我国老年人群艾滋病防控现状与挑战

HIV/AIDS epidemic in the elderly and prevention and control challenges in China

近年来我国老年人群艾滋病疫情呈现快速上升趋势,老年人群艾滋病防治面临新的挑战。老年人群对HIV感染风险认知较低,发生无保护的临时性行为或商业性行为比例较高,HIV感染风险较高。老年HIV感染者和感染风险较高的老年人群文化程度和社会经济水平普遍偏低,获取艾滋病相关知识和检测服务机会较为有限,老年HIV感染者由于检测发现晚、合并慢性疾病等因素,死亡风险显著上升。需从行为特征、社会经济、文化、心理等方面多维度深入开展老年人艾滋病防治研究,探索和采取适合老年人群特点的防治艾滋病健康服务的策略措施,强化对老年感染者全流程综合管理模式的研究。

With the rapidly increase of HIV infections in the elderly in China,new challenges have emerged in HIV/AIDS prevention and control.Low awareness of HIV and common unprotected casual sex and commercial sex has made older people at higher risk for HIV infection.In addition,HIV-infected and higher risk elderly people have limited awareness of HIV-related knowledge and access to testing services due to low educational level and socioeconomic status.Furthermore,HIV-infected elderly people usually have elevated risk of death because of late detection and comorbidities of chronic diseases.More research should be made to further understand the behavioural characteristics and social,cultural and psychological determinants of the elderly,development and adoption of HIV prevention service strategy catering for the elderly's need,and strengthening whole-process comprehensive health management of elderly infected people.