2008-2017年阆中市50岁及以上人群HIV/AIDS报告病例流行特征分析  

Epidemiological Characteristics of HIV/AIDS Among Patients Aged50 and Above in Langzhong City From 2008 to 2017

作　　者：曹妍[1] 冉定鑫[1] 杨小琼 邓秀 李杨 侯仕茂[1] 崔桂萍 CAO Yan;RAN Dingxin;YANG Xiaoqiong;DENG Xiu;LI Yang;HOU Shimao;CUI Guiping(Langzhong Municipal City Center for Disease Control and Prevention,Langzhong City 637455, Sichuan Province,China)

机构地区：[1]阆中市疾病预防控制中心,四川阆中637455

出　　处：《预防医学情报杂志》2019年第5期469-473,共5页Journal of Preventive Medicine Information

摘　　要：目的分析阆中市2008-2017年50岁及以上人群HIV/AIDS报告病例流行特征,为该人群艾滋病防控措施提供科学依据。方法通过艾滋病综合防治信息系统收集阆中市2008-2017年50岁及以上人群HIV/AIDS病例资料并进行分析。结果阆中市2008-2017年50岁及以上人群HIV/AIDS报告病例134例,占同期总报告数的37.6%(134/356),年度报告发病率(χ~2=88.23,P<0.01)及构成比(χ~2=18.68,P<0.01)均呈上升趋势。男女性别比为2.62∶1,确诊时平均年龄(61.48±8.07)岁,50～59岁占50.0%,小学及以下文化占59.7%,已婚有配偶占70.1%,农民及民工占67.9%,医疗机构检测发现占68.7%。异性性传播为主占95.5%,男性商业性性行为占79.1%,女性非婚非商业性行为占59.5%。HIV感染时间在3年以内和8年及以上分别占15.8%和38.6%,病例晚发现比例47.0%(63/134)。结论阆中市50岁及以上人群疫情发展较快,已成为艾滋病防控重点对象,应采取针对性措施降低该人群感染艾滋病风险。Objective To analyze the epidemiological characteristics of HIV/AIDS among people of age 50 and over in Langzhong city from 2008 to 2017,and to provide scientific basis for AIDS prevention and control for this group of people. Methods The data of HIV/AIDS cases among the patients aged 50 years old and above from 2008 to 2017 were collected from the Information System of AIDS Prevention and Control, and the related data were analyzed. Results The number of reported HIV/AIDS cases among aged 50 and above people was 134 in Langzhong city from2008 to 2017,it was accounted for 37.6% of the total.The annual reported incidence of HIV/AIDS(χ^2=88.23, P<0.01) and the proportion of the elderly cases(χ^2=18.68,P<0.01)was increasing.The ratio of male to female was 2.62∶1. The average age was(61.48 ± 8.07) years old at diagnosed, and 50 to 59 years old people accounted for 50%. The educational background was primary school and below accounted for59.7%. About 70.1% cases were married and 67.9% cases were peasants and migrant workers. Up to 68.7% cases were detected in medical institutions.Heterosexual transmission was the main route,it was accounted for 95.5%.Male had commercial sexual behavior was accounted for 79.1%,and unmarried women had commercial sexual behavior was accounted for 59.5%. The proportions of infection time within 3 years and more than 8 years were accounted for 15.8% and 38.6%,respectively. The rate of diagnosis late was 47.0%(63/134). Conclusion With the rapid spread of HIV/AIDS epidemic among people aged 50 and above,they has become the key target for AIDS prevention and control.The targeted measures should be taken to reduce the risk of HIV infection among middle-aged and elderly people.

关 键 词：艾滋病 中老年人 流行病学分析 

分 类 号：R181[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]