摘要
目的了解浙江省重复报告HIV/AIDS患者情况及流行病学特征,为艾滋病监测工作提供依据。方法从中国疾病预防控制信息系统中获取截至2023年底浙江省HIV/AIDS患者报告卡,根据报告卡识别编码、性别和出生日期等条件筛选纳入本研究的HIV/AIDS患者,他们的首次和第二次确证报告记录被纳入分析。采用频数分析和卡方检验的方法描述并比较重复报告HIV/AIDS患者特征。结果截至2023年底,浙江省累计报告82881条HIV/AIDS患者记录,因重复报告原因删除9107条,占11.0%。根据筛选流程,共有2509例HIV/AIDS患者的首次和第二次报告记录纳入研究。其中男性1904例(75.9%),外省户籍1180例(47.0%),主要来自西南(547例,21.8%)和中南(261例,10.4%)省份。跨年重复报告共1812例,占72.2%。在浙江省同一县区、省内不同县区和省内外报告过的分别占12.6%(317例),53.1%(1332例)和34.3%(860例)。与两次都在浙江省内报告的研究对象相比,跨省重复报告的HIV/AIDS患者更为集中在20~39岁年龄组(483例,56.2%),且两次都在医疗机构报告的比例更低(396,46.0%)。研究对象中10.5%(264例)的第二次在性病门诊检测发现。结论浙江省重复报告HIV/AIDS患者主要为跨年重复报告,存在跨省流动、性行为活跃的特征。建议优化报告流程,减少重复报告工作量,强化已确证HIV/AIDS患者健康教育,降低HIV再传播风险。
Objective To understand the characteristics and epidemiological patterns of repeated HIV/AIDS case reports in Zhejiang Province,providing insights to refine AIDS surveillance strategies.Methods Data were obtained from the China Disease Prevention and Control Information System,examining HIV/AIDS case report records from Zhejiang Province through the end of 2023.The inclusion criteria were based on identification codes,gender,and birth dates on the report cards.We analyzed both the initial and subsequent confirmed reports for these patients.Frequency analysis and Chi-square tests were utilized to describe and compare the profiles of patients with multiple HIV/AIDS reports.Results By the end of 2023,Zhejiang Province had logged 82881 HIV/AIDS case records.Due to duplications,9107 records were omitted,representing 11.0%of the total.The final sample included 2509 patients with both initial and subsequent records.Among these,1904(75.9%)were male,and 1180(47.0%)originated from outside the province,mainly from the Southwest(547 cases,21.8%)and Central South(261 cases,10.4%)regions of China.Repeated reports spanning multiple years involved 1812 cases(72.2%).Of these,317 cases(12.6%)were within the same county/district,1332 cases(53.1%)across different counties/districts within the province,and 860 cases(34.3%)across provinces.Patients with cross-provincial reports primarily fell within the 20-39 age group(483 cases,56.2%)and had fewer reports from medical institutions(396 cases,46.0%).Additionally,264 second reports(10.5%)were identified at STD clinics.Conclusions The majority of repeated HIV/AIDS reports in Zhejiang Province were characterized by cross-year and cross-provincial trends,reflecting significant mobility and active sexual behaviors among the population.We recommend streamlining the reporting process to lessen the burden of duplicate records,enhancing health education for confirmed HIV/AIDS patients,and reducing the risk of HIV re-transmission.
作者
蒋均
杨介者
徐云
周欣
程伟
潘晓红
秦倩倩
柴程良
JIANG Jun;YANG Jiezhe;XU Yun;ZHOU Xin;CHENG Wei;PAN Xiaohong;QIN Qianqian;CHAI Chengliang(Department of HIV/AIDS and STDs Prevention and Control,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,Zhejiang,China;Division of Epidemiology,National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2024年第9期949-955,共7页
Chinese Journal of Aids & STD
