海南省艾滋病流行特征与传播途径分析  

Analysis on the characteristics and transmission routes of AIDS epidemic in Hainan

作　　者：曾小妹[1] 符鹏[1] 王召乾[1] 张帆[1] 郑钰 秦玲 陈言[1] ZENG Xiaomei;FU Peng;WANG Zhaoqian;ZHANG Fan;ZHENG Yu;QIN Ling;CHEN Yan(Hainan Provincial Center for Disease Control and Prevention,Haikou,Hainan 570203,China)

机构地区：[1]海南省疾病预防控制中心,海南海口570203

出　　处：《中国热带医学》2020年第8期735-738,共4页China Tropical Medicine

摘　　要：目的分析海南省艾滋病流行特征,为今后制定艾滋病防控措施提供依据。方法收集和整理截至2018年12月艾滋病防治基本信息系统中病例报告历史卡片和统计报表数据,并进行统计学分析。结果截至2018年12月,海南省报告现存活HIV感染者和AIDS患者2937例,报告病例超过500例的市县有2个,占全省病例总数的59.18%;男、女性别比为5.85∶1,年龄3个月~91岁,20~<40岁年龄组占62.65%。现存活和2018年新报告病例性传播构成比分别为89.62%和96.95%。海口市和三亚市现存活病例男男同性性(MSM)传播构成比占60%左右;15~<20岁和20~<30岁年龄组MSM传播构成比分别占80.00%和71.62%,60岁及以上年龄组异性性传播构成比占89.73%;未婚病例MSM传播构成比占64.74%,已婚病例异性性传播构成比占72.24%;大专及以上文化MSM传播构成比占72.72%,初中及以下文化异性性传播构成比占60.48%;不同年龄组、婚姻和文化程度病例性传播方式差异有统计学意义(P<0.05)。结论全省报告病例地区分布差异大,以性传播为主,不同地区和不同特征人群性传播方式有差异,应因地制宜制定针对不同人群的艾滋病防控策略和措施。Objective To analyze the epidemic characteristics of AIDS in Hainan Province,so as to provide the evidence and guild direction for prevention and control strategy of AIDS.Methods Through the AIDS prevention and control basic information system,the historical card data and statistical report data of case reports by the end of 2018 were collected and analyzed.Results A total of 2937 cases of surviving HIV infections and AIDS patients had been reported in Hainan Province by the end of 2018.There were two cities with more than 500 reported cases,accounting for 59.18%of the total number of cases in the province.The rate of male to female was 5.85∶1.The minimum age was 3 months and the maximum age was 91 years old,the age group between 20 and 40 accounted for 62.65%.The proportions of the current survival and the newly reported cases of sexual transmission in 2018 were 89.62%and 96.95%,respectively.The proportion of men who have sex with men(MSM)transmission of surviving cases in Haikou and Sanya was about 60%.The proportion of MSM transmission in the age groups 15-<20 and 20-<30 accounted for 80.00%and 71.62%,respectively.The proportion of heterosexual transmission in the age group of 60 years and above accounted for 89.73%;The proportion of MSM transmission of unmarried cases accounted for 64.74%,the proportion of heterosexual transmission of married cases accounted for 72.24%;The proportion of MSM transmission in colleges and above accounted for 72.72%,The proportion of heterosexual transmission in junior high school and below accounted for 60.48%.There were significant differences in the proportions of sexual transmission among different age groups,marital status and educational level(P<0.05).Conclusion Regional distribution of AIDS epidemic is obvious in Hainan,mainly by sexual transmission.Different regions and populations with different characteristics have different modes of sexual transmission.According to local conditions,AIDS prevention and control strategies and measures should be formulated for different

关 键 词：艾滋病 流行特征 男男同性性传播 异性性传播 

分 类 号：R512.91[医药卫生—内科学]