1998―2020年柳州市学生艾滋病流行病学分析  

Epidemiological analysis of AIDS among students in Liuzhou City from 1998 to 2020

作　　者：梁佳佳 刘雪梅 杨俊 杨妙英[1] 谢昌平[1] 韦陶 冯献湘 LIANG Jia-jia;LIU Xue-mei;YANG Jun;YANG Miao-ying;XIE Chang-ping;WEI Tao;FENG Xian-xiang(AIDS Prevention and Control Institute,Liuzhou Center for Disease Prevention and Control,Liuzhou 545007,China;Preventive Health Institute,Liuzhou Red Cross Hospital,Liuzhou 545001,China)

机构地区：[1]柳州市疾病预防控制中心艾滋病防制所,柳州545007 [2]柳州市红十字会医院预防保健科,柳州545001

出　　处：《中华疾病控制杂志》2022年第9期1113-1116,共4页Chinese Journal of Disease Control & Prevention

基　　金：柳州市科学研究与技术开发计划(2018BJ20501)。

摘　　要：目的通过分析1998―2020年柳州市报告学生AIDS的流行病学特点,为制定学生AIDS预防及控制策略提供参考依据。方法采用描述性流行病学方法,对1998年1月1日―2020年12月31日柳州市报告的学生HIV感染者和AIDS病人(简称HIV/AIDS)信息资料进行统计分析。结果截至2020年12月31日,柳州市累计报告学生HIV/AIDS患者201例,其中HIV感染者127例,占63.2%,AIDS患者74例,占36.8%。学生HIV/AIDS新发人数总体呈现上升的趋势。2011年之前AIDS患者多于HIV感染者,之后HIV感染者逐渐增加,2017年达到高峰。2013年以前传播途径以母婴传播为主,之后异性性传播为主,1998之后同性性传播增加迅速。学生HIV/AIDS中男性共152例,占75.6%,女性共49例,占24.4%,男女性别比例为3.1∶1.0。年龄以14~20岁为主,占47.3%;学历以高中及以上为主,占64.2%。截至2020年12月31日,累计报告死亡13例,不同传播途径和文化程度的病死率差异均有统计学意义(均有P<0.05)。结论柳州市学生HIV/AIDS人数增长迅速,近5年来同性性传播为主要的传播途径,应加强有针对性的综合干预措施,以控制AIDS在学生中的传播和流行。Objective To analyze the epidemiological characteristics of AIDS among students in Liuzhou city from 1998 to 2020,and to provide scientific evidence for formulating AIDS prevention and control strategies about students.Methods Descriptive epidemiological method was used to analyze the data of HIV infected and AIDS patients(HIV/AIDS)among students in Liuzhou from January 1,1998 to December 31,2020.Results There were 201 students with HIV/AIDS in Liuzhou city by the end of December 31,2020.Among these patients,127 were HIV infected(63.2%)and 74 were AIDS patients(36.8%).The epidemic of the number of new HIV/AIDS cases among students showed an overall upward trend.The number of AIDS patients was more than that of HIV infections before 2011,but the number of HIV infections gradually increased since 2011 and reached the peak in 2017.Before 2013,mother-to-child transmission was the main route of transmission.Heterosexual transmission and homosexual transmission increased rapidly since 1998.Among students with HIV/AIDS,there were 152 males(75.6%)and 49 females(24.4%),with a gender ratio of 3.1∶1.0.Most of them were aged from 14 to 20(47.3%),and 64.2%were above high school.By the end of December 31,2020,13 deaths(6.5%)had been reported,there were statistically significant differences in fatality rates among different transmission routes and education levels(all P<0.05).Conclusions The number of HIV/AIDS among students in Liuzhou city is increasing rapidly,and homosexual transmission is the main way of transmission in recent five years.Comprehensive intervention measures should be strengthened to control the spread and prevalence of AIDS among students.

关 键 词：艾滋病 HIV/AIDS 流行病学 疾病防控 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]