深圳市2004-2017年外籍HIV/AIDS病例流行特征分析

Epidemiological characteristics of foreign HIV/AIDS cases live in Shenzhen during 2004-2017

目的描述、分析深圳市2004-2017年外籍HIV感染者和AIDS患者(HIV/AIDS)的流行病学特征及2010年我国允许外籍病例入境政策出台前后不同时段病例特征的差异。方法整理并筛选2004-2017年间外籍HIV/AIDS病例的基本信息,运用描述性流行病学方法进行分析。结果深圳市2004-2017年外籍HIV/AIDS病例共报告111例,其中HIV感染者100例,AIDS患者11例。平均年龄(33.0±8.8)岁;男女性别比例为3.8∶1;以文盲及小学文化程度为主(34.23%);未婚病例占48.65%;通过性途径感染的占44.14%;样本来源分布中,来自羁押场所的占60.36%。对比2010年新政前、后7年的外籍病例流行病学特征,结果发现在国籍、职业、文化程度、感染途径、样本来源、病程阶段、随访情况的分布上,差异均有统计学意义(P<0.05)。2011-2017年深圳外籍病例首次CD4+T淋巴细胞计数的检测率为76.74%(33/43),其中60.61%(20/33)的病例检测结果低于350个/μL,2例病例在深圳获得免费抗病毒治疗。结论深圳近年来外籍HIV/AIDS病例流行病学特征发生了较大改变,提高其随访和治疗水平需进一步加强多部门协作和政策研究。

Objective Describe and analyze the epidemiological characteristics of foreign HIV(AIDS)and AIDS patients(HIV/AIDS cases)in Shenzhen from 2004 to 2017 and the differences in case characteristics between different time periods.Methods Basic information on foreign HIV/AIDS cases during 2004-2017 were analyzed by descriptive epidemiological method.Results A total of 111 cases of foreign HIV/AIDS cases were reported in Shenzhen from 2004 to 2017,including 100 HIV infected person and 11 AIDS patients.The average age was 33.0±8.8 years old,the male-female ratio was 3.8:1,the illiterate and primary school education was 34.23%,the unmarried cases accounted for 48.65%,the sexually transmitted infections accounted for 44.14%.Among the sample source distributions,60.36%were diagnosed in prisons.Comparing the epidemiological characteristics of foreign cases in different time periods,the results showed that the differences in nationality,education level,infection route,sample source,disease stage and follow-up were statistically significant(P<0.05).During 2011-2017,the detection rate of the first CD4+T lymphocytesin foreign cases was 76.74%(33/43)inShenzhen,and 60.61%(20/33)results were lower than 350cells/μL.Two cases were treated with antiviral therapy.Conclusion The epidemiological characteristics of foreign HIV/AIDS caseslived in Shenzhen were significantly changed recently.Multisectoral cooperation andpolicy research should be strengthened to improve their follow-up and antiviral therapy level.