运城市2013—2017年新报告HIV/AIDS病人分析

Epidemiological analysis of newly reported HIV/AIDS cases in Yuncheng city from 2013 to 2017

目的分析2013-2017年运城市新报告艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的流行病学特征,为制定当地艾滋病防治策略提供依据。方法以运城市《中国疾病预防控制信息系统》的子系统《艾滋病综合防治信息系统(新)》中的HIV/AIDS病例报告模块下载的历史卡片数据为依据,对2013-2017年当年新报告的HIV/AIDS病人个案资料进行流行病学分析。结果 2013-2017年,运城市新报告的HIV/AIDS病人979例,其中HIV感染者占65.7%(643人);男女性别比为3.4∶1;20~49岁占67.0%(656人);初中、小学及以下占64.4%(630);农民占65.9%(645人);异性性传播占63.9%(626人),同性性传播占33.9%(332人);已婚有配偶者占60.2%(589人),其中异性性传播的非商业性性接触为71.6%(302/422);新报告病例来源医疗机构占61.6%(603人);检出途径其他就诊者检测和检测咨询分别占38.6%(378人)、25.2%(247人)。结论 2013-2017年运城市HIV/AIDS病例人群分布主要以男性、青壮年、低文化程度、农民为主;性传播途径为主要的传播途径;提示加强农村地区群众性安全教育及干预是重点。

Objective To analyze the epidemiological characteristics of newly reported HIV/AIDS cases in Yuncheng city from 2013 to 2017 so as to provide a basis for formulation of local AIDS prevention and control strategies. Methods Data was collected from the "national comprehensive AIDS control information system", and epidemiological analysis was conducted based on the newly reported HIV/AIDS case during 2013-2017. Results 979 newly reported cases of HIV/AIDS were reported in Yuncheng from 2013 to 2017, of which 65.7%(643) were HIV infection. The sex ratio of men and women was 3.4:1, with 67.0%(656/979) aged between 20-49 years old and 64.4%(630) having education level of junior high school, primary school and below. 65.9%(645) were farmers. The route of infection was mainly through sexual transmission, of which heterosexual transmission accounted for 63.9%(626), and homosexual transmission for 33.9%(332). 60.2%(589) were married, of which 71.6%(302/422) were heterosexual non-commercial transmission. The main source of newly reported cases was from medical institutions(61.6% 603). Conclusion The epidemic of AIDS in Yuncheng from 2013 to 2017 is increasing year by year. The people infected with HIV/AIDS are mainly male, young and middle-aged, lower educated farmers. Sexual transmission is the main way of infection, suggesting that it is important to strengthen health education and intervention in rural areas.