2004～2018年房山区男性HIV/AIDS病例流行病学特征分析

Epidemiological characteristics of HIV/AIDS cases in males in Fangshan District from 2004 to 2018

目的分析2004~2018年北京房山区男性人类免疫缺陷病毒(HIV)感染者和艾滋病(AIDS)患者的流行特征,为AIDS防治策略的调整提供依据。方法收集2004~2018年中国疾病预防控制信息系统中报告的现住址在北京市房山区的男性HIV/AIDS病例信息,采用描述统计的方法进行分析。结果2004~2018年房山区报告490例HIV/AIDS病例,其中男性451例,占92.04%;2004年报告首例男性HIV/AIDS病例后,病例数呈逐年上升趋势,2011年开始,病例进入快速增长期;感染途径以同性传播(65.85%)和异性传播(31.04%)为主;性传播方式在不同年龄、文化程度、婚姻状况、职业和户籍所在地的比较均存在显著性差异(P<0.05),低年龄、高学历者同性传播比例高。结论男性人群为房山区AIDS防控的重点人群,应针对房山区HIV/AIDS流行特点开展科学防治。

Objective:To analyze the epidemiological characteristics of male HIV/AIDS patients in Fangshan District from 2004 to 2018 in order to provide evidence for the adjustment of AIDS prevention and treatment strategies.Methods:The data of male HIV/AIDS patients lived in Fangshan District from 2004 to 2018 were collected from the China Disease Prevention and Control Information System,and were analyzed by the by descriptive statistics method.Results:A total of 490 HIV/AIDS patients were reported between 2004 and 2018,including 451 men,accounted for 92.04%.The number of patients was increasing year by year after the first male patient was reported in 2004,and which had entered a period of rapid growth since 2011.The main routes of infection were homosexuality transmission(65.85%)and heterosexual transmission(31.04%).Sexual transmission ways had statistically significant differences in age,education,marital status,occupation and household registration(P<0.05).The proportion of homosexual transmission is high among those with low age and high educational background.Conclusions:The male population is the key population for AIDS prevention and control in Fangshan District.Scientific prevention and control should be conducted on the epidemic characteristics of HIV/AIDS in Fangshan District.