.79,P<0.05);郊区以山阁(172.74/10万)最高,城区以露天矿(34.91/10万)最高,各镇街之间发病率差异有统计学意义(χ~2=884 618.0,P<0.05)。艾滋病病例新发率呈逐年上升趋势(χ~2=24 667.74,P<0.05),2011年最高,为5.36/10万;艾滋病病例死亡率呈逐年上升趋势(χ~2=9 461.61,P<0.05),2011年最高,为2.19/10万。结论茂南区艾滋病疫情呈上升态势,疫情具有明显的地域聚集性,以乡镇农村疫情为严峻。Objective To analyze the epidemic characteristics of HIV/AIDS epidemic in Maonan district of Maoming city,a low-prevalence region from 2000 to 2015,and provides a scientific basis for formulating prevention and control countermeasures.Methods Data of the AIDS reports from 2000 to 2015 in Maonan district,Maoming city,Guangdong Province was collected from the "China Disease Prevention and Control Information System".The incidence of AIDS epidemics,new morbidity,and mortality among different regions and years were compared.Results In the Maonan district,a total of 260 cases of HIV/AIDS were reported from 2000 to 2015,including 134 cases of AIDS,97 deaths and a mortality rate of 36.16%.The overall incidence of AIDS in Maonan district was 29.39 per 100000.The incidence rate in rural areas in the suburbs was 33.83 per 100000.The incidence rate in urban streets was 23.14 per 100000.There was a statistically significant difference between urban and rural areas (χ^2=8.79,P<0.05).The incidence of Shange was the highest in the mountain pavilion (172.74/100000),and the incidence of open-pit mine was the highest in the urban area (34.91/100000).The difference in incidence between towns and streets was statistically significant (χ^2=884618.0,P<0.05).The rate of new cases of AIDS was on an upward trend year-by-year (χ^2=24667.74,P<0.05);the highest was in 2011,5.36/100000.The mortality rate of AIDS cases was on an upward trend year-by-year (χ^2=9461.61,P<0.05);the highest was in 2011 was 2.19/100000.Conclusion The AIDS epidemic situation in Maonan district was on the rise.The epidemic had obvious regional clustering,and the rural epidemic situation was severe.

关 键 词：艾滋病 低流行地区 时空分析 

分 类 号：R512.91[医药卫生—内科学]