成都市某院HIV传染性疾病监测结果分析

Monitoring Results of HIV Infection in a Hospital in Chengdu

目的了解某院新发现艾滋病感染者流行病学特征.方法利用成都市某院2013年1月1日至2015年12月31日在中国疾病控制信息系统上报HIV感染者资料,经过上级机构订正后获取可靠数据.结果感染者男性占82.11%,小学以下文化占44.74%,本市其他县占53.68%,非婚异性传播占79.47%.受血或术前检查方式发现感染者占33.68%,感染者已婚有配偶占57.89%,老年艾滋病感染者占27.37%.不同年代不同性别(χ2=1.073,P=0.585)、不同归属地(χ2=2.618,P=0.622)、不同年龄组(χ2=4.375,P=0.358)、不同职业(χ2=0.868,P=0.929)、不同婚姻状态(χ2=190,P=0.535)、不同文化水平(χ2=3.076,P=0.545)、不同传播途径(χ2=1.614,P=0.806)、不同样本来源(χ2=9.815,P=0.133)等HIV感染者差异无统计学意义;不同年代HIV感染者有无性病史(χ2=92.972,P<0.001),差异有统计学意义.结论 2013年至2015年新发现HIV感染者人口学特征未出现很大的变化,需要加大对人群艾滋病健康教育,重点在非婚异性接触的人群及男男性行为人群,对已婚有配偶HIV感染者的对方应加强艾滋病预防相关教育及艾滋病初筛检测,对老年感染者应加大医疗救助与心理疏导,改善其生活质量.

Objective To learn the epidemiological characteristics of people with HIV infection newly found in the hospital. Methods We assessed the information of people with HIV infection in China information system for disease control and prevention which the superior agency corrected the information during January 1, 2013 to December 31, 2015 in the hospital. Results Among the enrolled patients with HIV infection, male patients accounted for 82.11%, patients with education background less than primary school accounted for 44.74%, other county in the city accounted for 53.68%, unmarried sex communication accounted for 79.47%. Patients found by blood or preoperative examination accounted for 33.68%, patients married who has a spouse accounted for 57.89%, etc. old patients accounted for 27.37%. There was no statistically significant difference in gender, place of residence, type of medical treatment insurance among the empty nest old, etc. There was no statistically significant differences in gender （ X^2=1.073, P=1.073）, different ownership （ X^2=2-618, P=0.622）, different age groups （ X^2=4-375, P = 4.375） , the different professional （ X^2=0.868, P=0.868） , different marital status （ X^2= 190, P =0.535）, different cultural level （ X^2=3-076, P=3.076）, different transmission （ X^2= 1.614, P= 1.614） , different sample source （X^2=9-815, P=9.815）. There was a statistically significant difference in suffering from venereal disease during different years, etc. Gonclusiorl There is no change in demographic characteristics in new found people with HIV during 2013 to 2015. It is necessary to enhance HIV education in the crowd on the knowledge of HIV/AIDS prevention and control, especially for the people with unmarried sex contact and MSM same-sex sexual behaviors. We should provide some education on prevention and control HIV/AIDS to the HIV infected patients married with spouses, and given them the early HIV screening. The government should inprove the medical care and psychological counseling to improve the quality of life of elderly people with HIV infection.