四川某三甲医院15～29岁青年HIV感染者的流行病学特征分析  

Analysis of epidemiological characteristics of HIV patients aged 15-29 years in a certain grade three and first-class hospital in Sichuan Province

作　　者：魏彬[1] 苟瑜[1] 杨婷婷[1] 王婷婷[1] 李冬冬[1] 赵艳华[1] 陶传敏[1] 

机构地区：[1]四川大学华西医院实验医学科,四川成都610041

出　　处：《现代预防医学》2017年第2期209-212,230,共5页Modern Preventive Medicine

基　　金：四川省卫生和计划生育委员会项目[川卫办发(2016)114号]

摘　　要：目的分析2014-2015年某三甲医院15~29岁青年HIV感染者的流行病学特征,为制定HIV防治工作策略提供科学依据。方法回顾性分析某三甲医院2014年1月-2015年12月15~29岁青年HIV感染者流行病学资料。结果某三甲医院2014-2015年15~29岁青年HIV感染者共计361例,就诊科室分布前五位为门急诊、神经内科、感染中心、心理卫生中心、呼吸科。检测原因前三位依次是门急诊自愿咨询或体检,发热及肺部感染和外科手术前及输血前检测。男性占84.76%,女性占15.24%,性别比5.56∶1;汉族最多,占86.98%;职业前四位分别为家务及待业者(29.36%)、农民(8.59%)、商业服务者(7.76%)、学生(5.54%);文化程度普遍较高,高中及以上占71.75%;未婚者居多,占81.72%;传播途径以性传播(84.48%)为主,其中异性传播占44.04%,同性传播占40.44%;异性传播的比例随年龄增加呈上升趋势,同性传播人群的文化程度更高。结论某三甲医院15~29岁青年HIV感染者以男性居多,文化程度普遍较高,性传播成为该人群的主要传播途径,且同性传播比例较高。提示青年人群中HIV感染的性传播问题值得关注,需要开展针对性的宣教和干预工作。Objective This study was to analyze the epidemiological characteristics of young HIV-infected patients aged 15- 29 years old during 2014 to 2015 in a certain grade three and first-class hospital inSichuan province, so toprovide scientific basis for making out effective protective measures. Methods The epidemiological data of 361 HIV-infected patients of 15-29 years old during January 2014 to December 2015 in a certain grade three and first-class hospital was retrospectively analyzed. Results Among the 361 patients, the top five clinic departments were outpatient and emergency service, neurology department, infection center, psychological health clinics and respiration department. The top three reasons for consultation or diagnosis were voluntary counseling or physical examination, fever and lung infection, detection before surgery and blood transfusion. Males and females accounted for 84.76% and 15.24%, respectively. The ratio of male to female was 5.56：1. The Han nationality formed the dominant ethnic group. Unemployed people, farmers, business service providers and students were the main occupations, accounting for 29.36%, 8.59%, 7.76%, 5.54%, respectively. The education level was commonly high, with high school education or above accounting for 71.75%, and the unmarried people accounted for 81.72%. Heterosexual transmission accounted for 44.04%, while homosexual transmission accounted for 40.44%. The ratio of heterosexual transmission increased with growing age. Patients with homosexual transmission had higher education than the group of heterosexual transmission. Conclusion Young males and people with high education level were at a high risk for HIV infections in our hospitals. Sexual transmission was the main route of transmission. The proportion of homosexual transmission was high, which reminds us that we should pay more attention to the sexual transmission of HIV among young population. Simultaneously, we should carry out targeted HIV education and intervention.

关 键 词：青年 HIV 流行病学 医院 

分 类 号：R181.3[医药卫生—流行病学]