宁波市镇海区60岁以上人群艾滋病流行特征分析  

Analysis of epidemic characteristics of HIV/AIDS among people over 60 years old in Zhenhai District in Ningbo City

作　　者：丁坚强[1] 项琼珊 刘巨敏[1] DING Jian-qiang;XIANG Qiong-shan;LIU Jumin(Zhenhai District Centre for Disease Control and Prevention,Ningbo,Zhejiang 315200,China)

机构地区：[1]宁波市镇海区疾病预防控制中心,浙江宁波315200

出　　处：《中国公共卫生管理》2020年第5期642-645,共4页Chinese Journal of Public Health Management

基　　金：镇海区卫计局医学科学计划项目(2017014)。

摘　　要：目的了解宁波市镇海区60岁以上人群艾滋病病毒感染/艾滋病(HIV/AIDS)流行特征,为老年人群艾滋病防治提供科学依据。方法收集镇海区报告的60岁以上HIV/AIDS病例相关资料,对病例的三间分布、接触史、检出途径等信息用SPSS19.0软件进行描述流行病学分析,组间比较使用χ^2检验。同时收集部分60岁以上HIV/AIDS病例个案流行病学调查资料,进一步对病例确证阳性前各类性行为发生时间、地点及性伴特征等信息进行统计分析。结果 2008-2018年镇海区共报告60岁以上HIV/AIDS病例63例,其中2014-2018年的病例占84.1%。2014-2018年60岁以上HIV/AIDS病例占同期病例总数的构成比(15.6%)高于2008—2013年(7.4%),差异有统计学意义(χ^2=5.79,P<0.05);63例60岁以上HIV/AIDS病例中,男性51例,占81.0%;平均年龄(67.8±7.6)岁,最大年龄90岁;95.2%的病例为初中以下文化程度;42.9%的病例是农民或民工;77.8%的病例经非婚异性性接触传播;41.3%的病例在骆驼街道。骆驼街道60岁以上人群HIV/AIDS感染率为24.7/万,高于其他街道,差异有统计学意义(χ^2=39.34,P<0.01)。骆驼街道管理的60岁以上HIV/AIDS病例中, 46.2%有商业非婚异性性接触史,34.6%为主动检测发现。个案流行病学调查显示,骆驼街道的60岁以上HIV/AIDS病例以男性、本地人为主,普遍存在发生在本地的低档场所的商业性行为,且均未使用安全套。结论镇海区60岁以上低学历男性老年人群艾滋病报告病例数增长明显,非婚异性性接触为主要传播途径,骆驼街道为重点防控乡镇,应进一步开展有针对性的老年人艾滋病综合防控工作。Objective To understand the epidemic characteristics of HIV/AIDS among the elderly people over 60 years old in Zhenhai District of Ningbo City, and to provide scientific basis for the prevention and treatment of HIV/AIDS in the elderly group. Methods The related data of HIV/AIDS cases over 60 years old reported in Zhenhai District were collected, the distribution, contact history and detection route of the cases were analyzed by SPSS19.0 sofeware for descriptive epidemiological analysis, chi-square test was used for comparison between groups. Meanwhile, the epidemiological investigation data of part of HIV/AIDS cases over 60 years old were collected, the information, such as time, place and characteristics of sexual partners of all kinds of sexual behaviors were analyzed statistically before the cases were confirmed to be positive. Results A total of 63 HIV/AIDS cases over 60 years old were reported in Zhenhai District from 2008 to 2018, of which 84.1% were reported from 2014 to 2018. The proportion of HIV/AIDS cases over 60 years old from 2014 to 2018(15.6%) was higher than that from 2008 to 2013(7.4%), the difference was statistically significant(χ^2=5.79, P<0.05);among 63 HIV/AIDS cases over 60 years old, 51 cases(81.0%) were male, the average age was(67.8±7.6) years old, and the maximum age was 90 years old;with 95.2% of them had education level below junior high school;and 42.9% were farmers or migrant workers;and 77.8% of them were transmitted through non marital heterosexual sexual contact;and 41.3% of them were in Luotuo Street. The infection rate of HIV/AIDS cases over 60 years old in Luotuo Street was 24.7/10000, which was higher than that in the other streets, and the difference was statistically significant(χ^2=39.34, P<0.01). There were 46.2% of HIV/AIDS cases over 60 years old in Luotuo Street had commercial heterosexual sexual contact history, and 34.6% were found by active detection. Case epidemiological survey showed that the majority of HIV/AIDS cases over 60 years old in Luotuo Street were m

关 键 词：老年人 HIV/AIDS 流行特征 

分 类 号：R512.91[医药卫生—内科学] R183[医药卫生—临床医学]