2011-2021年山东省滨州市艾滋病流行特征分析

Analysis on epidemiological characteristics of HIV,Binzhou city,Shandong province,2011 to 2021

目的了解山东省滨州市艾滋病(HIV)流行特征,为制定科学防控措施提供依据。方法收集2011-2021年中国疾病预防控制系统报告的山东省滨州市HIV病例资料及日常工作资料,采用描述性流行病学方法进行分析。结果2011-2021年滨州市共报告HIV 816例,男754例、女62例,男女比12.16∶1。发病率由2011年的1.78/10万上升到2021年的18.75/10万,呈上升趋势(P<0.01)。15岁以上男性新发发病率由2016年的5.53/10万上升到2021年的6.45/10万,年均上升3.13%。性传播途径占98.41%,男男同性传播占72.30%,呈年均4.77%的速度逐年上升。20~49岁年龄组占83.08%,60岁及以上男性在2019年后、青年男性在2017年后增多(P<0.01)。报告病例来源于医疗机构占53.49%,疾控机构的自愿咨询检测(VCT)占24.16%。20种职业中农民、民工、待业等占73.04%。滨城区、无棣县、邹平市、博兴县四县市区病例占总病例数的76.96%。结论2011-2021年山东省滨州市HIV疫情呈低位上升;农民、民工、待业等职业的青壮年男性占比最多,通过男男同性传播占比最多。

Objective To understand the epidemiological characteristics of AIDS/HIV in Binzhou city,so as to provide the scientific basis for making prevention and control measures.Methods Data on AIDS/HIV cases and routine works reported by National HIV/AIDS Information System in Binzhou city during 2011 and 2021 was collected,and descriptive epidemiological methods were used for analysis.Results A total of 816 cases of AIDS/HIV were reported during 2011 and 2021.The sex ratio of male to female was 12.16:1.The new incidence increased from 1.78/10~5 in 2011 to 18.75/10~5 in 2021,showing an upward trend(P<0.01).The age group of 15 years old and above male increased from 5.53/10~5 in 2016 to 6.45/10~5 in 2021,with an average annual growth rate of 3.13%.The sexual transmission accounted for 98.41%,and the route of transmission from the men who have sex with men accounted for 72.30%,with an average annual growth rate of 4.77%.People aged 20-49 years old accounted for 83.08%.The number of cases increased rapidly of the male aged 60 and older after 2019 and the young male after 2017(P<0.01).Of the reported cases,53.49%originated from medical institutions and 24.16%from voluntary counseling tests(VCT)at CDC institutions.Of the 20 occupations,farmers,migrant workers and unemployed accounted for 73.04.The cases from Bincheng district,Wudi county,Zouping city and Boxing county accounted for 76.96%of the total cases.Conclusion From 2011 to 2021,the HIV epidemic situation in Binzhou city,Shandong province increased at a low level;Young and middle-aged men in occupations such as farmers,migrant workers and unemployed people account for the most,and homosexual transmission is the main transmission route.