深圳市2008—2018年学生HIV/AIDS患者流行特征

Epidemiological characteristics of students HIV/AIDS cases in Shenzhen, 2008-2018

目的了解深圳市2008-2018年学生HIV/AIDS流行特征,为学校艾滋病防控工作提供科学依据。方法采用回顾性研究方法,用时间横断面描述性分析2008-2018年深圳市学生HIV/AIDS的人口学特征、传播途径、病例来源等信息。结果深圳市2008-2018年共发现学生HIV/AIDS 226例,其中HIV为180例,AIDS为46例,男性219例,女性7例。HIV/AIDS病例及在每年新发总体病例中所占比例在2008-2015年呈快速上升趋势,在2016-2018年呈下降趋势(P<0.01)。在226名学生病例中,传播途径为男男同性性传播191例,占84.5%,异性性传播24例,占10.6%,母婴或其它途径传播为11例,占4.9%;报告来源于医疗机构93例,占41.2%,来源于自愿咨询检测102例,占45.1%,来源自专题调查17例,占7.5%,其它来源14例,占6.2%。结论深圳市学生艾滋病的传播途径已经转变为男男同性性传播为主,校园艾滋病相关性健康教育对于预防控制学生青少年艾滋病至关重要。

Objective To explore the epidemiological trend of students HIV/AIDS cases in Shenzhen from 2008 to 2018, and provide scientific evidence for AIDS prevention and control in schools. Methods Retrospective research was adopted to analyze the epidemiological features of the student HIV/AIDS cases in Shenzhen from 2008 to 2018 by time cross section description. Results A total of 226 cases of HIV/AIDS were found among students in Shenzhen, 2008- 2018, including 180 cases of HIV, 46 cases of AIDS, 219 cases of males and 7 cases of females. The students cases and the percentages in the total new cases every year ascended from 2008 to 2015, while the trend declined from 2016 to 2018(P<0.01);Among the 226 students cases, 191 cases were infected by MSM (84.5%), 24 cases were infected by heterosexual transmission(10.6%), 11 cases were infected by MTCT or others(4.9%);93 cases were reported from the medical tests (41.2%), 102 cases were reported from VCT(45.1%), 17 cases were reported from survey(7.5%), 14 cases were reported from other sources(6.2%). Conclusion The MSM has become the major route of transmission in the student HIV/AIDS cases in Shenzhen, the sexual health education especially related with AIDS prevention aiming at the students is of the most significance for AIDS control in school.