2010—2019年淄博市HIV/AIDS疫情特征变化趋势分析  

Study on the trend of HIV epidemic from 2010 to 2019 in Zibo city

作　　者：李玲[1] 许进[1] 李婷婷[1] Li Ling;Xu Jin;Li Tingting(Institute of Health Education,Zibo Center for Disease Control and Prevention,Shandong Province,Zibo 255026,China)

机构地区：[1]淄博市疾病预防控制中心健康教育所,255026

出　　处：《国际病毒学杂志》2021年第6期509-513,共5页International Journal of Virology

摘　　要：目的分析2010—2019年淄博市HIV/AIDS疫情特征变化趋势,为艾滋病防控策略调整提供参考依据。方法收集淄博市2010—2019年初次确证阳性的HIV/AIDS病例数据并进行描述性统计分析。结果2010—2019年淄博市新发现HIV/AIDS病例共1259例,年均报告发病率为27.0/100万。2010—2018年发病率呈上升趋势(x_(趋势)^(2)=188.38,P<0.01),2019年稍降。报告病例平均年龄(35.0±11.7)岁,以20~40岁青壮年为主(62.5%),55.5%病例为本地人群、92.9%为男性、49.4%为未婚、28.8%文化水平在大专及以上。其中61.4%的病例通过男男性行为途径感染,42.6%通过咨询检测发现。结论2010—2019年淄博市HIV/AIDS发病率上升趋势有所减缓,HIV感染主要受累群体为未婚的本地人群和男男性行为人群,文化程度高,建议加强对该人群艾滋病宣传力度和主动监测力度,并实施针对性行为干预等措施,有效减少艾滋病二代传播。Objective To analyze the epidemic characteristics of HIV/AIDS and the trend in Zibo city from 2010 to 2019,so as to provide references for adjustment of AIDS prevention and control strategy.Methods The epidemic report data of HIV/AIDS cases with confirmed positive for the first time from 2010 to 2019 were collected.Descriptive statistical analyses were performed.Results From 2010 to 2019,1259 cases of HIV/AIDS were newly diagnosed in Zibo city,with an average annual reported incidence rate of 27.0/1000000.The incidence rates from 2010 to 2018 showed an upward trend(x_(trend)^(2)=188.38,P<0.01)with a slight drop in 2019.For the reported cases,the average age was(35.0±11.7)years old with young adults as dominant group(62.5%),local patients accounted for 55.5%,male for 92.9%,unmarried for 49.4%and the patients with college degree and above accounted for 28.8%.Transmission via men who have sex with men(MSM)was the main route of infection(61.4%).Diagnosis based on voluntary counseling and testing accounted for 42.6%.Conclusions From 2010 to 2019,the upward trend of the incidence of HIV/AIDS in Zibo city slowed down.HIV infection main affected unmarried local population and MSM group with well education.It is recommended to strengthen the health education and active surveillance against HIV/AIDS in these groups and implement targeted intervention measures to reduce effectively the second-generation transmission of AIDS.

关 键 词：HIV/AIDS 流行特征 变化趋势 

分 类 号：R512.91[医药卫生—内科学] R181.8[医药卫生—临床医学]