海南省2011-2015年艾滋病病例报告情况分析

Analysis of Reported HIV/AIDS Cases in Hainan Province from 2011 to 2015

目的对海南省艾滋病病例报告数据进行分析,为制定全省艾滋病防控策略提供依据。方法通过艾滋病综合防治信息系统收集海南省2011-2015年艾滋病病例报告数据和相关报表,进行统计分析。结果截至2015年底,海南省报告现存活HIV感染者1 790例,死亡报告763例,2011-2015年新报告HIV感染者分别为270例、275例、353例、368例和482例。15~49岁年龄组人群占84. 83%,男女性别比为5. 43∶1;职业分布以家政、家务及待业为主占25. 29%。报告病例主要集中在海口和三亚,占全省报告病例总数的58. 83%。新报告病例经性传播构成比由2011年的77. 41%增长到2015年的94. 40%,各年度构成比差异有统计学意义(P <0. 05)。男男性行为者(MSM)传播构成比由2011年的27. 04%增长到2015年的45. 02%,各年度构成比差异有统计学意义(P <0. 05)。全省HIV检测量由2011年的35. 55万增长到2015年的79. 15万,各年度HIV抗体阳性检出率分别为7. 93/万、4. 86/万、5. 27/万、5. 35/万和6. 18/万,差异有统计学意义(P <0. 05)。结论随着艾滋病检测力度的不断加大,海南省HIV感染者/病人报告数量也在逐年增加;感染者以青壮年男性人群为主,职业分布以家政、家务和待业居多;艾滋病报告地区分布差异大;性传播是主要传播途径,尤其是MSM传播增长较快。

Objective To analyze the data of reported HIV/AIDS cases in Hainan Province,so as to provide the evidence for prevention and control strategy of AIDS. Methods Through the comprehensive control information system of AIDS the HIV/AIDS cases and related reports were collected in Hainan Province from 2011 to 2015 and statistical analysis was conducted. Results A total of 1 790 existing live HIV patients and 763 cases of deaths had been reported in Hainan Province by the end of 2015,the number of newly reported HIV patients were 270,275,353,368 and 482 from 2011 to 2015 respectively. The age group between 15 and 49 accounted for 84. 83%. The rate of male to female was 5. 43 ∶ 1; occupational distribution was mainy domestic,housework and unemployed,accounted for 25. 29%. The reported cases were mainly from Haikou and Sanya,accounting for 58. 83% of the total reported cases in the province. The proportion of newly reported cases with sexual transmission increased from 77. 41% in 2011 to 94. 40% in 2015,was statistically significant（P〉0. 05）.The proportion of homosexual（MSM） transmission increased from 27. 04% in 2011 to 45. 02% in 2015,was statistically significant（P〉0. 05）. The number of HIV testing in the province increased from 355 500 in 2011 to 791 500 in 2015,the annual HIV antibody positive rate was 7. 93/10 000,4. 86/10 000,5. 27/10 000,5. 35/10000 and 6. 18/10 000,the rate was statistically significant（P〉0. 05）. Conclusion With the continuous increasing of HIV testing,the number of HIV/AIDS cases is also increasing year by year. HIV infections are mainly young male whose occupational difference of distributions are mainly domestic,housework and unemployed. Regional distribution of AIDS epidemic is obvious. Sexual transmission is the main route of AIDS transmission especially the MSM transmission that spreads faster.