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作 者:何茂君 何静[1] HE Maojun;HE Jing(Mianyang Center for Disease Control and Prevention,Mianyang 621000,Sichuan Province,China)
机构地区:[1]绵阳市疾病预防控制中心,四川绵阳621000
出 处:《寄生虫病与感染性疾病》2024年第4期220-224,229,共6页Parasitoses and Infectious Diseases
摘 要:目的 分析2018—2023年绵阳市新报告HIV/AIDS病例的流行特征,为优化防治策略提供依据。方法 从中国疾病预防控制信息系统艾滋病防治基本信息系统中导出2018—2023年绵阳市新报告HIV/AIDS病例,采用WPS 2022软件和SPSS 23.0软件进行统计分析,以P<0.05为差异有统计学意义。结果 2018—2023年绵阳市分别报告997、1 340、1 123、938、946和878例HIV/AIDS病例。男女性别比2.73∶1,以50岁及以上老年病例(60.98%)、小学文化程度(39.79%)、已婚有配偶(42.67%)、农民(60.64%)为主;50岁及以上老年病例占比呈逐年上升趋势(χ^(2)_(趋势)=103.445,P<0.001)。各县市区均有病例报告,三台县新报告病例数最多。传播途径以性接触传播为主(99.04%),主要是异性传播(88.30%);经非婚非商业异性性行为传播的病例占比呈逐年上升趋势(χ^(2)_(趋势)=108.862,P<0.001)。阳性病例主要来源于医疗机构。结论 绵阳市艾滋病疾病负担严重,老年人群疫情形势严峻。需加强核心知识宣传教育和重点人群防控,控制艾滋病疫情。Objective To analyze the epidemiological characteristics of newly reported HIV/AIDS(human immunodeficiency virus/acquired immunodeficiency syndrome) cases in Mianyang City from 2018 to2023, and to provide basis for optimizing prevention and control strategies. Methods The newly reported HIV/AIDS cases in Mianyang City from 2018 to 2023 were exported from the Basic HIV/AIDS Prevention and Control Information System in the Chinese Disease Control and Prevention Information System,and statistical analysis was carried out by WPS 2022 and SPSS 23.0 software.P<0.05 was considered statistically significant. Results From 2018 to 2023, Mianyang City reported 997, 1 340,1 123,938,946 and 878 cases of HIV/AIDS,respectively. The male-to-female ratio was 2.73∶ 1. The majority of cases were elderly people aged 50 and above(60.98%), with elementary school education level(39.79%), married individuals with spouses(42.67%), and farmers(60.64%), and the proportion of cases aged 50 years and above showed an increasing trend year by year(χ^(2)_(trend)=103.445,P<0.001). Cases had been reported in all counties/districts/cities,with the highest number of new cases reported in Santai County. The main route of transmission was sexual contact(99.04%), with heterosexual transmission being the main route(88.30%). The proportion of non-marital and non-commercial heterosexual transmission cases showed an increasing trend year by year (χ^(2)_(trend)=108.862,P<0.001). Positive cases mainly came from medical institutions.Conclusions The disease burden of HIV/AIDS was serious in Mianyang City. The epidemic situation among the elderly population was severe. It is necessary to strengthen the publicity and education of core knowledge and the prevention and control of key groups to control the AIDS epidemic.
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