2018-2020年山东省20-45岁HIV感染者流行病学调查

Epidemiological investigation of HIV infection among 20-45-year-old population in Shandong province,2018-2020

目的 了解山东省艾滋病病毒(HIV)感染的现状及流行病学特点。方法 收集中国疾病预防控制信息系统中2018—2020年山东省20-45岁群体HIV感染者信息,对相关数据进行描述性统计学分析。结果 2018—2020年,山东省新发现20-45岁HIV感染者6 356例,以30-39岁年龄段为主,占49.83%,其中男性占68.86%;小学(20.23%)、初中(48.85%)居多;婚姻状况以已婚为主,占53.97%;职业以农民、家政及待业人员多见,分别占15.59%、42.03%;地区分布中所占比例排前5名为济南、青岛、淄博、枣庄、东营,占比分别为23.81%、18.35%、14.27%、10.96%、8.35%;感染者多经性行为传播,4 868例,占76.59%;男性感染途径以性行为为主,占57.07%;女性以血液传播为主,占60.00%;不同性别感染途径差异有统计学意义(P<0.05);79.35%经就诊发现感染HIV,其次为自愿咨询,占11.59%。结论 2018—2020年山东省20-45岁群体HIV报告疫情呈上升趋势,感染途径以性行为为主,应重视这一群体的HIV防控。

Objective To understand the prevalence and epidemiologic features of human immunodeficiency virus(HIV) infection in Shandong province. Methods The HIV-infected cases data of 20-45-year-old population in Shandong from 2018 to 2020 was collected from the China Disease Prevention and Control Information System,and descriptive statistical analysis was performed on the relevant data. Results From 2018 to 2020,6 356 cases of HIVinfected patients between 20-45 years old were reported in Shandong,mainly in the 30-39 years old group accounted for 49.83%,of which males accounted for 68.86%. Most of the infections were primary school(20.23%),junior high school education(48.85%). The married cases accounted for 53.97%. Most of the infections were farmers,homemakers and unemployed workers,accounted for 15.59% and 42.03% respectively. The top five cities were Jinan,Qingdao,Zibo,Zaozhuang and Dongying,accounted for 23.81%,18.35%,14.27%,10.96% and 8.35% respectively. Most of the cases were sexually transmitted,4 868 cases(76.59%). Male infection was mainly transmitted through sexual behavior,accounted for 57.07%,female mainly transmitted by blood,accounted for 60.00%. There was significant difference in infection route among different genders(P <0.05). 79.35% of them were found to be infected with HIV after consultation,followed by voluntary consultation,accounted for 11.59%. Conclusion From 2018 to 2020,the reported prevalence of HIV among 20-45 years old in Shandong province was on the rise,and the main route of infection was sexual behaviors. HIV prevention and control of this group should be emphasized.