2011～2015年福州市新发现15～24岁HIV/AIDS病例的流行特征分析

Analysis on epidemiological characteristics of HIV/AIDS among newfound cases aged 15-24,Fuzhou city,2011-2015

目的了解福州市2011～2015年15～24岁新发现HIV／AIDS病例的流行病学特征，为控制艾滋病在青年人群中的传播提供决策依据。方法依据福州市疫情资料，对病例的“三间分布”特征和传播途径、样本来源、疾病状况及治疗情况进行分析。结果福州市2011～2015年现住址新发HIV／AIDS病例1817例，其中15～24岁422例，占23．23％（其中学生95例，占22．51％）。5年间，学生病例平均增长率为29．09％。15～24岁病例中，男性占91．00％，未婚占91．90％，高中及大专以上文化占73．50％，流动人口占47．00％，32．20％是通过检测咨询检出，98．58％病例通过性传播（同性传播占64．42％，异性传播占35．58％），23．93％病例报告当年即进行抗病毒治疗。学生病例中通过检测咨询检出者所占比例（45．26％）高于非学生病例（28．44％）（P〈0.01），学生病例中同性性传播者所占比例（82．11％）高于非学生病例（58．11％）（P〈0．01）。结论福州市现住址15～24岁群体中，同性性传播已成为HIV的主要感染途径。

Objective To understand the epidemiological characteristics of newfound HIV/AIDS cases aged 15-24 in Fuzhou city,2011 - 2015,so as to provide the scientific basis for control of AIDS spread in the young population. Methods On the basis of epidemic data in Fuzhou city,analysis was made on the three-dimensional distribution characteristics of the cases and route of transmission, sample source, the condition of disease and treatment. Results During 2011- 2015,a total of 1 817 HIV/AIDS newfound local cases were reported, including 422 cases aged 15 24, accounting for 23.23%（among them,there were 95 student cases,accounting for 22.51%）. In a time span of five years, the average growth rate of student case was 29.09%. Among 15 24 aged cases, the males accounted for 91.00%, the unmarried accounted for 91.90 %, senior high school and college education accounted for 73.50 %, the floating population accounted for 47.00%;32.20% of cases were found by VCT clinic,98.58% of them were infected by sexual transmission （homosexual transmission accounted for 64.42%, heterosexual transmission accounted for 35.58%）, 23.93% of cases had received HARRT treatment in that year. The proportion of student cases found by VCT clinic（45.2%） was higher than that of non-student cases （28.44%）,The proportion of student cases infected by homosexual behavior （82.11%） was higher than that of non-student cases （58.11%）, both difference had statistical significance （ P 〈0.01）. Cunclusiun Homosexual behavior has become the main route of transmission in the 15-24 aged local population group of Fuzhou city.