赣州市2011—2021年艾滋病疫情变化及特征分析  

Analysis of AIDS epidemic changes and characteristics in Ganzhou city from 2011 to 2021

作　　者：杨荣荣[1] 严月康 余丽玲 廖小康 廖梅珠[1] 钟小荣[1] YANG Rong-rong;YAN Yue-kang;YU Li-ling;LIAO Xiao-kang;LIAO Mei-zhu;ZHONG Xiao-rong(Ganzhou Center for Disease Control and Prevention,Ganzhou,Jiangxi 341000)

机构地区：[1]赣州市疾病预防控制中心,江西赣州341000

出　　处：《赣南医学院学报》2023年第11期1129-1133,共5页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省卫生健康委员会科技计划项目(202212377)。

摘　　要：目的:分析赣州市2011—2021年艾滋病疫情变化及特征,为今后艾滋病防控提供科学依据。方法:从中国疾病预防控制中心疾病预防控制综合管理系统和传染病监测系统收集赣州市2011—2021年艾滋病疫情变化数据,采取描述性流行病学方法进行分析。结果:截至2021年底赣州市全人群感染率为3.6/万,2011—2021年共报告HIV/AIDS 3905例,报告HIV/AIDS发病率、报告AIDS发病率、报告死亡率整体呈上升趋势(P_(趋势)<0.05)。全市现存活病例数排前3位县市区为瑞金市、章贡区和信丰县,现存活病例数分别为620例、446例和388例。50岁~、60岁~和70岁~年龄组占比整体呈上升趋势(P_(趋势)<0.05)。2021年HIV/AIDS病例异性传播分布男性以非婚商业性接触史(占53.10%)和非婚非商业性接触史(占45.00%)为主,女性以非婚非商业性接触史(占52.48%)和配偶/固定性伴阳性(占34.65%)为主,差异有统计学意义(P<0.05)。农民所占比重从2011年的47.17%上升至2021年的68.40%(P_(趋势)<0.05)。按现住址报告学生病例89例。结论:赣州市艾滋病疫情呈低流行态势,但疫情整体呈上升趋势。性传播特别是异性传播是主要传播途径,男女异性传播方式存在差异。中老年人群、农民所占比重整体呈上升趋势。学生人群疫情虽总体稳定,但不容忽视。Objective:To analyze the changes and characteristics of the acquired immunodeficiency syndrome(AIDS)epidemic in Ganzhou city from 2011 to 2021,and to provide a scientific basis for the AIDS prevention and control in the future.Methods:Data were collected based on China information system for disease control and prevention and analyzed by descriptive epidemiological methods.Results:By the end of 2021,population-wide infection rate was 0.036%.Altogether 3,905 human immunodeficiency virus infections/cases(HIV/AIDS)were reported from 2011 to 2021.Reported incidences of HIV/AIDS cases,AIDS cases and death cases were increasing(P_(trend)<0.05).The top three areas were Ruijin city,Zhanggong district and Xinfeng county,and the number of reported cases(existing live cases)were 620 cases,446 cases and 388 cases,respectively.The proportion of age groups over 50,60 and 70 were on the rise(P_(trend)<0.05).In 2021,males were mainly with the history of non-marital commercial contact(53.1%)and non-commercial contact(45.0%),while females were mainly with the history of(non-marital)non-commercial contact(52.5%)and positive spouse/fixed partner(34.7%),The distribution was statistically different(P<0.05).The proportion of farmers increased from 47.2%in 2011 to 68.4%in 2021(P_(trend)<0.05).A total of 89 student cases were reported.Conclusion:The AIDS epidemic situation in Ganzhou is still low,but the overall epidemic situation is increasing year by year.Sexual transmission,especially heterosexual transmission,is the main transmission route,and there are differences in the heterosexual transmission mode between males and females.The proportion of middle-aged and elderly people and farmers has increased year by year.Althogh the epidemic among student population is generally stable,it cannot be ignored.

关 键 词：人类免疫缺陷病毒 获得性免疫缺陷综合征 病例报告 三间分布 

分 类 号：R183.9[医药卫生—流行病学]