摘要
目的分析我国≥60岁农民HIV感染者的流行特征,为老年农民艾滋病防控政策制定提供依据。方法数据来源于中国疾病预防控制信息系统,选取2018-2022年报告年龄≥60岁、职业为农民的HIV感染者,应用SPSS 24.0软件进行描述性分析,采用χ2检验进行农民和非农民两组间的比较,并选取6个有代表性的指标,通过样品系统聚类方法将31个省份分为A、B和C 3个亚流行区。结果2018-2022年共报告≥60岁农民感染者113311例,占全国该年龄段HIV感染者报告数的71.8%(113311/157792)。其中,男性86517例(76.4%),检测来源主要来自医疗机构80176例(70.8%)、分布在西部地区80667例(71.2%)。≥60岁农民HIV感染者中,小学及以下文化程度占81.4%(92191/113311),高于非农民HIV感染者中的比例(49.8%,22165/44481)。≥60岁农民HIV感染者96.7%(109562/113311)经异性性传播感染,其中,商业异性性行为占50.4%(55184/109562)、固定性伴性行为占9.1%(9958/109562)、其他异性性行为占40.5%(44420/109562)。聚类分析结果显示,A区为西部6省份(广西壮族自治区、重庆市、贵州省、四川省、云南省和新疆维吾尔自治区),现存活HIV感染者占比(30.2/万)、≥60岁农民HIV感染者占农村人口比例(22.8/万)、报告≥60岁农民HIV感染者县(区)数比例(93.4%)、HIV检测量占人口比例(44.2%),均高于B和C区。农民人均纯收入(1万元/年)低于B和C区,男性商业异性性行为比例(41.0%),略低于B区(46.1%),高于C区(15.2%)。结论2018-2022年我国报告≥60岁农民HIV感染者主要通过商业异性性行为等传播感染,该人群文化程度低,艾滋病自身防护意识不强,应重视老年农民艾滋病健康教育等干预措施,同时加强对农村卖淫妇女及HIV阳性配偶的预防干预工作。
Objective To understand the epidemiological characteristics of HIV-infected farmers aged≥60 years in China and provide evidence for the development of AIDS prevention and control policies for elderly farmers.Methods Data of newly HIV-infected farmers aged≥60 years reported between 2018 and 2022 were obtained from China Information System for Disease Control and Prevention.The differences in epidemiological characteristics of HIV infection between farmers and other populations were compared usingχ2 test.Based on 6 representative indicators,31 provinces were divided into three sub-epidemic areas of A,B,and C by using sample system clustering method in SPSS 24.0 software.Results From 2018 to 2022,a total of 113311 HIV infection cases in farmers aged≥60 years were reported,accounting for 71.8%of the reported cases in this age group nationwide(113311/157792).In the 113311 HIV infection cases,86517(76.4%)were men,80176(70.8%)were diagnosed by medical institutions,80667(71.2%)were distributed in the western region and 92191(81.4%)had education level of primary school or below[higher than the proportion in other populations(49.8%,22165/44481)].In 113311 HIV infection cases,96.7%(109562/113311)were infected through heterosexual transmission,in whom 50.4%(55184/109562)had commercial heterosexual behavior,9.1%(9958/109562)had fixed sexual partners,40.5%(44420/109562)had other heterosexual behaviors.The clustering analysis indicated that in region A(Guangxi,Chongqing,Guizhou,Sichuan,Yunnan and Xinjiang),the proportions of people living with HIV(30.2/10000),HIV-infected farmers aged≥60 years in rural population(22.8/10000),counties reported HIV-infected elderly farmers(93.4%),the population had HIV test(44.2%),were all higher than those in region B and C.Compared with region B and C,The net income of farmers(10000 yuan)was lower in region A,and the proportion of commercial heterosexual behavior in male farmers in region A(41.0%)was slightly lower than that in region B(46.1%),but higher than that in region C(15.2%).Co
作者
秦倩倩
金怡晨
蔡畅
陈方方
汤后林
Qin Qianqian;Jin Yichen;Cai Chang;Chen Fangfang;Tang Houlin(Division of Epidemiology,National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China)
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2023年第11期1686-1691,共6页
Chinese Journal of Epidemiology
