云南省2010-2013年结核菌/艾滋病病毒双重感染者流行特征  

Epidemiological characteristics of TB / HIV co-infection in Yunnan Province( 2010-2013)

作　　者：王芸[1] 侯景龙[1] 杨蕊[1] 黄莉[1] 许琳[1] 

机构地区：[1]云南省疾病预防控制中心,昆明650022

出　　处：《公共卫生与预防医学》2015年第3期8-11,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的分析云南省TB/HIV双重感染患者发病现状及流行特征,为下一步防控措施提供依据。方法利用国家结核病管理信息系统提供的数据,采用描述性流行病学方法分析云南省2010-2013年TB/HIV双感患者的基本特征和流行趋势。结果从HIV/AIDS中TB阳性检出率4年平均为1.01%;从TB中HIV抗体阳性检出率4年平均为0.53%。2010-2013年,HIV/AIDS中TB阳性检出率（χ2=1 074,P〈0.05）和TB中HIV抗体阳性检出率（χ2=11.22,P〈0.05）都呈下降趋势。1 526例双感患者中男女比例为4∶1。双感患者发病年龄主要集中在25~45岁组（81.85%）。35岁以下年龄组人群TB/HIV报告发病率呈逐年下降趋势（Z=-2.47,P〈0.05）;其中25~29岁组报告发病率呈逐年下降趋势（Z=-1.99,P〈0.05）。职业分布中以农民居多,占63.30%。TB/HIV双感患者检出率与TB报告登记率及HIV报告登记率之间都呈现了相关性,前者r=0.756（P〈0.05）,后者r=0.679（P〈0.05）。结论应重点加强结核病或艾滋病高疫情地区、重点人群的TB/HIV双感防治工作。Objective To analyze the epidemiological characteristics of TB/HIV co-infection cases in Yunnan Province, and provide suggestions for the further control of the diseases. Methods Descriptive epidemiological method was used to analyze the basic characteristics and trends of TB/HIV co-infection cases in Yunnan Province from 2010 to 2013. The national TB management information system was utilized. Results The average TB positive rate among HIV/AIDS cases was 1.01%, and the average HIV antibody positive rate among TB cases was O. 53% in Yunnan Province from 2010 to 2013. The TB positive rate among HIV/AIDS（ X2 = 1074, P 〈 0. 05 ） and the HIV antibody positive rate （ ~2 = 11.22, P 〈 0. 05 ） among TB cases, both presented a downward trend. The ratio of male to female was 4：1 among the 1526 TB/HIV cases, . The age of TB/HIV cases was mainly concentrated in the age group from 25 to 45 （81.85%）. The TB/HIV reported incidence rate under 35 years old group appeared a declining trend year by year（Z = -2. 47 ,P 〈0. 05） ;and the rate between 25 and 29 years old group also showed a declining trend year by year（Z = - 1.99, P 〈 0. 05 ）. The incidence of farmers accounted for 63. 30% in professional distribution. The correlation was presented between the TB/ HIV detection rate and the TB report rates （ r = 0. 756, P 〈 0. 05 ）, and the correlation was also presented between the TB/HIV detection rate and the HIV reporting rate （ r = 0. 679 , P 〈 0.05 ）. Conclusion The control strategies for TB/HIV should be focused on the high-risk population in both the high TB or HIV/AIDS epidemic areas.

关 键 词：结核病 艾滋病 双重感染 

分 类 号：R512[医药卫生—内科学]