洛阳市涧西区艾滋病流行特征分析  

Analysis of epidemic characteristics of HIV/AIDS in Jianxi district of Luoyang city

作　　者：肖云荣[1] 王志新 XIAO Yun-rong;WANG ZHi-xin(Institute for Infectious Disease Control and Prevention,The Center for Disease Control and Prevention of Jianxi District,Luoyang,Henan 471003,China)

机构地区：[1]河南省洛阳市涧西区疾病预防控制中心传染病预防控制所,河南洛阳471003

出　　处：《疾病预防控制通报》2021年第1期37-40,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的了解2001—2019年河南省洛阳市涧西区艾滋病(HIV/AIDS)报告病例分布特征,为制订预防控制措施提供科学依据。方法收集2001—2019年全国艾滋病防治基本信息系统中报告的、现住址为洛阳市涧西区的HIV/AIDS病例资料,采用描述流行病学方法统计分析。结果2001—2019年全区共报告HIV/AIDS病例233例,报告病例数年均增长率20.80%,死亡24例;报告病例数自2011年开始进入快速上升阶段,2016年达高峰(37例),随后维持平稳态势;病例在各街道办事处(乡)均有发生,非本区户籍的报告病例构成比由2001—2010年的30.00%上升为2011—2019年的59.62%,差异有统计学意义(χ^(2)=6.550,P<0.05);男性201例、女性32例,男女性别比为6.28∶1;以20~49岁的青壮年为主(168例)、占病例总数的72.11%;2001—2010年报告病例以工人为主、占30.00%,2011—2019年以家务及待业和商业服务为主、共占48.82%,两时段职业构成差异有统计学意义(χ^(2)=6.602,P<0.05);2001—2010年报告的20例HIV/AIDS病例中,输血/血制品传播12例、占60.00%;2011—2019年的213例病例中,除1例为母婴传播外,其余212例均为性传播、占99.53%,尤以男男同性传播为多;样本来源居前三位的是咨询检测(82例)、其他就诊检测(55例)和术前检查(50例)、三者共占80.26%。结论目前洛阳市涧西区为艾滋病低流行区,感染者以流动人口、男性青壮年为主,传播途径以性传播为主;应加强针对男性青壮年人群及流动人口的宣传教育,预防HIV经性接触途径传播是今后干预工作的重点。Objective To understand the distribution characteristics of reported HIV/AIDS cases in Jianxi district of Luoyang city,Henan province from 2001 to 2019,and provide scientific basis for formulating prevention and control measures.Methods The information of HIV/AIDS cases presently inhabited in Jianxi district of Luoyang city from 2001 to2019 were collected from the National Basic Information System for AIDS prevention,and analyzed with descriptive epidemiology.Results A total of 233 HIV/AIDS cases were reported from 2001 to 2019,with the average annual growth rate of the reported cases of 20.80%,and 24 deaths.The number of reported cases rapidly increased since 2011,peaked in2016(37 cases),and then remained to show stable trend.The cases were found in all sub-district offices(townships).The proportion of cases without registration in this district increased from 30.00%during 2001 and 2010 to 59.62%during 2011 and 2019,with statistical difference(χ^(2)=6.550,P<0.05).There were 201 male cases and 32 female cases,with the ratio of the male to female of 6.28∶1.The young adult cases aged 20-49 years were the dominant(168 cases),and accounted for 72.11%.The cases were mainly workers,accounting for 30.00%during 2001 and 2010,but the cases of unemployed and commercial services were the dominant from 2011 to 2019,and held 48.82%.There was statistical difference(χ^(2)=6.602,P<0.05)in the proportions between the two periods.Out of the 20 HIV/AIDS cases reported from 2001 to 2010,12 cases were transmitted by blood transfusion/blood products,accounting for 60.00%.Among the 213 cases during 2011 and 2019,the route of transmission was by sexual transmission of the 212(99.53%)cases,except for 1 case transmitting from mother to child,especially by the male homosexual transmission.The top three sources of the samples were voluntary counselling and testing(82 cases),other clinical testing(55 cases)and pre-operation examination(50 cases),accounting for 80.26%in total.Conclusions Jianxi district of Luoyang city is a low epidemic a

关 键 词：HIV/AIDS 流行特征 性传播 

分 类 号：R181.22[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]