2009—2018年陕西省汉中市老年HIV感染者/AIDS患者流行病学特征

Epidemiological characteristics of elderly patients with HIV/AIDS in Hanzhong City of Shaanxi Province from 2009-2018

目的分析2009-2018年陕西省汉中市≥50岁的老年人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者(简称HIV/AIDS患者)流行特征,为下一步预防和控制老年人群HIV/AIDS流行提供依据。方法从“中国疾病预防控制信息系统”简称“大疫情”中收集2009-2018年汉中市累计报告年龄≥50岁的老年HIV/AIDS病例,采用SPSS 17.0软件进行数据分析。结果2009-2018年,汉中市累计报告HIV/AIDS病例921例,其中≥50岁的HIV/AIDS病例280例,占30.40%,≥50岁的HIV/AIDS病例占当年报告HIV/AIDS病例的比例从2009年的16.67%上升到2018年的36.87%,增长趋势明显(χ^2=23.855,P<0.05)。感染者平均年龄(61.85±8.33)岁;以男性为主,男女比例为3.2∶1;婚姻状况以已婚有配偶为主(63.21%,177例);文化程度以初中及以下为主(83.57%,234例);职业以农民和民工为主(69.64%,195例);感染途径以异性性传播为主(91.07%,55例)。结论汉中市≥50岁的老年HIV/AIDS病例呈逐年上升趋势,防控形势较为严峻,亟需采取针对性措施。

Objective To analyze the epidemiological characteristics of elderly people over 50 years old who were AIDS patients or infected with HIV(referred to as patients with HIV/AIDS) in Hanzhong City of Shaanxi Province from 2009-2018, provide the basis for further prevention and control of HIV/AIDS in the elderly. Methods The data of HIV/AIDS patients over 50 years old in Hanzhong City from 2009-2018 were collected from the China Disease Prevention and Control Information System(referred to as big epidemic situation). The data was analyzed by the software of SPSS 17.0. Results A total of 921 HIV/AIDS cases were reported in Hanzhong City from 2009-2018, and there were 280 HIV/AIDS patients over 50 years old, accounting for 30.40%.The proportion of patients over 50 years old to total HIV/AIDS cases increased from 16.67% in 2009 to 36.87% in 2018, showing a significantly rising trend(χ~2=23.855, P<0.05). The average age of the patients was(61.85±8.33) years old. Most of patients were male, and male-to-female ratio was 3.2∶1. Most of patients were married(63.21%, 177 cases). For the education level, junior high school and below accounted for the highest proportion(83.57%, 234 cases). Most of patients were farmer and migrant worker(69.64%, 195 cases). The heterosexual transmission was the main route of infection(91.07%, 55 cases). Conclusion The number of HIV/AIDS cases increase year by year among people over 50 years old in Hanzhong City. HIV/AIDS prevention and control situation is more severe, and it is necessary to take targeted preventive interventions.