河南省2015-2020年非婚非商业异性性传播HIV/AIDS特征和流行趋势分析

Characteristics and trends of HIV/AIDS cases with the non-martial and non-commercial heterosexual transmission in Henan province, 2015-2020

目的分析2015-2020年河南省新报告非婚非商业异性性传播HIV/AIDS的特征和流行趋势变化。方法从我国艾滋病防治基本信息系统下载2015-2020年河南省新报告≥15岁非婚非商业异性性传播HIV/AIDS个案信息,应用SPSS 22.0软件描述和分析病例的特征和流行趋势。结果 2015-2020年河南省新报告非婚非商业异性性传播HIV/AIDS 10 877例,占HIV/AIDS总数的构成比由2015年的32.6%增长至2020年的35.5%(趋势χ^(2)=81.880,P<0.01);男女性别比1.9∶1(7 105∶3 772),年龄(45.5±15.8)岁,逐年增加(F=5.184,P<0.01),以40-59岁年龄组为主,女性病例中<50岁组的构成比逐年减少(趋势χ^(2)=69.888,P<0.01);主要分布在HIV早期流行地区(驻马店市、南阳市、周口市、商丘市)和郑州市,与首次CD4+T淋巴细胞(CD4)<200个/μl病例集中的地区一致;首次CD4M(P_(25),P_(75))为298(143,462)个/μl,首次CD4 <200个/μl的构成比随时间无明显变化,首次CD4≥500个/μl的构成比逐年减少(趋势χ^(2)=18.961,P<0.01)。结论河南省非婚非商业异性性传播HIV/AIDS总体疫情呈上升趋势,以男性、已婚、初中、农民或民工、40-59岁为主,提示需关注农村地区和中年人群,结合生物学和社会学因素特点,采取综合性的防控措施,控制艾滋病传播。

Objective To analysis the characteristics and trends of non-martial and non-commercial heterosexual transmission of HIV/AIDS cases in Henan province between 2015 and 2020.Methods Information of newly reported HIV/AIDS through non-martial and non-commercial heterosexual transmission was collected from National Comprehensive HIV/AIDS Information system,using SPSS 22.0 to analyze the characteristics and tend of cases.Results During 2015-2020,a total of 10877 HIV/AIDS cases infected by non-martial and non-commercial heterosexual transmission were newly reported in Henan province.This mode of infection increased from 32.6%in 2015 to 35.5%in 2020(trendχ^(2)=81.880,P<0.01).The male to female ratio was 1.9∶1(7105∶3772).The mean age was(45.5±15.8)years,increasing annually(F=5.184,P<0.01).For female cases,the proportion of aged 15-50 years group was decreased annually(trendχ^(2)=69.888,P<0.01).Most HIV/AIDS cases were distributed in the early HIV epidemic areas and Zhengzhou city,the same as the cases of the first CD4+T cells counts(CD4)below 200 cells/μl.The median(P_(25),P_(75))first CD4 count was 298(143,462)cells/μl.The proportion of the first CD4<200 cells/μl was no significant change annually,while the proportion of the first CD4≥500 cells/μl was decreasing annually(trendχ^(2)=18.961,P<0.01).Conclusions The reported cases through non-martial and non-commercial heterosexual transmission increased,with most of them were male,married,junior,farmer,migrant laborer,and aged 40-59 years.It is needed to focus on the rural district and the middle-aged population,combined with biological and social factors to control the prevalence of AIDS through comprehensive prevention and control measures.