摘要
目的分析2011~2018年福州市新报告女性HIV/AIDS病例的流行特征,为女性群体艾滋病疫情防控提供科学依据。方法通过中国疾病预防控制信息系统中的艾滋病防治信息系统导出2011~2018年福州市历年新报告的女性HIV/AIDS病例资料,对其基本情况、样本来源、传播途径、接触史、CD4+T淋巴细胞计数检测、晚发现情况等进行分析。结果2011~2018年福州市新报告女性HIV/AIDS病例共453例,同期男性HIV/AIDS病例3040例,男女性别比为6.71∶1。女性病例0~14岁的4例、占0.88%,15~54岁的350例、占77.26%,55岁以上的99例、占21.85%。初中及以下文化程度占82.34%,57.17%为家政、家务及待业女性,已婚有配偶的占68.87%;74.39%为本市常驻人口,传播途径为异性性传播的占95.36%,其中接触史为非婚异性性行为的占68.52%,为配偶/固定性伴的占31.48%;样本来源57.18%经就诊检测或术前检测发现,15.89%经检测咨询发现;晚发现病例占51.21%。一经发现当年即进入国家抗病毒免费治疗的病例占37.97%。结论福州市女性艾滋病疫情总体处于较低流行水平,但因大部分女性文化层次较低、没有从事社会工作,发生高危行为后不会主动寻求检测咨询,导致晚发现。
Objective To analyze the epidemiological characteristics of new reported female HIV/AIDS cases during 2011-2018in Fuzhou city,so as to provide scientific basis for developing prevention and control strategy to AIDS for female groups.Methods Data of new reported female HIV/AIDS cases during 2011-2018was collected from the Chinese AIDS Prevention and Control Information System,the basic information,sample sources,transmission routes,exposure histories,CD4+T lymphocyte count testing and late detection were analyzed.Results A total of 453cases of female new HIV/AIDS cases were reported during 2011-2018in Fuzhou city,and 3040male cases were reported during this period,the sex ratio of male to female was 6.71:1.Among these female cases,there were 4cases aged 0-14years old,accounting for 0.88%;350cases aged 15-54years old,accounting for 77.26%;99cases aged over 55years old,accounting for 21.85%.There were 82.34%of educational levels was junior middle school and below;57.17%of cases was housekeeping,housework and unemployed;68.87%of cases were married;74.39%of cases were Fuzhou city residents;95.36%of cases were infected by heterosexual sexual transmission,including 68.52%had contact history of non-marital heterosexual behavior and 31.48%were spouse/fixed partner.There were 57.18%of cases found from clinic detection or preoperative testing,and 15.89%were from tested consulting in terms of sample sources;late detection cases accounted for 51.21%.Once discovered,37.97%of the cases entered the national free highly active antiretroviral therapy that year.Conclusion The female AIDS epidemic is generally at a low level in Fuzhou city,however most women have a lower cultural level and are not engaged in social work,after the occurrence of high-risk behaviors,they will not actively seek testing and consultation,resulting in late detection.
作者
刘梅艳
张宏
陈传刚
LIU Mei-yan;ZHANG Hong;CHEN Chuan-gang(Fuzhou City Center for Disease Control and Prevention,Fuzhou,Fujian,350004,China)
出处
《预防医学论坛》
2019年第10期763-766,共4页
Preventive Medicine Tribune
关键词
艾滋病感染者/艾滋病病人
女性
流行特征
Human immunodeficiency virus/acquired immunodeficiency diseases
Female
Epidemiological characteristics
