2010—2020年青海省男性经性途径感染HIV者的流行特征分析

Analysis of epidemiological characteristics of males sexually infected with HIV in Qinghai Province from 2010 to 2020

目的了解2010—2020年青海省男性经性途径感染HIV者的流行特征,为艾滋病综合防治的决策提供科学依据。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,导出2010—2020年青海省通过性行为感染HIV的男性HIV/AIDS病例资料,对其进行描述性分析,采用χ^(2)检验进行组间比较。结果2010—2020年青海省男性经性途径感染HIV者共2704例,发病率呈逐年上升趋势。经不同性途径感染的HIV/AIDS病例的变化趋势,差异有统计学意义(χ^(2)_(趋势)=6.391,P=0.011)。HIV/AIDS病例主要以医疗机构就诊发现,占49.63%;职业以农牧民为主,占29.33%;婚姻状况以离婚或丧偶为主,占44.75%,其次为未婚,占34.91%。初中及以下学历人群占52.00%,主要为异性性行为传播,高中及以上学历人群主要为同性性行为传播。经不同性途径感染HIV的HIV/AIDS病例,在现住址、年龄、职业、婚姻状况、文化程度、户籍地方面差异均有统计学意义(χ^(2)=199.452、64.438、174.626、149.642、102.016、4.887,均P<0.05)。结论2010—2020年青海省男性经性途径感染HIV者中,同性性行为传播的HIV/AIDS病例以高学历、未婚青年为主,有一定的主动检测意愿,异性性行为传播的病例以低文化程度、离婚或丧偶、农牧民为主,青海省下一步艾滋病防控策略中需进行分类施策。

Objective To understand the epidemiological characteristics of HIV-infected males through sexual routes in Qinghai Province from 2010 to 2020,and to provide a scientific basis for comprehensive AIDS prevention and treatment decision-making.Methods The data of male HIV/AIDS cases infected with HIV through sexual intercourse in Qinghai Province from 2010 to 2020 were extracted from the AIDS Comprehensive Prevention and Control Information System of China Disease Prevention and Control Information System.The data were analyzed descriptively and compared among groups byχ^(2) test.Results From 2010 to 2020,a total of 2704 cases of men were infected with HIV through sexual routes in Qinghai Province,and the incidence rate showed an increasing trend year by year.Changing trends of HIV/AIDS cases infected through different sexual routes,the difference was statistically significant(χ^(2)t ender=6.391,P=0.011).HIV/AIDS cases were mainly found by medical institution visits,accounting for 49.63%.Occupation was mainly farmers and herdsmen dominated,accounting for 29.33%.Marital status was mainly divorced or widowed,accounting for 44.75%,followed by unmarried,accounting for 34.91%.Population with junior high school education or below accounted for 52.00%,mainly for heterosexual transmission,and population with high school education or above mainly for homosexual behavior transmission.There were statistically significant differences in current address,age,occupation,marital status,education level and place of residence among HIV/AIDS cases infected with HIV through different sexual routes(χ^(2)=199.452,64.438,174.626,149.642,102.016,4.887,all P<0.05).Conclusion From 2010 to 2020,among the males infected with HIV through sexual routes in Qinghai Province,the majority of homosexual transmission HIV/AIDS cases are highly educated and unmarried young people with a certain willingness to take the initiative to test,while the majority of heterosexual transmission cases are low education,divorced or widowed,and farmers and herdsmen.In the next AIDS prevention and treatment strategy in Qinghai Province,classified measures should be taken.