2012—2021年乌鲁木齐市≥50岁新报告HIV/AIDS病例流行病学特征分析

Epidemiological characteristics of newly-reported HIV/AIDS patients aged 50 years and above in Urumqi from 2012 to 2021

目的分析2012—2021年新疆乌鲁木齐市≥50岁新报告HIV/AIDS病例流行病学特征,为该人群艾滋病防控提供参考依据。方法收集艾滋病综合防治系统中现住址为乌鲁木齐市的≥50岁新报告HIV/AIDS病例信息,分析人口学特征、传播途径及样本来源。结果共报告≥50岁HIV/AIDS病例1443例,构成比呈逐年上升趋势(趋势χ^(2)=182.005,P<0.05)。其中男性1007例(占69.79%)、女性436例(占30.21%);50~59岁病例占64.17%,各年龄组性别构成差异有统计学意义(χ^(2)=30.984,P<0.05);以异性传播为主、占88.08%,不同性别传播途径构成差异有统计学意义(χ^(2)=57.932,P<0.05);初中及以下文化程度占62.86%,家政、家务及待业者占52.53%。样本来源以医疗机构(占53.78%)和艾滋病自愿咨询检测为主(占32.64%)。结论乌鲁木齐市≥50岁人群艾滋病防控形势严峻;应加强该群体艾滋病防治知识的宣传和综合干预。

Objective To analyze the characteristics of the newly-reported HIV/AIDS patients aged 50 years and above in Urumqi,Xinjiang from 2012 to 2021,and provide reference for HIV/AIDS prevention and control in this population.Methods The information of the newly-reported HIV/AIDS patients aged 50 years and above living in Urumqi were collected from the comprehensive AIDS prevention and control system.The demographic characteristics,route of transmission and sample sources of the patients were analyzed.Results Totally 1443 cases of HIV/AIDS patients aged 50years and above were reported with the increasing trend of the proportion year by year(χ^(2)=182.005,P<0.05).There were1007 male cases,accounting for 69.79%,and 436 female cases,accounting for 30.21%.The patients aged from 50 to 59years accounted for 64.17%,and there was statistical difference(χ^(2)=30.984,P<0.05)between the gender compositions in each age groups.Heterosexual transmission was the main spreading way(accounted for 88.08%),with the statistical difference(χ^(2)=57.932,P<0.05)between the gender compositions in the different routes of transmission.The patients with the education level below junior high school accounted for 62.86%,and the patients working for homemaking,housework and the unemployed patients accounted for 52.53%.The sources of samples were mainly from the medical institutions(accounting for 53.78%)and voluntary HIV counseling and testing(accounting for 32.64%).Conclusions The situation of HIV/AIDS prevention and control is severe in the population aged 50 years and above in Urumqi,and the publicity of the HIV/AIDS prevention and control knowledge and the comprehensive intervention should be strengthened in this population.