2002—2020年菏泽市≥50岁HIV/AIDS流行特征分析  

Epidemiological characteristics of HIV/AIDS patients aged 50 and above population in Heze City from 2002 to 2020

作　　者：陈凤华 张纪东[2] 王颖[3] 马敬仓[3] 刘景顺[3] 徐凌忠[4] CHEN Feng-hua;ZHANG Ji-dong;WANG Ying;MA Jing-cang;LIU Jing-shun;XU Ling-zhong(Heze Mudan District Health Comprehensive Law Enforcement Team,Shandong274000,China;不详)

机构地区：[1]菏泽市牡丹区卫生健康综合执法大队,山东274000 [2]菏泽市传染病医院 [3]菏泽市疾病预防控制中心 [4]山东大学公共卫生学院

出　　处：《医学动物防制》2022年第1期1-4,共4页Journal of Medical Pest Control

基　　金：国家自然科学基金委员会面上项目(71673169)。

摘　　要：目的了解2002—2020年菏泽市≥50岁艾滋病病毒感染者/艾滋病病例(HIV/AIDS)的流行病学特征,为当地开展艾滋病防控工作提供基本信息数据。方法下载全国艾滋病综合防治信息系统中2002—2020年菏泽市数据库,收集菏泽市≥50岁HIV/AIDS病例的人口学、行为学信息疫情、实验室检测数据,采用描述性统计方法进行分析,对首次CD4+T淋巴细胞(CD4细胞)计数水平分类,并推算HIV/AIDS病例可能感染时间、感染年龄。结果2002—2020年菏泽市共报告≥50岁HIV/AIDS病例247例,其中男性构成比76.11%(188例),50~<60岁组构成比60.73%(150例);初中及以下学历构成比88.66%(219例);农民及民工构成比84.21%(208例)。2012年以前,≥50岁HIV/AIDS病例传播途径以血液传播为主。2013—2020年性传播感染病例数快速增加,以异性传播为主,占64.37%(159/247)。52.13%(98/188)的男性病例自述有非婚异性性接触史,49.15%(29/59)的女性病例自述配偶或固定性伴阳性。根据首次CD4细胞计数推断感染时间在3年以内者占17.81%(44/247),在8年以上者占52.23%(129/247)。推断约有55.06%(136例)的病例在50岁前感染。结论菏泽市≥50岁HIV/AIDS病例近年来呈上升趋势。男性以非婚异性传播为主,女性以配偶间性传播为主。男性同性传播不容忽视。Objective To understand the epidemiological characteristics of HIV/AIDS cases aged≥50 years in Heze City from 2002 to 2020,and to provide basic information data for local efforts to prevent and control of HIV/AIDS.Methods The database of Heze City from 2002 to 2020 in the National Integrated AIDS Prevention and Control Information System was downloaded to collect demographic,behavioural information epidemic and Laboratory test date of HIV/AIDS cases aged≥50 years in Heze City,and analyzed using descriptive statistical methods to classify the first CD4+T lymphocyte(CD4 cell)counts levels and to project possible time of infection,age of infection for HIV/AIDS cases.Results From 2002 to 2020,a total of 247 HIV/AIDS cases aged≥50 years were reported in Heze.Among them,76.11%(188 cases)were male,60.73%(150 cases)were in the 50-<60 age group,88.66%(219 cases)were with junior high school education or below,84.21%(208 cases)were farmers and migrant workers.Before 2012,HIV/AIDS cases aged 50 and over were mainly transmitted by blood,and the number of sexually transmitted infections(STIs)increased rapidly from 2013 to 2020,with heterosexual transmission predominating at 64.37%(159/247).In male cases,52.13%(98/188)reported a history of non-marital heterosexual contactand 49.15%(29/59)of female cases reported positive spouse or regualr sexual partner.According to the first CD4 cell count,17.81%(44/247)had been infected within 3 years,and 52.23%(129/247)of cases over 8 years of age.It was inferred that about 55.06%(136 cases)of cases were infected before they were 50 years old.Conclusion In recent years,HIV/AIDS cases aged 50 years in Heze have been on the rise non-marital heterosexual transmission is predominant for males and spousal sexual transmission for females.Male homosexual transmission cannot be ignored.

关 键 词：艾滋病病毒感染者/艾滋病病例 年龄 感染时间 流行特征 分析 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]