2011-2015年抚州市HIV/AIDS流行趋势与特征分析  

Analysis of the epidemiological trend and characteristics of HIV/AIDS in Fuzhou City between 2011 and 2015

作　　者：上官致洋[1] 朱小康[1] 王克强 徐晓燕 王建辉[4] 谢雯艳 

机构地区：[1]南昌大学抚州医学院,江西抚州344000 [2]金溪县中医院,江西金溪344800 [3]抚州市妇幼保健所,江西抚州344000 [4]抚州市疾病预防控制中心,江西抚州344000 [5]抚州市第一人民医院,江西抚州344000

出　　处：《现代预防医学》2017年第14期2500-2502,2511,共4页Modern Preventive Medicine

基　　金：抚州市社会发展指导性科技计划项目

摘　　要：目的分析2011-2015年抚州市HIV/AIDS的流行特征和变化趋势,为控制HIV/AIDS疫情提供科学依据。方法利用2011-2015年抚州市HIV/AIDS的疫情资料,进行描述性流行病学分析。结果 2011-2015年全市共报告HIV/AIDS 322例,其中HIV 191例,AIDS 131例,年均发病率为1.62/10万,发病率年均增长速度为17.90%,HIV/AIDS发病率总体呈上升趋势(趋势χ~2=28.20,P<0.001)。发病数居前三位的地区依次为临川区、金溪县和东乡县,共占57.76%,临川区、东乡县、南城县、崇仁县、广昌县和黎川县总体发病率呈上升趋势。性别比为3.13∶1,男性发病率呈上升趋势(趋势χ~2=34.47,P<0.001),男性发病率年均增长速度为25.34%。发病年龄集中在20~49岁年龄段,占73.91%。职业以农民为主,占48.76%,其次是家务与待业,占17.39%。结论抚州市HIV/AIDS疫情总体呈快速上升趋势,青壮年、农民病例居多,应制定合适的宣教方案,加大全市检测力度,及时管理新发现病例,有效遏制HIV/AIDS的流行。Objective The study analyzed the epidemiological trend and characteristics of HIV/AIDS in Fuzhou City between 2011 and 2015, aiming to provide a scientific reference for HIV/AIDS prevention and control. Methods The epidemic data of HIV/AIDS in Fuzhou City between 2011 and 2015 was analyzed by descriptive epidemiology method. Results A total of 322 HIV/AIDS cases （consisting of 191 HIV cases and 131 AIDS cases） were reported in Fuzhou City between 2011 and 2015, with an annual average incidence of 1.62/100 000 and an annual average growth rate of 17.90%. The incidence of HIV/AIDS was on the increasing （g2=28.20, P〈0.001）. The top three most vulnerable arcaswere Linchuan District, Jinxi County, and Dongxiang County, accounting for 57.76%. The overall incidences in Linchuan District, Dongxiang County, Nancheng County, Chongren County, Guangchang County, and Lichuan County showed anincreasing trend. The male/female incidence ratio was 3.13：1, and the incidence of male increased （~2=34.47, P〈0.O01）. The annual average growth rate of male was 25.34%, and mainly observed in 20-49 age groups （73.91%）, affecting peasant （48.76%） and household worker or unemployment （17.39%）. Conclusion The epidemic of HIV/AIDS was on a rapid rising trend in Fuzhou City, and mainly affecting young adults and peasants. Appropriate education for publicizing HIV/AIDS should be decided, examination for cases involved in HIV/AIDS should be enhanced, and the new-found cases should be managed timely to effectively contain the prevalence of HIV/AIDS.

关 键 词：HIV/AIDS 发病率 流行趋势 流行特征 

分 类 号：R181.22[医药卫生—流行病学]