广西桂林市2001—2020年HIV阳性育龄妇女流行病学特征  

Epidemiological characteristics of HIV-positive reproductive-age women in Guilin, Guangxi, 2001-2020

作　　者：汤杰[1,2] 周玲米 付小凤 蒋富生[1] 肖嵩 TANG Jie;ZHOU Ling-mi;FU Xiao-feng;JIANG Fu-sheng;XIAO Song(Guilin Center for Disease Control and Prevention,Guilin,Guangxi 541001,China;School of Public health,Guilin Medical University,Guilin,Guangxi 541004,China)

机构地区：[1]桂林市疾病预防控制中心,广西桂林541001 [2]桂林医学院公共卫生学院,广西桂林541001

出　　处：《中国热带医学》2022年第6期575-579,共5页China Tropical Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(No.Z2016563);桂林市科技局科学研究与技术开发计划项目(No.20210227-14)。

摘　　要：目的 分析2001—2020年桂林市HIV(human immunodeficiency virus)阳性育龄妇女流行病学特征,了解其特征变化情况,为艾滋病防控提供科学依据。方法 从中国疾病预防控制信息系统艾滋病综合防治信息系统中抽取2001—2020年新报告病例,收集相关病例人口学资料、流行病学资料、首次CD4检测等相关数据进行整理分析。结果 2001—2020年桂林市共报告HIV阳性育龄妇女1 803人,占新发现报告病例的12.8%(1 803/14 038),占女性病例的44.9%(1 803/4 019),2001—2005年,2006—2010年,2011—2015年,2016—2020年分别报告44例,572例,709例,478例,呈现前10年快速增加后10年稳中有降的特点,年龄以30~<40岁年龄组为主(33.4%),已婚有配偶的HIV阳性育龄妇女占全部育龄妇女的65.1%,职业为农民占58.5%,文化程度在初中以下者占84.1%,HIV阳性育龄妇女以异性性接触被感染占95.3%,发现途径主要来自咨询检测占45.8%,病例首次检查CD4细胞低于450个/μL占82.9%。结论 桂林市HIV阳性育龄妇女年发现病例数及所占比例近五年呈现下降趋势。其在人口学基本特征、感染途径及其他艾滋病相关特征方面均发生了较大改变,需根据新的流行特征探索新的宣传教育及其他防控策略。Objective To analyze the epidemiological characteristics of HIV-positive reproductive women in Guilin,2001-2020,to explore changes in these characteristics,and to provide a scientific basis for AIDS prevention and control.Methods The information of newly reported cases from 2001 to 2020,was collected from the Chinese National HIV/AIDS Prevention and Care Information System.Demographic characteristics,epidemiological information,the first CD4 count and the other relative data were analyzed.Results There were 1 803 reported cases of HIV-positive women of reproductive age from2001 to 2020,which accounted for 12.8%(1 803/14 038) and 44.9%(1 803/4 019) among newly reported cases and women cases,respectively.2001-2005,2006-2010,2011-2015,2016-2020 reported 44,572,709,478 cases respectively,which showed the rapidly increasing trend in the first ten years and steady decline in the next ten years.The majority were aged 30-<40(33.4%),married(65.1%),farmer(58.5%).84.1% of the participants had an education level below junior high school.95.3% were infected by heterosexual transmission.45.8% came from voluntary counselling and testing clinics.CD4 cells of82.9% cases were lower than 450 cells/μL for the first test.Conclusions In Guilin,the number of HIV-positive reproductive-age women and the proportion of cases found in each year have shown a downward trend in the past five years.It has undergone major changes in basic demographic characteristics,infection routes,and other AIDS-related characteristics.Based on new epidemiological characteristics,new propaganda education and other prevention and control strategies need to be investigated,as well.

关 键 词：HIV阳性育龄妇女 艾滋病 异性传播 

分 类 号：R512.91[医药卫生—内科学]