摘要
目的 分析1999-2020年马鞍山市艾滋病(acquired immunodeficiency syndrome,AIDS)流行特征和变化趋势,为制定防治措施提供依据。方法 自国家艾滋病综合防治信息系统获取1999-2020年马鞍山市艾滋病病毒(human immunodeficiency virus,HIV)感染者/AIDS患者的案例信息,用描述流行病学方法进行分析。结果 1999-2020年马鞍山市累计报告HIV感染者/AIDS患者953例,其中HIV感染者占55.82%(532例),AIDS患者占44.18%(421例),累计死亡131例。发病率整体呈年度上升趋势(χ^(2)趋势=310.06,P<0.01);男性感染明显高于女性,男女比例为4.92∶1;年龄以青年为主,≤29岁者占37.88%,≥50岁人群自2010年以来呈上升趋势(χ^(2)趋势=54.26,P<0.01);已婚有配偶者最多,占41.55%;职业以家政、家务及待业和农民为主,占49.74%,学生占5.35%;教育程度以初中学历者居多,占35.99%;传播途径以性传播为主,其中异性传播占53.10%,男男同性传播占41.87%;样本来源主要为检测咨询,占26.86%;疫情报告来源主要为疾病预防控制中心报告,占79.96%;死亡病例的死亡年限以及仍存活病例的存活年限皆以<5年者居多,分别占83.21%和52.26%。结论 马鞍山市AIDS总体流行水平较低,主要传播方式是性传播,男性发病率高于女性。需要高度重视中老年人群、学生人群,尤其需加强对同性接触者等高危人群的行为干预。
Objective To analyze the epidemiological characteristics and trends ofacquired immunodeficiency syndrome (AIDS) in Ma’anshan City from 1999-2020,provide a scientific basis for the formulation of prevention and control measures.Methods The case information of people infected with human immunodeficiency virus (HIV) and AIDS patients in Ma’anshan City from1999-2020 was collected from the national integrated AIDS prevention and control information system,and analyzed by descriptive epidemiological method.Results From 1999 to 2020,a total of 953 HIV/AIDS cases were reported in Ma’anshan City from1999-2020,of which 55.82%(532 cases) were HIV cases and 44.18%(421 cases) were AIDS cases,with 131 deaths.The overall incidence rate showed an annual upward trend(χ^(2)trend=310.06,P<0.01).Male infection was significantly higher than female infection,with a male to female ratio of 4.92∶1.The cases were mainlyyoung people,those aged≤29 years old accounted for 37.88%,and the cases aged≥50 years old showed an increasing trendsince 2010(χ^(2)trend=54.26,P<0.01).The married people with spouses were the most,accounting for 41.55%.The occupations were mainly housekeeping,housework,unemployed and farmers,accounting for 49.74%,while students accounted for 5.35%.For the education level,the majority of cases were junior high school,accounting for 35.99%.The main route of transmission was sexual transmission,with heterosexual transmission accounting for 53.10%and male-male transmission accounting for 41.87%.The samples were were mainly from testing and consulting,accounting for26.86%.The main sources of epidemic reports were centers for disease control and prevention,accounting for 79.96%.The number of years of death and the number of years of surviving cases were mainly<5 years,accounting for 83.21%and 52.26%respectively.Conclusions The epidemic level of AIDS in Ma’anshan City is low,the main mode of transmission is sexual transmission,and male incidence is higher than femaleincidence.It is necessary to attach great impor
作者
秦其荣
王玮
朱宏斌
张振
黄芬
QIN Qi-rong;WANG Wei;ZHU Hong-bin;ZHANG Zhen;HUANG Fen(STD/AIDS Prevention and Control Department,Ma'anshan Center for Disease Control and Prevention,Ma'anshan Anhui,243011,China;Department of Epidemiology and Health Statistics,School of Public Health,Anhui Medical University,Hefei Anhui,230032,China)
出处
《职业与健康》
CAS
2022年第24期3381-3385,共5页
Occupation and Health
基金
马鞍山市科技局资助项目(YL-2018-12)。
关键词
艾滋病
发病率
流行特征
AIDS
Incidence
Epidemiological characteristics
