摘要
【目的】分析成都市新都区2008-2017年50岁及以上人群的艾滋病疫情特征,为制定针对性的艾滋病防控措施提供依据。【方法】通过中国艾滋病综合防治信息系统收集2008-2017年现住址为新都区且年龄≥50岁的艾滋病病毒(HIV)感染者或艾滋病患者(AIDS)的历史资料,对病例的人口学特征、时间分布、感染途径、死亡状况等进行描述和统计分析。【结果】新都区2008-2017年累计报告≥50岁HIV/AIDS病例431例,其中死亡115例。该人群艾滋病疫情呈上升趋势,以50~69岁者居多,占81. 67%;男性多于女性,男女性别比为2. 75∶1;已婚有配偶者占50. 12%;文化程度偏低,初中及以下学历者占93. 50%;农民占58. 24%;以性传播为主,其中异性传播占93. 74%;病例主要来源于医疗机构,占80. 28%。【结论】新都区≥50岁人群的艾滋病疫情明显上升,应重点加强对该人群,尤其是50~69岁年龄组男性人群的宣传教育和行为干预等综合干预,防止疫情进一步扩散。
[Objective] To analyze the epidemic trends and characteristics of HIV/AIDS among people aged ≥50 years from 2008 to 2017 in Xindu District of Chengdu City,so as to provide a basis for targeted AIDS prevention and control measures.[Methods] Historical data on HIV/AIDS aged ≥50 years in Xindu District from 2008 to 2017 were collected from China Integrated Prevention and Control Information System of AIDS. Description and statistical analysis of demographic features,distribution over time,route of infection and mortality of HIV/AIDS were performed. [Results] A total of 431 cases of HIV/AIDS were reported in Xindu District from 2008 to 2017,of which 115 cases were reported dead. The rising trend of AIDS epidemic was observed in this population. Most of HIV/AIDS cases were aged from 50 to 69 years,accounting for 81. 67% of the total. The male HIV/AIDS cases occupied a larger part,and the sex ratio of male to female was 2. 75 to 1. The married with a spouse were 50. 12% of all HIV-positive cases. Farmers were 58. 24%,and those with education below junior middle school 93. 50%. The majority of the above cases were infected through sexual transmission,of which heterosexual transmission accounted for 93. 74%. Medical institutions were the main sources of HIV-positive samples,holding 80. 28%. [Conclusion]The epidemic of AIDS in population aged ≥50 years in Xindu District has increased significantly. To prevent the further spread of AIDS,comprehensive intervention,such as propaganda,education and behavioral intervention,should be strengthened among this population,especially the male population aged 50-69.
作者
周宗磊
周茹珍
厉坤鹏
吕伟超
张增乔
ZHOU Zong-lei;ZHOU Ru-zhen;LI Kun-peng;LYU Wei-chao;ZHANG Zeng-qiao(Department of Epidemiology and Biostatistics,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China;Changhai Hospital of Shanghai,Shanghai 200433,China;Shanghai Second Rehabilitation Hospital,Shanghai 200441,China;Xindu Center for Disease Control and Prevention,Chengdu,Sichuan 610500,China)
出处
《上海预防医学》
CAS
2019年第12期978-982,共5页
Shanghai Journal of Preventive Medicine
关键词
艾滋病
流行特征
老年人
HIV/AIDS
epidemiological characteristics
elderly