武汉市青年学生与校外青年艾滋病疫情特征比较分析  

A Descriptive and Comparative Analysis of HIV/AIDS Epidemic between Young Students and Out-of-school Youths in Wuhan

作　　者：胡荣[1] 罗莉[1] 许骏[1] 曹琳[1] 谢年华[1] 吴斯[1] 周旺[1] 王夏[1] HU Rong;LUO Li;WANG Xia(Department of HIV/AIDS Prevention,Wuhan Centers for Disease Prevention and Control,Wuhan, 430015,China)

机构地区：[1]武汉市疾病预防控制中心艾滋病防制所

出　　处：《中国社会医学杂志》2019年第3期268-271,共4页Chinese Journal of Social Medicine

基　　金：湖北省卫生计生委指导性项目(WJ2017F048);武汉市卫生计生委医学科研项目(WG17A02)

摘　　要：目的了解武汉市青年学生艾滋病疫情,为制定针对性的高校艾滋病防控策略提供科学依据。方法利用武汉市2001-2016年艾滋病综合防治信息系统中的HIV/AIDS病例报告数据,选择其中15~24岁病例1 537例建立数据库,其中包括青年学生病例348例,校外青年病例1 189例,运用SPSS 22.0软件进行描述性比较分析。结果武汉市2001年报告首例15岁及以上学生HIV/AIDS病例。截至2016年底,武汉市累计报告15~24岁青年学生HIV/AIDS病例348例,占所有15~24岁病例的22.6%,男女比例为37.7∶1,大专及以上文化程度为89.4%,同性途径传播91.1%,主要样本来源为专题调查,其次为自愿咨询检测(VCT)。历年新报告青年学生病例数呈增长趋势,特别是19~24岁年龄段。与校外青年病例比较发现,青年学生文化程度、同性传播比例及VCT检测比例均较高。结论近年来武汉市报告的15~24岁青年学生病例数增长较快,19~24岁是主要的累及年龄段,同性性行为是主要危险行为,应及时加强对青年学生的性健康和预防艾滋病知识的宣传干预工作,进一步提高有高危行为青年学生的HIV主动检测意识。Objective To understand the epidemic of Human immunodeficiency virus(HIV)among young students aged 15~24 years old,thus providing scientific basis for the development of pointed strategies for prevention and control of HIV/Acquired immunodeficiency syndrome(AIDS)in higher education institutions. Methods Related data was directly extracted from the case reporting database of the China HIV/AIDS Information Network.We mainly made a descriptive analysis and comparative analysis among patients aged 15~24 years old during the year 2001-2016 by using SPSS 22.0.A total of 1 537 HIV/AIDS cases were included in our analysis,including 348 young students cases and 1189 out-of-school youths cases. Results The first case of young student in Wuhan was reported in the year of 2001.By the end of 2016,a total of 348 cases of young students HIV/AIDS were reported,accounting for 22.6% of all reported cases aged 15~24 years old.The male to female ratio was 37.7∶1 and the proportion of college and above education were 89.4%.Homosexual transmission(91.0%)was the main transmission route.Thematic survey contributed most to case finding,followed by voluntary consultation tests.The number of newly reported cases increased year by year,especially among students aged 19~24 years old.Compared with cases of out-of-school youth,young students cases were higher in education status,had higher proportion of cases from homosexual sex transmission and from VCT. Conclusion The number of students with HIV infection has been increasing rapidly in recent years.Students aged 19~24 years old were the mainly threatened population among young students,and homosexual transmission was the main route of transmission.Pointed HIV-related education,tests and intervention need to be strengthened for young students.

关 键 词：青年学生 艾滋病 疫情 描述性分析 

分 类 号：R512.91[医药卫生—内科学] R161.5[医药卫生—临床医学]