摘要
目的分析宜昌市2013—2020年50岁及以上HIV/AIDS病例流行病学特征,为制定该人群艾滋病防控策略提供依据。方法采用描述性流行病学方法,分析宜昌市2013—2020年50岁及以上HIV/AIDS病例疫情和流行病学资料。结果2013—2020年宜昌市累计报告HIV/AIDS病例1126例,50岁及以上HIV/AIDS病例296例,占总报告病例数的26.29%,50岁及以上病例占病例总数的比例和年报告发病率均呈上升趋势(P<0.01)。病例以男性为主(74.66%),且年龄越大,男性比例越高(P=0.02)。确诊年龄主要集中在50~<60岁(68.58%),婚姻状况为已婚有配偶者占49.66%,文化程度以初中及以下为主(74.32%)。感染途径以性接触传播为主(99.66%),非婚异性性行为比例较高,尤其是女性病例(74.67%)。感染时间在8年以上者占48.75%,感染年龄≥50岁病例占病例总数的比例有上升趋势。病例发现主要来源于医疗机构(74.66%)。结论宜昌市50岁及以上人群HIV/AIDS流行形势较为严峻,已成为重点防控人群,应采取针对性的有效防控措施,降低艾滋病对该人群的危害。
Objective To provide reference for the development of prevention and control strategies for HIV/AIDS cases aged 50 and above in Yichang city from 2013 to 2020 by epidemiological characteristics anaylsing.Methods Descriptive epidemiological method was used to analyze the epidemic situation and epidemiological data.Results A total of 1126 HIV/AIDS cases were reported during the monitoring period,and 296 cases were 50 years old and above,accounting for 26.29%.The proportion of cases aged 50 years and above to the total number of cases and the annual reported incidence rate both showed an upward trend(P<0.01).The cases were mainly male(74.66%),and the older the age,the greater the proportion of males(P=0.02).The age of confirmed cases is mainly concentrated in 50-59 years(68.58%),of which 49.66%were married and 74.32%were at junior high school and below.Sexual contact(accounting for 99.66%)was the main route of infection,the proportion of non-marital heterosexual sex was relatively high,especially in female cases(accounting for 74.67%).Those who had been infected for more than 8 years accounted for 48.75%,and the proportion of infected age≥50 years in the total number of cases showed an upward trend.Cases were found mainly from medical institutions(74.66%).Conclusion The HIV/AIDS epidemic situation of people aged 50 and above in Yichang City was relatively severe and has became a key population for prevention and control.Targeted and effective prevention and control measures should be taken to reduce the harm of AIDS to the population.
作者
田雨
张皓
刘建华
雷雯
李芳芳
闵洁
TIAN Yu;ZHANG Hao;LIU Jianhua;LEI Wen;LI Fangfang;MIN Jie(Yichang Municipal Center for Disease Control and Prevention,Yichang,Hubei 443000,China)
出处
《公共卫生与预防医学》
2023年第4期110-113,共4页
Journal of Public Health and Preventive Medicine
基金
2022年宜昌市科技创新:医疗卫生项目(A22-2-077)。
