湖州市60岁及以上HIV/AIDS病例流行特征分析  

Epidemiological Characteristics of HIV/AIDS Cases Aged 60 Years Old and Above in Huzhou City

作　　者：李婧[1] 杨中荣[1] 金玫华[1] 刘小琦[1] 吴振乾 LI Jing;YANG Zhongrong;JIN Meihua;LIU Xiaoqi;WU Zhenqian(Huzhou Center for Disease Prevention and Control,Huzhou 330500,China)

机构地区：[1]湖州市疾病预防控制中心,浙江湖州330500

出　　处：《中国皮肤性病学杂志》2024年第4期436-439,共4页The Chinese Journal of Dermatovenereology

基　　金：浙江省医药卫生科技计划项目(2022KY369);湖州市科技局科技计划项目(2023GYB28);湖州市疾病预防控制中心科技计划项目(KJJH202203)。

摘　　要：目的分析湖州市报告的≥60岁艾滋病病毒(HIV)感染者/艾滋病(AIDS)患者(简称HIV/AIDS)的疫情情况及流行特征,为制定该人群艾滋病防控策略提供科学依据。方法在艾滋病综合防治信息系统中下载截至2021年12月底的历史卡片数据,筛选出湖州市每年新报告的≥60岁HIV/AIDS病例,并采用描述性流行病学方法对病例分布特点、样本来源、晚发现情况、传播途径等进行分析。结果截至2021年12月底,湖州市≥60岁HIV/AIDS病例共报告239例,占总报告病例数的11.86%(239/2015);其中,男性占82.85%(198/239),小学以下文化程度占76.99%(184/239),农民占68.20%(163/239),异性传播占93.72%(224/239);病例主要来源是医院术前和其他就诊者等被动检测发现,占69.04%(165/239);晚发现比例占46.44%(111/239)。结论湖州市≥60岁HIV/AIDS病例主要为男性,文化程度偏低,被动检测发现为主,晚发现比例较高。湖州市≥60岁人群艾滋病疫情应引起重视,需结合该人群的特点,探索针对老年人群的艾滋病防治策略。Objective To provide scientific basis for HIV/AIDS prevention and control for the HIV/AIDS cases aged≥60 in Huzhou,we analyzed their epidemics and characteristics.Methods The history cards dated before the end of December 2021 were downloaded from the national HIV/AIDS information system,and the cases aged≥60 were selected.Then we analyed their distribution characteristics,sample sources,late detection,transmission routes,etc,using descriptive epidemiological methods.Results Before the end of December 2021 according to our analysis,239 cases aged≥60 years old were reported in Huzhou,accounting for 11.86%(239/2015)of the total reported cases.Among them,males accounted for 82.85%(198/239),76.99%(184/239)of them are at the education level of below primary school,68.20%(163/239)were farmer workers,93.72%(224/239)were infected through heterosexual transmission,69.04%(165/239)were deteced passively,such as through hospital preoperative,and the late detection rate was 46.44%(111/239).Conclusion In Huzhou,HIV/AIDS cases aged≥60 years old are mainly male with low educational level,found by passive detection in the hospital,and at a high proportion of late detection.We should pay attention to the AIDS epidemic among people over 60 years old in Huzhou,targeted prevention and control measures could be taken according to these distribution characteristics.

关 键 词：老年人群 艾滋病病毒感染者 艾滋病 流行特征 

分 类 号：R512.91[医药卫生—内科学]