2011-2020年福州市男男性行为感染HIV/AIDS病例流行特征

Epidemiological characteristics of HIV/AIDS cases infected through men who have sex with men in Fuzhou from 2011 to 2020

目的 对2011-2020年福州市经男男性行为感染的艾滋病病毒感染者/艾滋病患者(HIV/AIDS)进行描述性分析,为福州市男男性行为人群(MSM)艾滋病疫情防控提供科学依据。方法 以国家艾滋病综合防治信息系统报告的HIV/AIDS病例为基础,分析2011-2020年福州市经男男性行为感染的HIV/AIDS病例(MSM病例)流行病学特征。结果 2011-2020年,福州市辖区12个县(市/区)均有MSM病例报告,累计报告1 718例,其中HIV感染者1 394例(81.14%),AIDS患者324例(18.86%);每年新报告MSM病例数和AIDS患者所占比例呈上升趋势(χ_(趋势)~2分别为13.262和4.876,P值均<0.05)。病例平均年龄(30.76±10.94)岁,20~29岁组占53.20%(914例);≥50岁组所占比例由2011年的1.52%上升到2019年12.56%,总体呈上升趋势(χ_(趋势)~2=18.277,P<0.05)。病例中未婚、离异或丧偶者占79.05%(1 358例);本市户籍占59.60%(1 024例),本市户籍所占比例呈上升趋势(χ_(趋势)~2=4.166,P<0.05);病例来源于疾病预防控制中心咨询检测占41.73%(717例),咨询检测发现病例所占比例呈下降趋势(χ_(趋势)~2=8.802,P<0.05)。结论 男男性行为已成为福州市艾滋病的重要传播方式,应重点关注未婚青壮年中MSM的艾滋病防治工作。

Objective To conduct a descriptive analysis of HIV/AIDS cases infected through men who have sex with men (MSM)in Fuzhou from 2011 to 2020 so as to provide scientific evidence for AIDS prevention and control among MSM in Fuzhou.Methods Based on the AIDS cases reported by the National AIDS Comprehensive Prevention and Control Information System,the characteristics of HIV/AIDS cases infected through MSM in Fuzhou from 2011 to 2020 were analyzed.Results From 2011 to2020,MSM cases were reported in 12 counties (cities/districts) under Fuzhou municipal jurisdiction,with a total of 1,718 cases reported,which included 1 394 people with infection of HIV(81.14%)and 324 cases of AIDS(18.86%)in Fuzhou.The annual MSM cases newly reported and the proportion of HIV/AIDS cases transmitted through MSM showed an upward trend (χ_(trend)~2=13.262 and 4.876,respectively;both P<0.05).The average age of the cases was (30.76±10.94) years old,and the cases were mainly in the age group of 20-29 years old,accounting for 53.20%(914/1718).The proportion of newly reported MSM cases of AIDS more than 50 years old increased from 1.52%in 2011 to 12.56%in 2019,showed an upward trend (χ_(trend)~2=18.277,P<0.05).Of the cases,the unmarried,divorced or widowed accounted for 79.05%(1358/1718),and the registered residents of the city accounted for 59.60%(1024/1718) with a trend on the rise (χ_(trend)~2=4.166,P=0.05).The cases from CDC testing and consultation accounted for 41.73%(717/1718) with a trend on the decline (χ_(trend)~2=8.802,P=0.05).Conclusion MSM transmission has become an important mode of transmission of AIDS in Fuzhou,and attention should be paid to the prevention and treatment of AIDS among unmarried young and middle-aged MSM.