2012—2021年武汉市≥50岁HIV/AIDS病例流行特征  

Epidemiological characteristics of HIV/AIDS cases aged≥50 years in Wuhan,2012-2021

作　　者：黄纯 胡荣[2] 马红飞 吴琳 王夏[2] 谢年华[2] HUANG Chun;HU Rong;MA Hongfei;WU Lin;WANG Xia;XIE Nianhua(Wuhan Jiangxia District Center for Disease Control and Prevention,Wuhan,Hubei 430299,China;Wuhan Center for Disease Control and Prevention,Wuhan,Hubei 430024,China)

机构地区：[1]武汉市江夏区疾病预防控制中心,湖北武汉430299 [2]武汉市疾病预防控制中心,湖北武汉430024

出　　处：《现代疾病预防控制》2024年第7期531-534,共4页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的分析武汉市≥50岁HIV/AIDS病例流行特征,为制定针对性干预措施提供依据。方法收集2012—2021年报告的现住址为武汉市的≥50岁HIV/AIDS病例资料,采用流行病学描述性分析方法分析流行特征。结果2012—2021年武汉市共报告≥50岁HIV/AIDS病例2017例,男性1666例,占82.6%;平均年龄(60.7±8.3)岁,≥50岁HIV/AIDS病例占当年新报告病例的比例呈增长趋势(χ^(2)_(趋势)=31.612,P<0.05)。2021年263例,占30.4%;离异丧偶1002例,占49.7%;初中及以下1178例,占58.4%;异性传播1348例,占66.8%;非婚非商业性行为592例,占53.7%;首次CD4^(+)T淋巴细胞(CD4细胞)检测结果<200个/μL者824例,占45.1%。2012—2021年武汉市报告的≥50岁HIV/AIDS病例死亡476例,累计病死率23.6%。结论武汉市≥50岁HIV/AIDS病例呈上升趋势,非婚非商业性行为是异性传播的主要途径,应根据≥50岁人群特点开展艾滋病宣传教育,加强经性传播高危行为干预和早期检测。Objective To analyze the epidemiological characteristics of HIV/AIDS cases aged≥50 years in Wuhan city,and provide evidence for formulating targeted intervention measures.Methods The data of HIV/AIDS cases aged≥50 years who reported their current address in Wuhan from 2012 to 2021 were collected,and descriptive epidemiological method was used to analyze their epidemiological characteristics.Results From 2012 to 2021,a total of 2017 HIV/AIDS cases aged≥50 were reported in Wuhan,and 1666 of them were male,accounting for 82.6%.The average age was(60.7±8.3)years,and the proportion of HIV/AIDS cases aged≥50 years among newly reported cases in that year showed an increasing trend(χ^(2)_(trend)=31.612,P<0.05).In 2021263 cases were reported,accounting for 30.4%;a total of 1002 cases had marriage of divorce or widowhood,accounting for 49.7%;1178 cases had education attainment with junior high school and below,accounting for58.4%;there were 1348 cases with heterosexual transmission,accounting for 66.8%;592 cases had non-marital and noncommercial sexual activities,accounting for 53.7%.There were 824 cases with the first CD4^(+)T lymphocyte(CD4 cell)detection result less than 200/μL,accounting for 45.1%.From 2012 to 2021,Wuhan reported 476 deaths from HIV/AIDS cases aged≥50years,with a cumulative mortality rate of 23.6%.Conclusions HIV/AIDS cases aged≥50 years in Wuhan are on the rise,and non-marital and non-commercial sexual behavior is the main way of heterosexual transmission.AIDS education should be carried out according to the characteristics of people aged≥50 years,and the intervention and early detection of high-risk behaviors through sexual transmission should be strengthened.

关 键 词：HIV/AIDS ≥50岁 流行病学 特征 CD4^(+)T淋巴细胞 

分 类 号：R512.91[医药卫生—内科学]