广西2006-2016年男男性行为者HIV感染流行病学特征及趋势分析

Epidemiological characteristics and trend analysis of men who have sex with men living with HIV/AIDS in Guangxi from 2006 to 2016

目的了解2006-2016年广西男男性行为者（MSM）艾滋病病毒（HIV）感染者/艾滋病（AIDS）病人（简称HIV/AIDS病人）的流行病学特征及趋势,为制定广西MSM艾滋病防控措施提供参考依据。方法以全国艾滋病综合防治信息系统数据为基础,采用描述性流行病学方法,分析2006-2016年广西MSM中HIV/AIDS病例的疫情信息资料。结果 2006-2016年广西累计报告MSM HIV/AIDS病例2 364例,每年新报告MSM病例数从8例增至512例,其构成比从0.2%增至5.8%,10年增长29倍,趋势χ~2检验有统计学意义（趋势χ~2=1 561.897,P〈0.001）。病例分布在14个市,72.0%分布在南宁、柳州、桂林、贵港和玉林市等5个市。平均年龄为（33.79±11.90）岁。20~39岁占73.9%,20~39岁从62.5%增至72.5%,50~91岁从0增至6.6%,而13~19岁从12.5%降至10.7%,40~49岁从25.0%降至10.2%。未婚占75.0%,从50.0%增至76.8%,而已婚有配偶从37.5%降至17.2%,离异或丧偶从12.5%降至6.1%。高中及以上占67.1%,初中及以下从25.0%增至32.2%。家政/餐饮/服务员占27.5%,学生从0增至15.6%,商业服务从0增至12.1%,干部/教师/医生/离退人员从0增至8.0%。MSM病例来源于检测咨询占66.8%,就医诊疗从37.5%降至27.5%。结论广西MSM报告病例以年轻、未婚、文化程度较高为主要特点,且每年新报告MSM病例数呈上升趋势,提示MSM群体已经成为广西AIDS流行的重要人群,今后需采取有效地综合防控措施,控制HIV在MSM中的流行。

Objective To understand epidemiological characteristics and trends of HIV/AIDS among MSM in Guangxi from 2006 to 2016,and to provide scientific evidence for developing HIV/AIDS prevention and control strategies.Methods Data of HIV/AIDS cases among MSM in Guangxi from 2006-2016 were analyzed,by using descriptive epidemiological method.Results 2364 cases of MSM living with HIV/AIDS were reported during the period,with a number of new cases reported each year increased from 8（2006）to 512 cases（2016）.The proportion of MSM among the total newly reported HIV/AIDS cases each year increased from 0.2% to 5.8% ,29 times within 10 years,with the trendχ~2 test statistically different（χ~2=1 561.897,P〈0.001）.The cases were reported in 14 cities,with 72.0% in the 5 cites of Nanning,Liuzhou,Guilin,Guigang and Yulin.Average age was 33.79 years old.73.9% were between 20-39 years old.The number of age groups between 20-39 and 50-91 years were increasing from 62.5% to 72.5% and from 0.0% to 6.6% ,while the age groups between 13-19 and 40-49 years were decreasing from 12.5% to 10.7% and from 25.0% to 10.2% .75.0% were single increasing from 50.0% to 76.8% ,while married and divorced/widowed were decreasing from 37.5% to 17.2% and from 12.5% to 6.1% .67.1% had high school education or above,junior middle school education or under was increasing from 25.0% to 32.2% .27.5% were housekeeping/catering/waiters.Students, business services and public servants/teachers/doctors/retirees were increasing from 0.0% to 15.6% ,from 0.0% to 12.1% and from 0.0% to 8.0% .66.8% were detected from points of counseling and testing services,and those from hospitals were decreasing from 37.5% to 27.5% .Conclusion Characteristics of the reported HIV/AIDS cases among MSM in Guangxi are young,unmarried and have received higher education.The proportion of new cases reported among MSM is increasing each year,effective and comprehensive measures are required to control and prevent HIV/AIDS among MSM.