杭州市萧山区2002-2013年老年HIV/AIDS病人特征分析

Characteristics of HIV/AIDS in elderly in Xiaoshan District of Hangzhou in 2002-2013

目的分析2002-2013年萧山区老年人艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的相关特征,为制定老年人艾滋病防治措施提供科学依据。方法收集萧山区2002-2013年的老年HIV/AIDS病人疫情报告资料,对病例人口学特点、传播途径构成、发现途径及相关信息进行分析。结果 2002-2013年累计报告HIV/AIDS病人299例,其中≥50岁占16.1%(48/299);平均年龄(58.8±8.21)岁,最大86岁。48例病人中,男性占75.0%(36人);85.4%(41人)为本地居民;农民占43.8%(21人);小学和初中占87.5%(42人);性传播感染占93.8%(45人);已婚有配偶占75.0%(36人)。已婚有配偶者中,28名配偶检测了HIV抗体,阳性率为28.6%(8人)。老年HIV/AIDS病人多来自临床医疗机构及阳性者配偶或性伴侣检测,其中临床医疗机构占72.9%(35/48)。结论萧山区老年人艾滋病报告病例数增长明显,性接触是主要传播途径,临床医疗机构及阳性者配偶或性伴侣检测在发现病例中占较大比例,应进一步加强老年人艾滋病预防宣传教育。

Objective To describe the characteristics of HIV/AIDS in the elderly in Xiaoshan District of Hangzhou in 2002-2013, and provide evidences for making prevention and control measures of HIV/AIDS in the elderly. Methods The data of reported HIV/AIDS elderly patients in Xiaoshan District from 2002 to 2013 were collected. Characteristics of distribution, infection routes and the way of finding cases were analyzed. Results The cumulative number of reported HIV/AIDS cases was 299 in 2002-2013. People aged 〉j 50 years accounted for 16.0% （48/ 299）, with an average age of （58.8 ± 8.21） years old, and a maximum age of 86 years. Male accounted for 75% （36/48）, local residents for 85.4% （41/48）, farmers for 43.7% （21/48）, those with education level of primary school and junior high school for 87.4%, heterosexual transmission for 93.8%, and the married for 75.0% （36/ 48）. Among the married, 28 detected HIV antibody, with a positive of 28.5% （8/28）. The elderly HIV/AIDS cases mainly detected from clinical medical institutions and detection of positive spouse or sexual partners, among which clinical medical institutions accounted for 72.9% （35/48）. Conclusion The number of the elderly AIDS patients raised quickly in Xiaoshan District. Sexual contact was the main route of transmission. Clinical medical institutions and detection in those with positive spouse or sexual partners plays an important role in the discovery of positive cases. We should further strengthen AIDS prevention publicity and education in the elderly people.