遵义市2011-2016年新报告≥50岁艾滋病患者流行病学分析

Analysis on the epidemiological of the new report over 50 years of HIV/AIDS from 2011 to 2016 in Zunyi

目的了解遵义市2011-2016年新报告≥50岁艾滋病患者流行病学特征,为对该人群进行艾滋病防控提供科学依据。方法通过艾滋病综合防治信息系统,下载遵义市2011-2016年新报告的HIV/AIDS病例,筛选≥50岁患者的病历资料,对其人口学特征、传播途径、样本来源及相关信息进行分析。结果 2011-2016年新报告≥50岁艾滋病患者依次为16.67%(37/222)、18.84%(62/329)、26.33%(109/414)、37.74%(271/718)、40.66%(355/873)、47.59%(544/1 143),合计报告1 378例,占6年总报告病例的37.25%(1 378/3 699),呈逐年上升趋势,且差异有统计学意义(P﹤0.01);其中男性占72.57%,平均年龄(64.05±8.90)岁,最大年龄92岁;职业以农民、家政、家务及待业为主,占76.78%;文化以初中及以下学业为主,占92.74%;传播途径以异性传播为主,占98.04%;病例主要来源于医院机构就诊及术前检测的患者,占67.41%。结论遵义市老年艾滋病患者疫情发展迅速,应采取有针对性的防控措施,以预防艾滋病在该人群中蔓延。

Objective To understand the epidemic situation and epidemiological characteristics of AIDS cases of middle aged and elderly people aged 50 years and over in Zunyi for 2011-2016 years, and to provide scientific evidence for AIDS prevention and control. Methods The AIDS prevention and control information system, download from 2011 to 2016 in Zunyi city of new reported HIV/AIDS cases, screening at the age of 50 and above cases, the demographic characteristics and the dissemination way, sample source and relevant information analysis. Results From 2011 to 2016 were reported AIDS cases aged 50 and above in 1378 cases, accounting for 6 of the total annual reports of 37.25% cases（1 378/3 699）, for people aged 50 years more than the proportion is as follows：16.67%（37/222）, 18.84%（62/329）, 26.33%（109/414）, 37.74%（271/718）, 40.66%（355/873）, 47.59%（544/1 143）, increased year by year, the difference was statistically significant（χ~2=165.79, P=0.00）. Men accounted for 72.57%, the average age（64.05±8.90） years old, the maximum age of 92 years; occupation by farmers, housekeeping, housework and unemployment, accounted for 76.78%; culture in junior middle school and school, accounted for 92.74%; transmission by heterosexual transmission, accounting for 98.04%; cases mainly comes from the hospital clinic and preoperative detection patients, accounted for 67.41%. Conclusion AIDS epidemic in Zunyi, the rapid development of the elderly, should take targeted prevention and control measures to prevent the spread of AIDS in the crowd.