温州市中老年HIV/AIDS流行特征分析

The epidemiological characteristic of HIV/AIDS among the elderly in Wenzhou City,1988-2013

目的对温州市1988—2013年中老年(≥50岁)HIV/AIDS流行特征进行分析,为制定艾滋病防控措施提供依据。方法通过中国疾病预防控制中心艾滋病专报系统收集温州市1988—2013年≥50岁HIV/AIDS病例资料,对病例分布特点、传播途径及发现途径等进行分析。结果温州市1988—2013年累计报告≥50岁HIV/AIDS 446例,占累计报告HIV/AIDS总数的20.46%(446/2 180),其中≥50岁死亡病例占累计报告死亡总数的38.63%(141/365)。446例≥50岁HIV/AIDS中,男女比为4.01∶1;平均年龄(62.5±9.4)岁;本市户籍占90.35%;小学及以下文化程度占65.92%;农民占51.79%。病例数最多为鹿城区167例,乐清市127例;以异性传播为主,占85.65%;以医疗机构发现途径为主,占73.99%。结论温州市≥50岁HIV/AIDS病例数增长明显,异性接触是主要传播途径,应提高中老年安全性意识并采取针对性防控措施。

Objective To describe the epidemiological characteristics of HIV/AIDS among the elderly who aged 50 years and older in Wenzhou city, Zhejiang, 1988 -2013. Methods The information of HIV/AIDS epidemic was obtained from the surveillance system, and The distribution, transmission route and detection way of the cases were analyzed. Results A total of 446 HIV/AIDS cases were reported during the period of 1988 - 2013, accounted for 20. 46% among the accumulative reported HIV/AIDS cases. Up to 90. 35% of the cases were local people. The ratio of male to female was 4. 01： 1. The age mean of the cases was 62. 5 ±9.4 years. The farmers were accounted for 51.79% and the cases that had primary school education level or illiterate were accounted for 65.92%. Heterosexual contact was the major transmission route, accounting for 85.65%. 74. 0% of the elderly cases were detected from medical institutions. Conclusion The reported HIV/AIDS cases of the elderly increased significantly in Wenzhou. Sexual transmission was the major route. It is necessary to take measures to improve the awareness of AIDS prevention and control among the elderly.