蒲江县50岁及以上老年人艾滋病疫情分析

The Epidemic Situation of AIDS in People Aged 50 Years and Above in Pujiang County

目的了解蒲江县50岁及以上老年人艾滋病疫情概况,制定相应预防控制措施。方法从全国艾滋病综合防治信息系统中下载蒲江县历史数据,使用Excel 2007筛选≥50岁HIV/AIDS病例,利用SPSS 19.0对数据进行描述性分析。结果蒲江县累计报告50岁及以上HIV/AIDS 432例,占全人群70.13%,死亡117例,其中男312例,女120例,HIV 217例,AIDS 215例。疫情主要分布在鹤山镇、大兴镇和寿安镇,其中农民占88.89%,小学及文盲占75.23%,已婚有配偶占61.81%,异性传播占99.31%,医院检测占84.49%,晚发现率为39.81%。结论蒲江县50岁及以上老年人艾滋病疫情呈上升趋势,占全人群比例较大,疫情严重。感染存在个人、家庭、社会等影响因素,感染后以被动发现为主,存在二代传播风险。亟需在农村50岁及以上老年人中开展多元化的艾滋病综合防治,大力宣传防治知识,让家庭、子女和社会积极参与;加大感染人群的管理;加大自愿咨询检测(VCT)力度,做到早检测、早发现、早控制。

Objective To understand the general epidemic situation of AIDS in people aged 50 years and above in Pujiang County and devise corresponding preventive measures. Methods Historical data of Pujiang County were downloaded from the national AIDS prevention and control information system. HIV/AIDS patients aged 50 and above were screened using Excel 2007, and data were descriptively analyzed using SPSS 19.0. Results Four hundred and thirty two HIV/AID cases aged 50 years and above were reported, accounting for 70. 13% of the total and including 117 death cases, 312 males, 120 females, 217 HIV cases and 215 AIDS cases. The pa- tients were mainly distributed in Heshan Town, Daxing Town and Shouan Town. Peasants accounted for 88.89% ; patients with primary school education and illiteracy accounted for 75.23% ; married patients and pa- tients with spouses accounted for 61.81% ; heterosexual transmission was responsible for 99.31% of the cases; 84. 49% of the cases were discovered in hospital tests; the late discovery rate was 39. 81%. Conclusion The epidemic situation of AIDS in people aged 50 years and above has shown a rising trend; such patients account for a large proportion of the total, and the epidemic situation is serious. Infection is influenced by individual, familial and social factors, and most cases are passively discovered after infection; the risk of secondary transmission exists. It is imperative to, in people aged 50 years and above, carry out comprehensive prevention and treatment of AIDS, vigorously popularize prevention knowledge so that society, families and children will participate actively; enhance management of infected people and voluntary counseling and testing （VCT） efforts to achieve early detection, early detection and early control.