摘要
目的了解2010-2019年中国经同性传播感染HIV的18~24岁男性青年学生HIV感染者时空分布特征及变化趋势,为开展青年学生艾滋病防控措施提供参考。方法以18~24岁经同性传播感染HIV的男性青年学生为研究对象,通过ArcGIS 10.3软件进行分布描述、局域热点分析,并通过SaTScan 9.6软件进行时空扫描分析,探索聚集区及聚集时段。结果 2010-2019年共报告经同性传播感染的18~24岁男性青年学生HIV感染者16 918例。全国18~24岁青年学生报告病例数由2010年的488例增长至2019年的2 481例,其中重庆市、四川省和北京市等地区报告数较高。经同性传播感染HIV的18~24岁男性青年学生在同期同年龄段男性人口中占比超过万分之一的地市个数由2010年的1个增加至2019年的17个。2010-2019年共有16个聚集区;第一类聚集区涵盖重庆市、成都市和西安市等地区,聚集时段为2015-2019年(RR=2.66,P<0.001)。结论中国经同性传播感染的18~24岁男性青年学生HIV感染者具有一定时空聚集性,应在热点区域、聚集区开展有针对性的防控工作,降低HIV在青年学生中的流行。
Objective To understand the spatial and temporal distribution characteristics and trends of HIV among young male students aged 18 to 24 who were reported by homosexual transmission in China from 2010 to 2019, and to provide fundamental research for AIDS prevention and control measures towards young students. Methods The subjects were young male students aged 18 to 24 who reported HIV infection through homosexual transmission. ArcGIS 10.3 software was used for distribution description and hot spot analysis. SaTScan 9.6 software was used for space-time scanning analysis to explore the clustering area and the clustering period. Results A total of 16 918 cases were included in the study. In China, the number of young male students aged 18 to 24 who were infected with HIV through homosexual transmission had shown an increasing trend, from 488 cases in 2010 to 2 481 cases in 2019. The number of reported cases in Chongqing, Sichuan and Beijing were relatively high. The number of cities where HIV infection ratio among young male students between 18 and 24 years old infected with HIV through homosexual transmission in the same period and same age of the male accounted for more than 1 per 10 000 increased from 1 in 2010 to 17 in 2019. From 2010 to 2019, there were 16 clusters. Among them, the first clustering area included Chongqing, Chengdu, Xi ’an and other areas, and the clustering period was from 2015 to 2019(RR=2.66, P<0.001). Conclusion In China, there is a certain spatial and temporal clustering among young male students aged 18 to 24 who were reported HIV infection by homosexual transmission. Targeted prevention and control measures should be carried out in these hot spots and clustering areas, so as to reduce the prevalence of HIV among young students.
作者
凌倩
马凯芳
张晓婷
李培龙
李东民
LING Qian;MA Kai-fang;ZHANG Xiao-ting;LI Pei-long;LI Dong-min(Department of Epidemiology,National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2022年第1期40-45,共6页
Chinese Journal of Disease Control & Prevention
基金
国家科技重大专项(2017ZX10201101-002-006)。
