2014—2023年浙江省慈溪市老年HIV/AIDS病例流行病学特征分析

Epidemiological characteristics of the elderly HIV/AIDS cases in Cixi,Zhejiang Province,2014‒2023

【目的】了解浙江省慈溪市≥60岁老年人群艾滋病疫情及流行病学特征,为制定针对性的防治策略提供依据。【方法】通过中国疾病预防控制信息系统收集2014—2023年慈溪市老年人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者(简称“HIV/AIDS”)资料。采用Excel 2010和SPSS 20.0软件对数据进行统计描述。【结果】2014—2023年慈溪市共报告老年HIV/AIDS 142例,其中HIV感染者73例,AIDS患者69例。男性占84.51%,女性占15.49%;最大年龄81岁,平均年龄(66.01±5.20)岁;已婚有配偶占62.68%;户籍以本地为主,占79.58%;职业以农民为主,占63.38%;文化程度以小学及以下为主,占77.46%;均通过性传播,其中异性传播占90.85%;检出途径以医疗机构就诊为主,占76.76%;病死率为23.94%,死亡病例中52.94%在诊断1年内死亡,其中14.71%在诊断1个月内死亡。【结论】应加大针对性的干预与检测力度,有效遏制老年人群艾滋病疫情传播。

[Objective]To understand the epidemic situation and epidemiological characteristics of AIDS among the elderly individuals aged 60 years and above in Cixi,and to provide an evidence for formulating targeted prevention and control strategies.[Methods]Data on HIV/AIDS among the elderly in Cixi from 2014 to 2023 were collected through the China Disease Prevention and Control Information System.Excel 2010 and SPSS 20.0 were used for statistical analysis.[Results]From 2014 to 2023,142 cases of HIV/AIDS among the elderly were newly reported in Cixi,including 73 cases of HIV infected and 69 cases of AIDS.Among them,84.51%were men and 15.49%were women.The oldest patient was 81 years old,and the average age was(66.01±5.20)years old.A total of 62.68%were married.The majority of registered residences were local,accounting for 79.58%.Farmers were the main occupation,accounting for 63.38%.The education level was mainly primary school and illiteracy,accounting for 77.46%.All of them were infected through sexual contact,of which heterosexual transmission accounted for 90.85%.The detection method was mainly through medical institutions,accounting for 76.76%.The mortality rate was 23.94%,with 52.94%dying within one year of diagnosis and 14.71%dying within one month of diagnosis.[Conclusion]Targeted interventions and detection should be strengthened to effectively curb the spread of AIDS among the elderly.