湖北省≥50岁艾滋病病毒感染者/艾滋病患者特征分析  

Epidemiologic characteristics of aged HIV/AIDS cases older than 50 years reported through internet based direct reporting system in Hubei province

作　　者：张薇[1] 张艺[1] 申幸福[1] 李玲[1] 汤恒[1] 彭国平[1] 郑武[1] ZHANG Wei;ZHANG Yi;SHEN Xing-fu;LI Ling;TANGHeng;PENG Guo-ping;ZHENG WuHubei(Provincial Center for Disease Control and Prevention,Hubei Wuhan,430079,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《江苏预防医学》2018年第5期497-499,567,共4页Jiangsu Journal of Preventive Medicine

摘　　要：目的了解湖北省≥50岁艾滋病病毒感染者/艾滋病患者特征。方法从艾滋病综合防治信息系统下载湖北省艾滋病网络直报数据库,选择终审日期在2016年12月31日前且现住址为湖北省的≥50岁病例进行分析。结果湖北省累计报告≥50岁艾滋病病毒感染者/艾滋病患者(HIV/AIDS)5 054例,其中AIDS占56.7%,死亡病例占34.2%(其中AIDS占64.7%)。该年龄组病例数占当年新报告HIV/AIDS比例由2005年13.6%(66/485)上升到2016年的35.6%(1 166/3 273),呈逐年上升趋势(P<0.01)。病例年龄中位数为58.0岁,男女比为2.8∶1,以小学及文盲(48.6%)、农民(46.9%)、已婚者(55.5%)为主。全省各地区均有报告,不同地区构成比差异有统计学意义(P<0.01)。异性传播占73.1%,构成比从2005年的27.3%增长至2016年的79.8%,呈上升趋势(P<0.01)。结论湖北省≥50岁HIV/AIDS病例增长迅速,主要传播途径是异性传播。应根据中老年人特点开展艾滋病宣传教育,加强经性传播高危行为干预和早期检测。Objective To investigate characteristics of HIV/ AIDS cases ≥50 years old reported through network direct reporting system in Hubei province. Methods HIV/AIDS cases older than 50 years old who were Hubei residents diagnosed before Dec 31 st 2016 were selected for analysis, case data were downloaded from online HIV/AIDS case reporting system. Results A total of 5 054 HIV/AIDS aged older than 50 years were reported in Hubei province. AIDS accounted for 56.7%, deaths accounted for 34.2%（among whom AIDS accounted for 64.7%）. Among newly reported HIV/AIDS cases ,the annual proportion of patients of 50 years or older increased significantly from 13.6%（66/485） in 2005 to 35.6% （1 166/3 273）in 2016,demonstrating ascending trend（ P 〈0.01）.The median age of patients was 58.0 years; the male to female ratio was 2.8 ∶1. Patients were mainly with illiteracy or primary school education background （48.6%）, farmers（46.9%）and married（55.5%）.Cases were reported from all districts in the province, there was a significant difference for the constituent ratio of different regions （ P 〈0.01）. Heterosexual transmission accounted for 73.1%,the annual proportion of patients infected via heterosexual transmission among the newly infected cases increased from 27.3% in 2005 to 79.8% in 2016, demonstrating ascending trend（ P 〈0.01）. Conclusion The reported HIV/AIDS patients aged ≥50 years old increased significantly in Hubei province. Heterosexual transmission was major route. AIDS propaganda and education should be carried out according to the characteristics of the elderly population. Intervention and early detection of high-risk sexual transmission should be strengthened.

关 键 词：艾滋病 网络直报 年龄 流行特征 

分 类 号：R512.91[医药卫生—内科学]