173例老年艾滋病病毒感染者和患者调查分析

Investigation and analysis of 173 elderly AIDS carriers and patients

目的 分析桐乡市老年人艾滋病病毒感染者和艾滋病患者(HIV/AIDS)的流行病学特征。方法 收集2006年—2021年桐乡市≥50岁HIV/AIDS患者疫情报告资料,描述性分析其3间分布、感染途径及样本来源等。结果 2006年—2021年桐乡市累计报告≥50岁HIV/AIDS患者173例,死亡26例,其中男性130例(75.14%);小学及以下116例(67.05%)。均以性接触传播,其中商业非婚异性性接触42例(24.28%),非商业非婚异性性接触69例(39.88%)。20.81%的患者在洲泉镇,感染率为13.01/万,高于其他各镇/街道,差异有统计学意义(P<0.001)。通过个案流行病学调查,发现低档暗娼阳性1例。以男性、本地人为主,存在发生在本地的低档场所的商业性行为,且均未使用安全套。结论 桐乡市≥50岁HIV/AIDS患者男性居多,文化程度偏低,通过异性商业性接触传播为主,洲泉镇为重点防控乡镇,应进一步开展有针对性的老年人艾滋病综合防控工作。

Objective To understand the epidemic characteristics of HIV/AIDS among the elderly people in Tongxiang City.Methods The related data of HIV/AIDS cases ≥50 years old in Tongxiang were collected during 2006—2021.The distribution,contact history and detection route of the cases were conducted for descriptive epidemiological analysis.Results A total of 173 HIV/AIDS cases ≥50 years old and 26 deceased cases were reported in Tongxiang from 2006 to 2021.130 cases were male(75.14%),116 cases were primary school or below(67.05%).Among them,42 cases(24.28%) had commercial non-marital heterosexual contact,and 69 cases(39.88%) had non-commercial non-marital heterosexual contact.20.81%of the cases were from Zhouquan Town,with the infection rate of 13.01/10 000,which was higher than that of other towns/streets,and the difference is statistically significant(P< 0.001).A case of low-grade prostitute was found through case epidemiological investigation,which showed that the majority of HIV/AIDS cases in Zhouquan Town were male and local people,and commercial sex occurred in local low-end places,and no condom was used.Conclusion In Tongxiang City,the number of reported cases of HIV/AIDS in male elderly group ≥50 years old and with low education background,and heterosexual sexual contact is the main transmission route.The Zhouquan Town is a key township for prevention and control,so it is necessary to carry out further targeted comprehensive prevention and control of HIV/AIDS among the elderly group.