南宁市大学生艾滋病疫情特征及随访管理情况分析  

The Epidemiological Characteristics and Follow-up Management of Reported HIV/AIDS Cases Among College Students in Nanning City

作　　者：农丽萍[1] 郭丹 何波[1] 林倩[1] 汤洪洋[1] 李斯斯[1] 岑平[1] 徐红[1] 姚敏[1] 吴敬兰 邓小芳[1] NONG Liping;GUO Dan;HE Bo;LIN Qian;TANG Hongyang;LI Sisi;CEN Ping;XU Hong;YAO Min;WU Jinglan;DENG Xiaofang(Nanning City Center for Disease Control and Prevention,Nanning 530023,China;Qingxiu District Center for Disease Control and Prevention,Nanning 530021,China)

机构地区：[1]广西南宁市疾病预防控制中心,广西南宁530023 [2]南宁市青秀区疾病预防控制中心,广西南宁530021

出　　处：《中国皮肤性病学杂志》2020年第4期409-414,共6页The Chinese Journal of Dermatovenereology

基　　金：广西卫生和计划生育委员会科研课题(Z20181042,Z20180347,Z20190631,Z2016013);南宁市科技局(20183039-1)。

摘　　要：目的了解南宁市大学生艾滋病(AIDS)疫情特征及随访管理状况,为制定针对该人群的AIDS防治策略提供参考。方法从艾滋病综合防治数据信息系统中下载截至2017年12月底南宁市病例报告数据库和随访数据库,分析南宁市发现报告大学生AIDS疫情特征及随访管理情况。结果南宁市大学生病例报告数占当年全人群病例报告总数的比例呈现上升的势态(χ^2=92.306,P<0.001)。青秀区(41.42%)、兴宁区(25.11%)和西乡塘区(12.13%)报告大学生病例总数居前三位。以男性(94.14%)为主,20~24岁年龄段(79.92%)占大多数。传播途径均为性传播,其中男男同性性传播为主要传播途径(71.13%);样本来源以咨询检测为主(69.87%)。大学生病例报告当年接受抗病毒治疗的比例呈现逐年上升的趋势(χ^2=7.327,P<0.01)。同性传播病例报告当年接受抗病毒治疗的比例高于异性传播者,差异有统计学意义(χ^2=7.570,P<0.01)。2017年度大学生病例随访率较低,仅为80.95%。结论南宁市大学生AIDS疫情呈现上升的势态,男男同性传播为主要传播途径。大学生病例随访率较低。应及时采取有针对性的防控措施,加大该人群的综合宣传干预力度,同时,确保病例有效管理和治疗,防止HIV在该人群中的传播和蔓延。Objective To analyze the epidemic character of HIV/AIDS and follow-up management of college students in Nanning city,so as to develop prevention and treatment strategies of AIDS in this population.Methods The data from the AIDS prevention data information system of Nanning until December 2017 was analysed.Results The total case of college students showed an increasing(χ^2=92.306,P<0.001).The top three districts are Qingxiu(41.42%),Xingning(25.11%) and Xixiangtang(12.13%).The patients were mainly male adults(94.14%),and the age between 20 and 24 years old(79.92%).Sexual transmission was the main transmission route,especially male-male transmission(71.13%). 69.87% cases undergo consultation and testing.The rate of receiving antiviral therapy increased year by year(χ^2=7.327,P<0.01).The proportion of same sex transmission was higher than that of heterosexual transmission,and the difference was statistically significant(χ^2=7.570,P<0.01).The follow-up rate of reported survival cases was lower(80.95%) in 2017.Conclusion The epidemic situation of AIDS among college students in Nanning gradually increase over time.Male-male transmission is the main way of transmission.The rate of students′ follow-up was low.Prevention and control measures should be taken in a timely manner.

关 键 词：大学生 艾滋病 疫情特征 随访管理 

分 类 号：R512.91[医药卫生—内科学]