温州市1988—2015年青少年HIV/AIDS流行病学特征

HIV/AIDS epidemic among people aged 15-24 years in Wenzhou of Zhejiang Province

目的分析温州市15-24岁艾滋病病毒感染者/艾滋病病人（HIV/AIDS）流行特征,为有针对性地制定艾滋病防控措施提供科学依据。方法从中国疾病预防控制信息系统的艾滋病综合防治信息系统中获取艾滋病网络直报数据,筛选温州市1988—2015年报告的15-24岁年龄组HIV/AIDS病例,对人口学特征、感染途径、病例来源等信息进行描述性分析。结果 1988—2015年温州市累计报告15-24岁年龄组HIV/AIDS病例524例,其中AIDS患者142例,死亡40例,各年度报告的病例数呈现逐年增加的趋势。疫情波及全市各个县（市、区）,本地户籍占51.53%,男女比为2.91∶1。男男同性传播占47.14%,构成比呈逐年增加趋势（χ^2=51.73,P〈0.01）。在检测咨询和无偿献血人群中发现的病例分别占23.66%和8.40%,15-24岁HIV/AIDS患者中新发现为AIDS的比例占14.12%（74名）。结论温州市15-24岁人群艾滋病疫情形势严峻,特别要重视对学生群体和男男同性恋人群的艾滋病防控。

Objective To analyze HIV/AIDS epidemic among people aged 15-24 years in Wenzhou and to provide scientific evidence for HIV / AIDS prevention and control among young people. Methods Data came from reported cases in the national HIV prevention and treatment information system. All the HIV / AIDS cases among people aged 15- 24 years during 1988-2015 in Wenzhou city was collected. Demographic information, infection route and source of case were recorded. Results A total of 524 people aged 15-24 years had been reported as HIV / AIDS cases. Among them, 142 were AIDS cases, 40 were fatal.The number of cases of the annual reported presented increasing trend during 1988-2015. The epidemic had spread outward to the various counties.Local residence accounted for 51.53%, the ratio of male to female was 2. 91： 1 and the proportion of students with HIV infection presented increasing trend. Homosexual transmission accounted for 47.14%, with increasing trend by year（ χ^2= 51.73, P = 0.00）.About 23.66% and 8.4% of the cases were from HIV voluntary counseling testing（ VCT） and voluntary blood donation. The proportion of AIDS in all newly identified HIV / AIDS cases was 14.12%. Conclusion HIV / AIDS epidemic among people aged 15-24 years is increasing in Wenzhou City. More attention should be paid among young students and MSM individuals. Comprehensive measures for HIV / AIDS prevention and education need to be reinforced with expanding the coverage of HIV testing to promote early detection.