河北省2004-2013年性传播艾滋病男性患者流行特征分析

Analysis on the epidemic features of men with AIDS by sexual infection in Hebei Province from 2004 to 2013

目的了解河北省经性途径感染艾滋病(acquired immunodeficiency syndrome,AIDS)病例的流行特征,为制定防治策略提供参考依据。方法对河北省经性途径感染艾滋病病例的调查资料进行分析。结果2004-2013年间河北省累计报告经男男同性性行为(men who have sex with men,MSM)感染病例1 706例,报告经异性传播感染病例926例。2009年之后经同性传播成为最主要感染途径。MSM病例被发现时平均年龄(33.98±11.76)岁,未婚居多(46.72%),高中及以上文化程度者占58.91%;经异性传播病例被发现时年龄(39.45±12.22)岁,已婚者居多(57.67%),初中及以下文化程度者64.04%。两类途径中均发现部分学生病例。经MSM感染的病人中,有77.80%是在被发现后1年内发病,在经异性传播感染的病人中,该比例为76.37%。结论不同感染途径的性传播病例在社会人口学特征及流行特征上不同,应针对不同人群分类制订干预措施。在学生群体中加大艾滋病宣传,提高其危机意识。在各类高危人群中扩大检测,尽早发现感染者,减少其传播风险。

Objective To understand the epidemic features of men who got infected with AIDS via sex in Hebei Province, in order provide reference for improving AIDS prevention and control strategy. Methods The HIV/AIDS data reported from 2004 to 2013 was analyzed. Results 1 706 cases were reported by homosexual transmission, and 926 were reported by heterosexual transmission. Homosexual transmission had become the main route of transmission from 2009. Among cases who were infected by homosexual transmission, the average age was 33.98 ±11.76, 46. 72% of them were unmarried and 58.91% of them had high school education. Among those who were infected by heterosexual transmission, the average age was 39.45 ± 12. 22, 57.67% of them were married and 64. 04% of them had junior middle school education or below. Students cases were found in the two groups. 77.80% of the cases in the group who developed to AIDS by homosexual transmission fall ill one year later, and 76. 37% in heterosexual transmission group. Conclusions Social demographic characteristics and epidemiological features were different in the two groups. Targeted policies should be formulated for each transmission. AIDS prevention knowledge education should be strengthened in students and more tests should be launched in high-risk groups.