2011-2020年山东省新报告15~24岁学生HIV/AIDS基本特征及趋势  

Basic characteristics and trend of newly diagnosed students aged 15-24 years with HIV/AIDS in Shandong province,2011-2020

作　　者：路真真 李玲 赵帅 李亚君 王国永[2] 康殿民[2] 张娜 LU Zhenzhen;LI Ling;ZHAO Shuai;LI Yajun;WANG Guoyong;KANG Dianmin;ZHANG Na(School of Public Health,Weifang Medical College,Weifang,Shandong 261000,China;Shandong Center for Disease Control and Prevention,AIDS Prevention and Control Institute,Jinan,Shandong 250014,China)

机构地区：[1]潍坊医学院公共卫生学院,山东潍坊261000 [2]山东省疾病预防控制中心,艾滋病预防控制中心,山东济南250014

出　　处：《热带医学杂志》2024年第2期269-272,304,共5页Journal of Tropical Medicine

基　　金：山东省自然科学基金青年基金项目(ZR2014HQ038);山东省医药卫生科技发展计划项目(2019WS438)。

摘　　要：目的 分析2011-2020年山东省新报告15~24岁学生HIV/AIDS的基本特征及趋势,为制定在校青年学生艾滋病防控措施提供依据。方法 以2011-2020年山东省新报告15~24岁学生HIV/AIDS为研究对象,分析其社会人口学特征、传播途径、样本来源、首次CD4检测情况和性行为等,运用Joinpoint回归模型分析历年报告发病率的时间变化趋势。结果 2011-2020年山东省新报告15~24岁学生HIV/AIDS共1 035例,主要为男性(99.30%),大专及以上学历(83.96%),同性传播(92.08%),61.54%通过检测咨询发现;2011-2015年报告发病率呈上升趋势(APC=41.28%,P<0.05),2016年及以后保持平稳趋势(APC=-0.33%,P>0.05)。历年新报告HIV/AIDS中,首次CD4细胞计数500~个/μL者占比呈逐年下降趋势(χ^(2)=7.19,P<0.05)。结论 2011-2020年山东省青年学生HIV/AIDS整体发病率上升趋势有所减缓,青年学生男男同性性行为(MSM)人群是感染HIV的重点人群,在扩大检测咨询基础上,应加强健康教育和行为干预。Objective To analyze the basic characteristics and epidemic trend of newly diagnosed students aged 15-24 years old with HIV/AIDS in Shandong province from 2011 to 2020,and provide evidence for AIDS prevention and control among young students in schools.Methods Newly reported HIV/AIDS cases among students of aged 15-24 years old in Shandong province from 2011 to 2020 were used to analyze their socio⁃demographic characteristics,transmission routes,sample sources,first CD4 testing and sexual behavior,and to analyze the temporal trends of reported incidence rates over time using Joinpoint regression models.Results From 2011 to 2020,a total of 1035 new HIV infection cases were diagnosed among young students aged 15-24 years old in Shandong province,mainly were males(99.30%),with tertiary education and above(83.96%),infected by homosexual transmission(92.08%),and 61.54%were diagnosed through testing and counseling.The detection rate showed an increasing trend(APC=41.28%,P<0.05)from 2011 to 2015,and a stable trend between 2016 and 2020(APC=-0.33%,P>0.05).The proportion of newly reported HIV/AIDS with a first CD4 cell count of 500-cells/μL had been decreasing over the years(χ^(2)=7.19,P<0.05).Conclusion The overall rising trend of HIV/AIDS among young students in Shandong province from 2011 to 2020 had slowed down,and the population of young students men who had sex with men(MSM)was a key population for HIV infection,and health education and behavioral interventions should be strengthened based on expanded testing and counseling.

关 键 词：HIV/AIDS 青年学生 Joinpoint回归模型 男男同性性行为 

分 类 号：R512.91[医药卫生—内科学]