肇庆市2013—2017年艾滋病疫情分析  

Epidemiological characteristics of HIV/AIDS in Zhaoqing from 2013 to 2017

作　　者：李翠媚[1] Li Cuimei(Zhaoqing Center for Disease Control and Prevention,Zhaoqing 526060,China)

机构地区：[1]肇庆市疾病预防控制中心,526060

出　　处：《国际医药卫生导报》2019年第11期1772-1776,共5页International Medicine and Health Guidance News

摘　　要：目的 分析肇庆市2013-2017年5年艾滋病疫情特点,为日后制定有效的防控策略提供依据.方法 通过在全国艾滋病综合防治信息系统中下载历史数据库,对2013-2017年肇庆市艾滋病病毒感染者(HIV)/艾滋病患者(AIDS)(简称HIV/AIDS)的病例数据进行描述性流行病学分析.结果 2013-2017年肇庆市HIV/AIDS整体疫情呈现先增长后回落趋势,死亡病例呈现回落趋势,但AIDS病例及其死亡病例均呈现上升趋势.截至2017年的累计病例中,封开县最多,共415例,占累计病例数的19.10%;除鼎湖、高新外,其余各县(市、县)现存活病例数均在100例以上,处于中度流行水平;死亡比例最高为德庆县,201例,占辖区累计病例的59.47%.2013-2017年新发病例中,男女性别比为3.16∶1,男性HIV病例数较多,共495例,占新发病例总数的45.21%,且男性HIV病例呈先升后回落的趋势,男性AIDS病例整体呈增长趋势;病例主要集中在40以上岁中老年人,占总病例数的68.04%(745/1 095),50以上高年龄组病例所占比例较大,均在47.13%上下波动;德庆50岁以上病例所占比例最大,共101例,占辖区新发病例的64.33%(101/157);病例主要以初中为主,占总病例数的45.48%(498/1 095);样本来源主要以“医疗机构就诊者检测”为主,占总病例的62.65%(686/1 095);传播途径以异性传播为主,占83.84%(918/1 095),异性传播呈现先升后回落态势,同性传播呈逐年递增的趋势;异性传播所占比较大的县区为鼎湖区90.70%(39/43),同性传播占比较大的县区为高新区38.46%(5/13).结论 肇庆市整体疫情呈上升趋势,男性病例疫情突出,AIDS病例及其死亡病例仍有上升趋势,以中老年病例为主,50岁以上高年龄组比例逐年增大,文化水平低,样本来源单一,异性传播为主,同性传播持续上升,各县(市、区)疫情呈中度流行水平,封开县病例多、增长速度快,德庆县死亡比例较大,应继续扩大检测力度,加大重点人群宣传工作,开�Objective To provide some references for formulating effective prevention and control strategies in the future analyzing the epidemiological characteristics of HIV/AIDS in Zhaoqing from 2013 to 2017.Methods The descriptive epidemiological analysis was used to analyzed the HIV/AIDS historical data in Zhaoqing from 2013 to 2017,which were collected from the HIV/AIDS Prevention and Treatment Information System in the National Disease Prevention and Treatment Information System.Results From 2013 to 2017,the overall epidemic situation of HIV/AIDS in Zhaoqing showed a trend to grow at first and then decline,and the death cases showed a trend of decline,but the AIDS cases and their death cases had a trend of rise.Up to 2017,Fengkai County had the most cases(415 cases),accounting for 19.10%of the total number of cases.Except the Dinghu district and high-tech zone,the numbers of living cases in other counties were above 100,on a moderate epidemic level.The highest death rate was in Deqing county,with 201 cases,accounting for 59.47%of the total cases in the jurisdiction.Among the new cases from 2013 to 2017,the gender ratio of male to female was 3.16:1.The number of male HIV cases was relatively high,495 cases,accounting for 45.21%of the total number of new cases.In addition,the number of male HIV cases increased first and then decreased,and the number of male AIDS cases increased as a whole.Most of the cases were 40 or over 40 years old,accounting for 68.04%(745/1 095)of the total number of cases.Cases in the high age group above 50 accounted for a large proportion,fluctuating around 47.13%.Deqing had the largest proportion of cases over 50 years old,with 101 cases,accounting for 64.33%(101/157)of the new cases in the jurisdiction.The cases were mainly from junior middle schools,accounting for 45.48%(498/1 095)of the total number of cases.The samples were mainly from the“tests of patients in medical institutions”,accounting for 62.65%(686/1 095)of the total cases.The main route of transmission was heterosexual transmi

关 键 词：艾滋病疫情 流行病学 防控策略 

分 类 号：R512.91[医药卫生—内科学]