北京市通州区2013年—2020年50岁及以上HIV/AIDS病例流行病学特征分析  

Analysis of epidemiological characteristics of HIV/AIDS cases aged 50 and above from 2013 to 2020 in Tongzhou District,Beijing City

作　　者：刘静静[1] 戚广浩[1] 李乐 温祁 金岳[1] 李震[1] LIU Jing-jing;QI Guang-hao;LI Le;WEN Qi;JIN Yue;LI Zhen(Institute for STD/AIDS Control and Prevention,Tongzhou District Center for Disease Control and Prevention,Beijing 101100,China)

机构地区：[1]北京市通州区疾病预防控制中心性病艾滋病控制所,北京通州101100

出　　处：《中国卫生检验杂志》2022年第4期483-486,共4页Chinese Journal of Health Laboratory Technology

摘　　要：目的分析北京市通州区2013年—2020年50岁及以上新报告的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病例情况及流行特征,为针对性地制定该人群艾滋病防控提供科学依据。方法通过“艾滋病综合防治数据信息管理系统”,筛选出2013年—2020年新报告的病例资料,分析50岁及以上人群的艾滋病流行情况。结果2013年—2020年新报告≥50岁HIV/AIDS病例146例,占全部病例的8.12%,死亡病例7例,占比46.67%;HIV感染者124例,AIDS患者22例;平均年龄为(57.32±6.69)岁;男性占92.47%;汉族占97.26%;初中及以下占53.42%;家政、家务及待业占44.52%;离异或丧偶占67.12%;传播途径以性传播为主,占99.32%,男男同性性接触感染占73.29%;检测样本来源于医疗机构就诊占69.86%;根据首次CD4细胞检测结果推断HIV感染时间在3年以内和8年及以上分别占45.04%、11.45%。结论北京市通州区50岁及以上HIV/AIDS患者具有低文化程度、同性传播为主、被动发现等特点,感染风险较高,应采取有针对性地防病宣传、综合干预及咨询检测措施,以有效遏制老年人艾滋病疫情蔓延。Objective To analyze the epidemic situation and epidemiological characteristics of the newly reported HIV/AIDS cases aged 50 and above from 2013 to 2020 in Tongzhou District of Beijing City,so as to provide scientific basis for targeted HIV/AIDS prevention and control.Methods Through the National Basic Information System for HIV/AIDS Prevention and Control,the newly reported case data from 2013 to 2020 were screened out,and the HIV/AIDS prevalence in the elderly population aged 50 and above was analyzed.Results A total of 146 HIV/AIDS cases of≥50 years old were reported from 2013 to2020,accounting for 8.12%of all newly reported cases,and 7 deaths accounted for 46.67%of newly reported deaths;There were 124 HIV-infected cases and 22 AIDS patients;The average age was(57.32±6.69)years old.Male cases accounted for92.47%.The majority of the cases were Han people,accounting for 97.26%.People with junior high school and below accounted for 53.42%.Housekeeping,housework and unemployed people accounted for 44.52%.Divorced or widowed cases accounted for 67.12%.The main route of transmission was sexual transmission,accounting for 99.32%and male homosexual sexual contact infection accounted for 73.29%.Among the tested sample sources,medical cases accounted for 69.86%;according to the first CD4 cell test results,it was inferred that the duration of HIV infection within 3 years and 8 years or more accounted for 45.04%and 11.45%respectively.Conclusion The HIV and AIDS epidemics of people aged 50 and over in Tongzhou District of Beijing have the characteristics of low education,homosexual transmission,passive detection,etc.,and the risk of infection is still high.The targeted disease prevention propaganda,comprehensive intervention and counseling and testing measures should be adopted to effectively curb the HIV/AIDS epidemic among the elderly.

关 键 词：人类免疫缺陷病毒 人类免疫缺陷病毒/艾滋病 老年人 流行特征 

分 类 号：R446[医药卫生—诊断学]