2016—2023年河南省三门峡市HIV-1抗体确证阳性者流行病学特征  

Epidemiological characteristics of HIV-1 antibody confirmatory positive People in Sanmenxia of Henan from 2016 to 2023

作　　者：赵建明[1] 李大攀 刘天福 陈冰[1] 张帅清[1] ZHAO Jianming;LI Dapan;LIU Tianfu;CHEN Bing;ZHANG Shuaiqing(Sanmenxia Center for Disease Control and Prevention,Sanmenxia,Henan 472000,China)

机构地区：[1]三门峡市疾病预防控制中心,河南三门峡472000

出　　处：《现代疾病预防控制》2024年第10期776-780,共5页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的了解2016—2023年河南省三门峡市HIV-1抗体确证阳性者的流行病学特征,为三门峡市艾滋病防治策略制定提供科学依据。方法收集2016—2023年经三门峡市疾病预防控制中心艾滋病确证实验室确证为HIV-1抗体阳性者的信息,采用描述性流行病学方法进行分析,并描述其变化趋势。结果2016—2023年三门峡市共确证HIV-1抗体阳性863人,确证阳性率3.67/万,总体呈下降趋势(χ^(2)_(趋势)=38.059,P<0.05)。陕州区HIV-1抗体确证阳性率最高,为7.24/万,不同县(市、区)HIV-1抗体确证阳性率差异有统计学意义(χ^(2)_(趋势)=85.543,P<0.05);男性721例,占83.55%,女性142例,占16.45%,男女性别比为5.08∶1;年龄以20~<60岁人群为主(80.07%);职业以农民(43.11%)为主;文化程度大专及以上所占比例最小(14.72%);已婚所占比例最大(56.20%);病例发现主要来源于疾病预防控制中心(42.53%)和医院(45.54%);自愿咨询(VCT)和住院患者检测是最主要的2个发现途径,所占比例分别为34.65%、32.10%。结论2016—2023年三门峡市HIV-1抗体确证阳性率整体呈下降趋势,防控工作应重点关注农民、已婚、高中及以下学历、男性等人群,重视流动人口的艾滋病管理,加大主动检测发现力度,进一步完善防治工作长效机制。Objective To provide a scientific evidence for the formulation of AIDS prevention and control strategies in Sanmenxia by understanding the epidemiological characteristics of confirmed HIV-1 antibody positive people in Sanmenxia from 2016 to2023.Methods The information of people with confirmed HIV-1 antibody positive in Sanmenxia from 2016 to 2023 was collected,and the descriptive epidemiological methods were used to analyze the population characteristics and their changing trends.Results In total,863 people with HIV-1 antibody positive were confirmed in Sanmenxia from 2016 to 2023,with a confirmed positive rate of 3.67/10000,which showed an overall downward trend(χ^(2)_(trend)=38.059,P<0.05).The highest HIV-1antibody positive rate was observed in Shanzhou District,which was 7.24/10000.There was statistically significant difference in the positive rate of confirmed HIV-antibody among different counties(χ^(2)=85.543,P<0.05).Of the 863 people,721 males and142 females,the male-to-female ratio was 5.08∶1;about age,20-<60 years old was the highest proportion(80.07%);farmer was the mainly occupation(43.11%);the proportion of people having educational level with college and above was lowest(14.72%);about marital status,the largest proportion was married(56.20%);the main sources of case discovery were the disease prevention and control centers(42.53%)and hospitals(45.54%);voluntary counseling and testing(VCT)and inpatient testing were the two main discovery channels,accounting 34.65%and 32.10%,respectively.Conclusions The overall confirmed positive rate of HIV-1 antibodies in Sanmenxia City from 2016 to 2023 showed a downward trend.The prevention and control work should focus on farmers,married people,people with low education level,men and other groups,attach importance to HIV management in migrant population,increase the intensity of active detection and discovery,and further improve the long-term mechanism of prevention and control work.

关 键 词：HIV抗体 确证阳性 流行病学分析 防控 

分 类 号：R512.91[医药卫生—内科学]