合肥市2004-2022年15~24岁人群 HIV/AIDS病例流行特征及趋势

Epidemiological characteristics and secular trend of the HIV/AIDS cases among 15-24 years old population in Hefei from 2004 to 2022

目的 分析2004-2022年合肥市报告的15~24岁艾滋病病毒(HIV)感染者和艾滋病(AIDS)患者特征,为青少年艾滋病防制提供参考。方法 通过中国疾病预防控制信息系统艾滋病综合防治信息系统收集2004-2022年合肥市报告的15~24岁HIV/AIDS病例资料,采用描述性流行病学方法分析病例的报告时间分布、人群分布、感染途径和检测发现途径。结果 2004-2022年合肥市报告15~24岁HIV/AIDS病例865例,占报告病例总数的21.80%;男生占92.60%(801例);未婚占93.41%(808例);大专及以上学历占60.12%(520例);职业为学生占25.78%(223例),学生病例各年份所占比例呈上升趋势(χ^(2)趋势=47.67,P<0.01)。经同性性传播占81.39%,各年份占比呈逐年增加趋势(χ^(2)趋势=51.23,P<0.01);通过检测咨询发现的占55.49%,占比呈逐年增加趋势(χ^(2)趋势=112.18,P<0.01)。2004-2022年合肥市15~24岁人群HIV/AIDS新发感染率以每年24.46%的平均速率上升(Z=4.92,P<0.01),高于全人群21.54%的平均速率(Z=12.75,P<0.01)。结论 合肥市15~24岁人群艾滋病流行形势严峻,亟需加强学生群体的艾滋病宣传教育和干预措施。

Objective To investigate the characteristics of HIV/AIDS cases among 15-24 year old population reported in Hefei from 2004 to 2022,so as to provide insights into AIDS control among adolescents.Methods The epidemiological data regarding HIV/AIDS cases between 15 and 24 years old reported in Hefei from 2004 to 2022 were captured from the AIDS comprehensive prevention and control information system of Chinese disease prevention and control information system,and data regarding temporal distribution,population distribution,and routes of infections and detection were descriptively analyzed by descriptive epidemiological methods.Results From 2004 to 2022,865 cases of HIV/AIDS were reported in Hefei among 15-24 years old youth,accounting for 21.80%of the total reported cases.Among the HIV/AIDS patients,males accounted for 92.60%(801 cases),the unmarried ones accounted for 93.41%(808 cases),those with college degree or above accounted for 60.12%(520 cases),and 25.78%(223cases)of them were students.The proportion of student cases increased annually(χ^(2)_(trends)=47.67,P0.01).Homosexual transmission accounted for 81.39%,both showed an increasing trend(χ^(2)_(trends)=51.23,P0.01).Totally 55.49%of cases were found through testing and consultation,and the proportion of cases increased by year(χ^(2)_(trends)=112.18,P0.01).In 2004-2022,the number of newly reported cases among people aged 15-24 showed a rising trend at an average rate of 24.46%by year(Z=4.92,P<0.01),which was higher than the average rate of 21.54%for the entire population(Z=12.75,P<0.01).Conclusion The epidemic of HIV/AIDS among population aged 15-24 years is serious in Hefei.Comprehensive measures for HIV education and prevention intervention are desperately needed to be reinforced among targeted students.