陕西省2008—2017年HIV阳性男男性行为者特征分析  

Epidemiological analysis of MSM infected with HIV in Shaanxi province from 2008 to 2017

作　　者：张超[1] 付钰淋[1] 邹扬帆[1] 任强[1] 李华[1] 张梦妍[1] 常文辉[1] ZHANG Chao;FU Yulin;ZOU Yangfan;REN Qiang;LI Hua;ZHANG Mengyan;CHANG Wenhui(Department of AIDS Prevention and Control,Shaanxi Provincial Center for Disease Control and Prevention,Xi'an 710054,Shanxi China)

机构地区：[1]陕西省疾病预防控制中心艾滋病预防控制所

出　　处：《中国艾滋病性病》2019年第11期1125-1128,共4页Chinese Journal of Aids & STD

摘　　要：目的了解陕西省艾滋病病毒(HIV)阳性男男性行为者(MSM)流行病学特征,为该人群艾滋病防控工作提供科学依据。方法通过全国艾滋病综合防治信息系统收集陕西省2008-2017年HIV阳性MSM病例流行病学资料及首次CD4+T淋巴细胞(简称CD4细胞)检测信息,并根据CD4细胞计数水平推算HIV阳性MSM病例可能感染时间和感染年龄。结果2008-2017年,共报告MSM HIV阳性病例5671例,报告病例数从2008年的51例升至2017年的1066例;其中21~40岁者占66.64%(3779例),有婚史者占41.16%(2334例),大专及以上文化占42.81%(2428例)。检测咨询占31.92%(1810例)。随文化程度升高,检测咨询构成比呈上升趋势(χ2=65.419,P<0.01)。在报告一年内进行了CD4细胞检测5407例(95.34%)。根据首次CD4细胞检测结果推断,感染时间≥8年的1218例(22.53%);5~8年的1381例(25.54%);3~5年的1025例(18.96%);<3年的1783例(32.98%)。结论陕西省HIV阳性MSM病例数量逐年上升,具有年轻化、文化程度高、有婚史等特点,应开展针对性教育及干预活动,减少该人群HIV感染。Objective To understand the epidemiological characteristics of the MSM infected with HIV in Shaanxi province and to provide scientific evidence for HIV prevention and control in the group.Methods A descriptive analysis was made based on the epidemic and CD4 testing results of the MSM infected with HIV from 2008 to 2017.Time and age of infection were estimated based on their first CD4 testing results right after HIV diagnoses.Result 5671 cases of MSM infected with HIV were reported from 2008 to 2017,of which 66.64%(3779/5671)were aged between 21-40 years,41.16%(2334/5671)were married,and 42.81%(2428/5671)received the junior college education and above.31.92%(1810/5671)infected with HIV were detected through voluntary counseling&testing(VCT)clinic.The higher level of education they got,the larger the proportion of those detected via VCT was(χ~2=65.419,P<0.01).5407(95.34%)cases received CD4 cells test within one year of their diagnosis.According to the results of the first CD4 cell test,1218 cases(22.53%)had infection time≥8 years;1381(25.54%)cases between 5-8 years,1025(18.96%)cases between 3-5 years,and 1783(32.98%)cases<3 years.Conclusion The MSM infected with HIV is increasing year by year,and have the characteristics of young age,high level of education,and history of marriage.Education and intervention should be carried out to reduce HIV infection in this group.

关 键 词：艾滋病病毒 男男性行为者 流行病学分析 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]