玉溪市某医院≥50岁及<50岁人群HIV/AIDS疫情对比分析  

Analysis and Comparison of HIV/AIDS Population under and Above 50-year-old in Yuxi Prefecture

作　　者：李世福[1] 郭春园[1] 李再友[1] 付金翠[1] 鲁建波[1] 刘小春[1] 陈良[1] 潘丽[2] 高良敏[1] 

机构地区：[1]云南省玉溪市疾病预防控制中心,云南玉溪653100 [2]云南省玉溪市人民医院,云南玉溪653100

出　　处：《中国皮肤性病学杂志》2016年第4期376-379,共4页The Chinese Journal of Dermatovenereology

摘　　要：目的了解玉溪市≥50岁人群艾滋病病毒感染者/艾滋病病人(HIV/AIDS)病例占总报告数比的上升原因,对其疫情做较全面分析。方法通过问卷调查、HIV阳性检出率、新近感染状况、首次CD4^+T淋巴细胞计数<200情况对本院≥50岁人群疫情进行综合分析。结果问卷调查显示≥50岁人群艾滋病知识知晓较比较组低(P<0.001),且较少获得相关宣传,但其主要通过医院途径获取艾滋病检测且有更多机会获得检测(P<0.001);2010-2013年玉溪市人民医院90 778例住院及手术病人阳性检出率为0.59%,其中≥50岁组与比较组阳性检出率分别为0.41%和0.68%,近年≥50岁组检出率并未出现上升趋势(P=0.121)而比较组却出现上升趋势(P<0.001);2007-2013年35.80%新报告≥50岁人群感染者首次CD4^+T淋巴细胞计数小于200,18.96%新报告比较组感染者首次CD4^+T淋巴细胞计数小于200,差异有统计学意义(P=0.001)。结论玉溪市≥50岁人群艾滋病知晓率低,但是有更多机会通过医院获得艾滋病检测;阳性检出率较低且近年无上升趋势;新近感染比例及首次CD4^+T淋巴细胞计数结果显示其可能多年前就已经感染而近年才通过扩大检测发现,需持续追踪调查≥50岁人群艾滋病疫情。Objective To understand why the proportion of people aged 50 or more among all new reports HIV/AIDS was rising and analyze the epidemic situation of the AIDS among the elderly in Yuxi Prefecture. Methods Analysed the epidemic situation through the questionnaire survey, positive rate, recent HIV - 1 infection, primary CD4^＋ T cell counts less than 200. Results The questionnaire survey showed that the awareness rate of AIDS knowledge in people aged 50 or more was lower than control group （P 〈 0. 001 ） and less access to HIV education, but the people aged 50 or more was access to HIV testing more easily through hospitals （ P 〈0.001）. The HIV/AIDS positive rate was 0.59% in the First People＇s Hospital of Yuxi from 2010 to 2013, among them the positive rate of the people aged 50 or more and the control group, 0.41% vs 0.68%. The positive rate of the people aged 50 did not show rising trend （P =0. 121 ）, but the control group seemed rising P 〈 0. 001 ）. Among the people aged 50 or more HIV/AIDS, 35.80% primary CD4 ^＋ T cell counts less than 200, among the control group HIV/AIDS, 18.96% primary CD4^＋ T cell counts less than 200, and there was a statistical significance （P = 0. 001 ）. Conclusion Compared with control group, the awareness rate of AIDS knowledge in people aged 50 or older was low but they access to HIV testing more easily through hospitals. Positive rate was low and had no obvious rising trend in recent years. The result of CD4^＋ T cell counts and recent HIV - 1 infection showed that the people aged 50 or older was likely to be infected years ago and was found through expanded HIV testing. It needs to further investigate the epidemic situation in people aged 50 or older continuously.

关 键 词：艾滋病病毒感染者/艾滋病病人 CD4^+T淋巴细胞计数 

分 类 号：R512.91[医药卫生—内科学]