2010—2018年南京市老年HIV/AIDS流行特征和时空分布特征  

Epidemiological characteristics of HIV/AIDS patients aged 50 and above in Nanjing City from 2010 to 2018

作　　者：郭璐[1] 朱正平[1] 吴苏姝[1] 刘黎[1] 徐园园[1] 李昕[1] 时红杰 GUO Lu;ZHU Zheng-ping;WU Su-shu;LIU li;XU Yuan-yuan;LI Xin;SHI Hong-jie(Department of AIDS and STDs control and prevention,Center for Disease Control and Prevention of Nanjing,Nanjing 210003,China)

机构地区：[1]南京市疾病预防控制中心,江苏南京210003

出　　处：《中国健康教育》2021年第8期700-703,727,共5页Chinese Journal of Health Education

基　　金：南京市重点医学专科(传染病控制专科);南京市医学科技发展项目(YKK18176)。

摘　　要：目的了解南京市老年HIV/AIDS流行特征,并探测时空分布特征,为精准防控工作提供依据。方法采用描述性流行病学方法,分析2010—2018年南京市老年HIV/AIDS的流行病学特征,采用SaTScan 9.4的回顾性泊松模型进行时空扫描,采用ArcGIS 10.5将扫描结果可视化。结果2010—2018年间南京市老年HIV/AIDS累计报告发病919例,88.47%为男性;50~59岁组占67.25%;已婚有配偶占59.41%;文化程度以初中及以下为主,占50.27%;职业以家务及待业和民工为主,各占36.34%;样本来源以医疗机构为主,占59.30%。时空扫描结果显示,2010—2018年南京市老年HIV/AIDS分布共存在5个一类聚集区,聚集区从市中心转至周边的雨花台区和江北新区并扩至最北边的六合区。结论南京市老年HIV/AIDS总体上呈随机分布,局部地区存在聚集现象。Objective To understand epidemiological features of HIV/AIDS patients aged 50 and above during 2010-2018 in Nanjing,and to provide basis for making strategy on control and prevention of HIV/AIDS.Methods Descriptive epidemiological methods were used to analyze data in Nanjing during 2010-2018 from the Chinese Disease Surveillance Information Reporting System.Retrospective method of SaTScan 9.4 was used to explore spatial characteristics,ArcGIS 10.5 was used to visualize the scan results.Results 919 HIV/AIDS patients aged 50 and above were reported during 2010-2018.88.47%of them were male and 67.25%of them were the age during 50-59,59.41%of them were married.The education degree of junior high school accounted for 50.27%.The most densely-distributed occupations were house-keepers/job-seekers(36.34%)and farmers(36.34%).Most samples were from medical institutions(59.30%).There were five statistically significant high spatial and temporal aggregation areas in HIV/AIDS in Nanjing.The mostly likely cluster was found to be shifted from the core built-up area to the nearby district and spread to the northern edge of Nanjing.Conclusion Results from elderly patients in Nanjing showed that the distribution of HIV/AIDS was clustered at some places and was at random on the whole,which can provide some reference for scientific formulation of HIV/AIDS control measures and the optimal allocation of health resources.

关 键 词：艾滋病病毒感染者 流行特征 时空分布 

分 类 号：R193[医药卫生—卫生事业管理]