2001-2013年菏泽市HIV/AIDS病人死亡情况分析

HIV/AIDS mortality in Heze during 2001-2013

目的分析菏泽市艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的死亡情况。方法从"国家艾滋病综合防治信息系统"中,下载2001年1月1日至2013年12月31日现住址为菏泽市的死亡HIV/AIDS病例,回顾性分析这些病例的死亡情况。结果至2013年底,累计报告现住址为菏泽市的HIV/AIDS病人死亡病例171例,其中男性占63.74%,已婚占69.59%,血液传播占53.22%。平均死亡年龄(40.5±13.41)岁,年龄最小3岁,最大78岁。因AIDS、非AIDS其他疾病、其他原因、吸毒过量而死亡的分别占67.84%、17.54%、8.19%、0.58%;5.85%的死亡原因不详。死亡病例抗病毒治疗的比例为18.13%。2009年之前的死亡病例以血液传播为主,占74.19%;近5年(2009-2013年)的死亡病例以异性性传播为主,占48.71%。确认阳性后1年内死亡的比例为76.02%。结论艾滋病为菏泽市HIV/AIDS病人死亡的主要原因;死亡病例传播途径由血液传播为主转向性传播为主;病例发现晚,应扩大HIV检测范围。

Objective Analyze deaths of human immunodeficiency virus（HIV）HIV-infected persons and acquired immune deficiency syndrome（AIDS）patients（HIV/AIDS cases）in Heze.Methods Retrospectively analyze the HIV/AIDS deaths of Heze from 2001 to 2013.Personal data concerning deceased HIV/AIDS cases were downloaded from ＂China National Information System for HIV/AIDS Control and Prevention＂,the cases who were Heze residents and died from January 1,2001 to December 31,2013 were selected for analysis.Results Up to the end of2013,a total of 171 deceased local HIV/AIDS cases were reported in Heze.Males accounted for 63.74%,married accounted for 69.59%,blood transfusion accounted for 53.22%.The average age of death was（40.5±13.41）,the minimum age was 3years old,the maximum age was 78 years.Those who died of AIDS,non-AIDS related diseases,other causes and drug overuse accounted 67.84%,17.45%,8.19%and 0.58%.In addition,5.85%died of unknown causes.The highly active anti-retroviral therapy of these deaths were 18.31%.Prior to 2009,74.19% of cases were infected by blood.Within the past 5years（2009-2013）,48.71% cases were infected by heterosexuals and 76.02%died within 1year.Conclusion AIDS is the main cause of death in Heze.The main transfusion of deaths from blood to heterosexual,HIV/AIDS cases detected too late,the range of HIV testing should be expanded.