2012-2022年福建省校内及校外青年HIV感染者特征分析  

Epidemiological characteristics of HIV-infected youth on and off campus in Fujian Province from 2012 to 2022

作　　者：张明雅[1] 连巧龄 杨莹[1] 吴韶彬[1] 谢剑锋[1] ZHANG Mingya;LIAN Qiaoling;YANG Ying;WU Shaobin;XIE Jianfeng(Fujian Provincial Center for Disease Control and Prevention,Fuzhou 350001,Fujian,China)

机构地区：[1]福建省疾病预防控制中心,福州350001

出　　处：《中国艾滋病性病》2023年第9期987-991,共5页Chinese Journal of Aids & STD

摘　　要：目的分析福建省校内及校外青年HIV感染者的特征,为制定青年艾滋病防治措施提供参考依据。方法利用中国疾病预防控制信息系统,收集2012-2022年福建省报告的15~24岁青年HIV感染者的基本信息,对比分析校内及校外青年HIV感染者的粗发现率和分布特征。结果2012-2022年福建省共报告青年HIV感染者3413例,其中校内青年748例(21.9%),校外青年2665例(78.1%)。校外青年各年度粗发现率均高于校内青年(各年度P<0.001),Joinpoint回归模型显示,校内青年2012-2015年粗发现率呈上升趋势(APC=45.4,P=0.023),2015-2022年趋势稳定,差异无统计学意义(APC=-2.5,P=0.332)。校外青年2012-2016年粗新发现率呈上升趋势(APC=27.4,P=0.006),2016-2022年趋势稳定,差异无统计学意义(APC=1.9,P=0.551)。相比于校内青年HIV感染者,校外青年HIV感染者中女性、确诊后首次CD4细胞<200个/μL、来源于医疗机构的比例更高;校内青年(χ_(趋势)^(2)=9.098,P=0.003)和校外青年(χ_(趋势)^(2)=9.599,P=0.002)HIV感染者中同性性传播的比例呈上升趋势,异性性传播校外青年中非婚非商业的比例呈上升趋势(χ_(趋势)^(2)=17.452,P<0.001)。结论2012-2022年福建省青年HIV感染者上升趋势有所减缓,校外青年各年度粗发现率高于校内青年,校内青年和校外青年艾滋病疫情均应引起重视。Objective To analyze characteristics of HIV-infected youth on and off campus in Fujian Province,and to provide references to develop measures for youth AIDS control and prevention.Methods Using the China Disease Prevention and Control Information System,basic information on HIV-infected youth aged 15-24 years were collected in Fujian Province from 2012 to 2022.The crude diagnosis rates and distribution characteristics of youth on and off campus were compared and analyzed.Results A total of 3413 HIV-infected youth were reported in Fujian Province from 2012 to 2022,among them,748(21.9%)were on campus while 2665(78.1%)were off campus.The crude detection rate of youths off campus was higher than that of on campus in each years(P<0.001 in each year).Joinpoint regression model indicated that the crude detection rate of youths on campus showed an increasing trend from 2012 to 2015(APC=45.4,P=0.023),and a stable trend from 2015 to 2022,with no statistically significant difference(APC=-2.5,P=0.332).The crude detection rate of youths off campus showed an increasing trend from 2012 to 2016(APC=27.4,P=0.006),and a stable trend from 2016 to 2022,with no statistically significant difference(APC=1.9,P=0.551).Compared to youths on campus,the proportions of youths off compus who were female,initial CD4 cells<200/μL,and from medical institutions,were higher.The rate of homosexual transmission among youths on compus(χ_(trend)^(2)=9.098,P=0.003)and off compus(χ_(trend)^(2)=9.599,P=0.002)showed an increasing trend.The proportion of non-marital non-commercial sexual behaviors among heterosexual youths off compus showed an increasing trend(χ_(trend)^(2)=17.452,P<0.001).Conclusions From 2012 to 2022,the increasing trend of HIV-infected youths slowed down in Fujian Province.The crude detection rate of youths off compus is higher than those on compus.Emphasized attention should be paid to the AIDS epidemic among youths both on and off compus.

关 键 词：艾滋病病毒 校内青年 校外青年 

分 类 号：R512.91[医药卫生—内科学]