2013—2020年宜昌市50岁及以上HIV/AIDS病例流行病学特征分析  

Epidemiological characteristics of HIV/AIDS cases aged 50 and above in Yichang City in 2013-2020

作　　者：田雨[1] 张皓[1] 刘建华[1] 雷雯[1] 李芳芳 闵洁 TIAN Yu;ZHANG Hao;LIU Jianhua;LEI Wen;LI Fangfang;MIN Jie(Yichang Municipal Center for Disease Control and Prevention,Yichang,Hubei 443000,China)

机构地区：[1]湖北省宜昌市疾病预防控制中心,湖北宜昌443000

出　　处：《公共卫生与预防医学》2023年第4期110-113,共4页Journal of Public Health and Preventive Medicine

基　　金：2022年宜昌市科技创新:医疗卫生项目(A22-2-077)。

摘　　要：目的分析宜昌市2013—2020年50岁及以上HIV/AIDS病例流行病学特征,为制定该人群艾滋病防控策略提供依据。方法采用描述性流行病学方法,分析宜昌市2013—2020年50岁及以上HIV/AIDS病例疫情和流行病学资料。结果2013—2020年宜昌市累计报告HIV/AIDS病例1126例,50岁及以上HIV/AIDS病例296例,占总报告病例数的26.29%,50岁及以上病例占病例总数的比例和年报告发病率均呈上升趋势(P<0.01)。病例以男性为主(74.66%),且年龄越大,男性比例越高(P=0.02)。确诊年龄主要集中在50~<60岁(68.58%),婚姻状况为已婚有配偶者占49.66%,文化程度以初中及以下为主(74.32%)。感染途径以性接触传播为主(99.66%),非婚异性性行为比例较高,尤其是女性病例(74.67%)。感染时间在8年以上者占48.75%,感染年龄≥50岁病例占病例总数的比例有上升趋势。病例发现主要来源于医疗机构(74.66%)。结论宜昌市50岁及以上人群HIV/AIDS流行形势较为严峻,已成为重点防控人群,应采取针对性的有效防控措施,降低艾滋病对该人群的危害。Objective To provide reference for the development of prevention and control strategies for HIV/AIDS cases aged 50 and above in Yichang city from 2013 to 2020 by epidemiological characteristics anaylsing.Methods Descriptive epidemiological method was used to analyze the epidemic situation and epidemiological data.Results A total of 1126 HIV/AIDS cases were reported during the monitoring period,and 296 cases were 50 years old and above,accounting for 26.29%.The proportion of cases aged 50 years and above to the total number of cases and the annual reported incidence rate both showed an upward trend(P<0.01).The cases were mainly male(74.66%),and the older the age,the greater the proportion of males(P=0.02).The age of confirmed cases is mainly concentrated in 50-59 years(68.58%),of which 49.66%were married and 74.32%were at junior high school and below.Sexual contact(accounting for 99.66%)was the main route of infection,the proportion of non-marital heterosexual sex was relatively high,especially in female cases(accounting for 74.67%).Those who had been infected for more than 8 years accounted for 48.75%,and the proportion of infected age≥50 years in the total number of cases showed an upward trend.Cases were found mainly from medical institutions(74.66%).Conclusion The HIV/AIDS epidemic situation of people aged 50 and above in Yichang City was relatively severe and has became a key population for prevention and control.Targeted and effective prevention and control measures should be taken to reduce the harm of AIDS to the population.

关 键 词：50岁及以上 HIA/AIDS 流行特征 

分 类 号：R183[医药卫生—流行病学]