新疆维吾尔自治区昌吉州2011-2018年HIV/AIDS病人特征

Epidemiological characteristics of HIV/AIDS patients in Changji,Xinjiang Uygur autonomous region from 2011 to 2018

目的分析新疆维吾尔自治区昌吉州艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)特征,为制定防治策略提供依据。方法数据来源于中国疾病预防控制信息系统艾滋病防治基本信息系统2011-2018年病例报告数据,采用描述性分析方法,分析新疆维吾尔自治区昌吉州2011-2018年报告的HIV/AIDS病人特征。结果2011-2018年昌吉州报告HIV/AIDS病例1153例,各年分别报告113例、114例、154例、160例、137例、140例、183例、152例;其中艾滋病184例,死亡196例。昌吉市报告病例511例(44.3%),奇台县171例(14.8%);男女性别比例2.7∶1;25~49岁占71.2%(821例),15~24岁占11.8%(136例),从2011年的9.7%上升至2018年的13.8%,≥50岁占16.1%(186例),从2011年的2.7%上升至2018年的26.3%;异性性传播占67.0%(773例),静脉吸毒占19.4%(224例),男男性行为传播占12.0%(138例),从2011年的8.0%上升到2018年的13.8%。结论昌吉州HIV/AIDS病例数呈逐年增长趋势,性传播是主要途径,男男性行为、青少年和老年人报告病例总体呈增加趋势,应进一步加强艾滋病宣教和干预监测力度,有效地遏制艾滋病疫情蔓延。

Objective To analyze the epidemiological characteristics of HIV/AIDS patients in Changji,Xinjiang Uygur autonomous region to provide evidence for HIV strategy development.Methods We used data of HIV/AIDS patients from 2011 to 2018 from the HIV/AIDS Prevention and Control Information Management System of China,and the descriptive analysis was conducted to know the epidemiological characteristic of HIV/AIDS in Changji,Xinjiang Uygur autonomous region.Results There were 1153 HIV/AIDS patients reported in Changji from 2011 to 2018 with the cases of 113,114,154,160,137,140,183,and 152 each year.Of these patients,184 were AIDS patients,and 196 died.The ratio of male and female cases was 2.7:1.71.2%(821)of patients were between 25-49 years old,11.8%were teenagers aged between 15-24 years(136),increasing from 9.7%in 2011 to 13.8%in 2018.16.1%(186)were old people aged 50 years and above,increasing from 2.7%in 2011 to 26.3%in 2018.67.0%were infected with HIV through heterosexual transmission,and 19.4%(224)were injecting drug users.12.0%(138)HIV infection were through homosexual infection,increasing from 8.0%in 2011 to 13.8%in 2018.Conclusion The number of HIV/AIDS cases is increasing year by year in Changji,with the major route of HIV transmission through sexual behavior.The incidence of men having sex with men,teenagers and old people is rising over the years.Further education,prevention and monitoring program is needed to effectively contain HIV/AIDS.