2010-2014年成都市50岁及以上男性艾滋病疫情分析

The HIV/AIDS Epidemic of Men Aged 50 and Older in Chengdu,2010-2014

目的了解成都市老年男性人群(50岁及以上)艾滋病疫情概况,制定相应预防控制措施。方法从中国疾病预防控制信息系统的子系统"艾滋病综合防治信息系统",下载成都市2010-2014年底的历史卡片数据库,使用Excel 2010按照现住址、终审日期等统计规则整理,进行描述性分析。结果成都市2010-2014年累计报告50岁及以上男性HIV/AIDS 2 599例,其中AIDS 969例,死亡855例,2010-2014年逐年上升。报告年龄均数为63.71岁,职业以农民为主(50.29%),婚姻状况以已婚有配偶为主(58.21%)。异性传播为主要传播途径(90.38%),非婚异性性接触比例占70%左右。83.87%来源于医院检测,VCT比例逐年下降;82.69%确认后1年内死亡;39.74%在第1次随访时完成了配偶检测,检测阳性率为41.59%。结论成都市50岁以上男性艾滋病疫情严重,上升趋势明显。职业以农民为主,主要分布于成都市二、三圈层;发生高危行为后接受VCT的比例较低,晚发现率高,艾滋病伴侣间传播的风险高。应尽快开展50岁以上男性艾滋病防治知识和行为特征调查,以开展有针对性的行为干预。同时加大检测力度,尽早治疗从而减少新发感染和病死率。

Objective To understand the HIV epidemic in elder population（ age 50 and older） and formulate corresponding prevention and control measures. Methods The database of infectious disease report cards were downloaded from the subsystem called ‘Information System for the Prevention and Control of AIDS＇in China Disease Prevention and Control Information System in Chengdu from 2010 to 2014. And the patients＇ present address and final check date was sorted by the Microsoft Excel 2010. Descriptive analysis of the cards was adopted. Results There were 2 599 male HIV / AIDS positive cases of elder population with gradually increasing in Chengdu from 2010 to 2014,in total with 969 diagnosed as AIDS and 855 deaths. The mean age was 63. 71,the farmer was the major occupation（ 50. 29%）,and there were 58. 21% cases married. Heterosexual transmission was the primary route（ 90. 38%）,and the non- marital heterosexual intercourse held around 70%. The83. 87% positive reports were from hospital,and the voluntary consulting test（ VCT） decreased correspondingly year by year. 82. 69% of the positive elder died during one year after diagnose confirmation. 39. 74% cases were conducted spouse test at the first follow- up with the positive rate reaching 41. 59%. Conclusion The HIV epidemic in elder population was serious with obvious upward trend in Chengdu. Farmer was the main occupation of positive elder population,and the majority lived in thesuburban area of Chengdu. The VCT ratio was low after high-risk sexual behavior,but the ratio of discovery in late stage was high. It was high risk of HIV transmission in couples. It should be implemented that HIV prevention and control knowledge and HIV-related behavior characteristic survey as soon as possible,to take the behavior intervention. Meanwhile,the test work should be strengthened for early treatment to reduce the new cases.