2014-2018年成都市天府新区HIV/AIDS流行特点

Epidemic Analysis of HIV/AIDS Cases in Tianfu New Area of Chengdu From 2014 to 2018

目的了解成都市天府新区艾滋病疫情流行特点,为采取有针对性的防治措施提供科学依据。方法采用SPSS 18.0软件,对2014-2018年全国艾滋病综合防治信息系统中,现住址为成都市天府新区的HIV/AIDS病例历史卡片进行统计分析。结果 2014-2018年,成都市天府新区共新报告618例HIV/AIDS病例,其中HIV感染者377例,AIDS病人241例,死亡62例。男性513例,女性105例,男女性别比为4.89∶1。病例以25~54岁人群为主,占全部报告病例的63.27%;其中45~64岁中老年人报告病例构成比均呈逐年上升趋势,差异有统计学意义(χ~2_(趋势)=6.984,P<0.05)。性传播为主要传播途径,共报告609例(98.55%),其中异性传播446例(72.17%),同性传播163例(26.38%);异性传播中,以非婚非商业性接触传播为主177例(39.69%),其次为商业性接触传播170例(38.12%)。户籍人口(66.34%),流动人口(33.66%)。病例发现来源主要为其他就诊者检测、性病门诊。结论成都市天府新区HIV/AIDS疫情呈快速上升趋势,青壮年为主要感染人群,中老年比重逐渐上升,性传播为主要传播途径。应进一步加强25~64岁人群的健康教育工作,同时加大检测力度,以发现更多感染者,尽早治疗从而减少新发感染。

Objective To investigate the epidemic characteristics of HIV/AIDS in Tianfu New Area of Chengdu so as to provide scientific basis for targeted prevention and control measures.Methods The data of HIV/AIDS in Tianfu New Area from 2014 to 2018 were collected from the national comprehensive AIDS prevention and treatment information system.SPSS 18.0 was used for statistical analysis.Results From 2014 to 2018,a total of 618 new cases of HIV/AIDS were reported in Tianfu New Area,including 377 cases of HIV infection,241 cases of AIDS and 62 deaths.There were 513 males and 105 females with a sex ratio of 4.89∶1.Most cases aged 25-54 years,accounting for 63.27%of the total cases.The proportion of the reported cases aged 45-64 years increased year by year(χ2trend=6.984,P<0.05).A total of 609 cases(98.55%)were infected through sexual contact;446 cases(72.17%)were infected through heterosexual transmission and 163 cases(26.38%)were infected through homosexual transmission.Among heterosexual transmission,177 cases(39.69%)were infected by unmarried non-commercial sexual contact and 170 cases(38.12%)were infected by commercial sexual contact.66.34%of the cases were from the household registered population and 33.66%were from the floating population.The cases were mainly detected by clinical treatment.Conclusion The HIV/AIDS epidemic in Tianfu New Area of Chengdu is on the rise.Young and middle-aged people are the main infected population.The proportion of infected middleaged and old people is gradually increasing,and sexual transmission is the main transmission route.Health education for people aged 25-64 years should be strengthened.More efforts should be made to detect more infections and treat them early in order to reduce new infections.