2000-2017年湖北省广水市艾滋病流行病学特征分析

Analysis of the epidemiological characteristics of AIDS in Guangshui City of Hubei Province from 2000 to 2017

目的了解广水市艾滋病流行病学特征,为制定艾滋病防控策略提供科学依据。方法利用描述性分析方法对2000-2017年广水市艾滋病流行病学特征进行分析。结果 2000-2017年广水市共报告艾滋病病毒感染者/艾滋病病人(HIV/AIDS) 275例,其中HIV 155例,AIDS 120例,死亡56例。2000年发现首例病例,从2011年开始HIV/AIDS呈现上升趋势。发病年龄主要集中在20～59岁组,占病例总数的96. 73%。男性病例多于女性,男女性别比为2. 57∶1。以农民发病为主,占病例总数的29. 09%;其次为家政及待业,占病例总数的22. 91%;性传播途径为HIV/AIDS的主要传播方式,占病例总数的84. 36%,其中由异性传播HIV/AIDS占病例总数的58. 55%,同性传播占病例总数的25. 82%。初中学历发病最多,占病例总数的41. 45%,其次为高中学历,占病例总数的25. 09%。结论广水市属于HIV/AIDS低发病率区,但呈现上升势态,应多部门联动,对重点人群进行检测与监管,做到早发现、早诊断、早治疗、早关怀,有效遏制HIV/AIDS蔓延。

Objective To understand the epidemiological characteristics of AIDS in Guangshui City and to provide scientific basis for the AIDS prevention and control strategy. Methods Descriptive analysis was used to analyze the epidemiological characteristics of AIDS in Guangshui City from 2000 to 2017. Results There were 275 cases of HIV/AIDS( HIV/AIDS) in Guangshui City from 2000 to 2017. Among them,155 cases were HIV,accounting for 56. 36% of the total number of cases,and 120 cases were AIDS,accounting for 43. 64% of the total number of cases and 56 deaths. The first case was detected in 2000. HIV/AIDS has shown an upward trend. since 2011. The onset age was mainly 20 ~ 59 years old,accounting for 96. 73% of the total number of cases. Male cases were more than that of female,and the sex ratio was 2. 57∶ 1. The majority of cases were peasants,accounting for 29. 09% of the total number of cases;followed by domestic and unemployed,accounting for 22. 91% of the total number of cases. Sexual transmission was the main mode of transmission of HIV/AIDS,accounting for 84. 36% of the total number of cases,of which heterogeneous transmission of HIV/AIDS accounted for 58. 55% of the total number of cases,and same-sex transmission accounted for 25. 82% of the total number of cases. The incidence was mostly occured on people with junior high school education background,accounting for 41. 45% of the total number of cases,followed by people with high school education background,accounting for 25. 09% of the total number of cases. Conclusion Guangshui City belongs to the low incidence area of HIV/AIDS,but it presents an ascendant trend. It should be linked by multiple departments to test and supervise key populations,so as to realize early detection,early diagnosis,early treatment and early care,effectively curbing the spread of HIV/AIDS.