摘要
目的分析江西省≥50岁男性艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)特征。方法利用艾滋病综合防治信息系统相关数据,采用描述性流行病学方法,分析2011—2017年新报告≥50岁男性HIV/AIDS病例相关资料。结果 2011—2017年江西省新报告≥50岁男性HIV/AIDS病人共4 047例,报告病例数逐年增加,确诊时病程阶段为AIDS占54.06%(2 188例),职业以农民为主,占57.99%(2 347例),样本来源以其他就诊者为主,占47.24%(1 912例),异性性传播占96.39%(3 901例),2017年新报告病例异性性传播方式以商业性性行为为主,占71.90%(724例);非婚非商业占24.53%(247例)。死亡比例占34.30%(1 388例),从确证阳性发现到半年内的死亡比例达59.51%(826例),三年内的死亡比例达94.16%(1 307例)。接受抗病毒治疗的比例为61.48%(2 488例),接受与未接受抗病毒治疗的病例生存状况有统计学差异(χ~2=926.43,P=0.000)。结论江西省艾滋病≥50岁男性新报告病例数逐年上升,异性性传播成为主要感染途径,病例发现较晚,接受抗病毒治疗比例较低,死亡比例高。应将≥50岁男性人群作为今后艾滋病监测、干预、检测、宣传工作的重点人群,早检测早治疗。
Objective To understand the epidemiological characteristics of HIV/AIDS among male people over 50 years old in Jiangxi province.Methods The data of newly reported HIV/AIDS cases among male people over 50 years old from 2011 to 2017 were downloaded from the HIV case reporting system and analyzed by descriptive epidemiological method.Results A total of 4 047 HIV/AIDS cases among male people over 50 years were reported from 2011 to 2017,and the new reported cases increased with years.AIDS cases accounted for 54.06%(2 188 cases)at the time of HIV diagnosis.The occupation was dominated by peasants,(57.99%2 347 cases).47.24%(1 912 cases)were hospital visitors.96.39%(3 901 cases)were infected via heterosexual transmission.In 2017,among the newly reported cases of heterosexual transmission,71.90%(724 cases)were infected through commercial sex,and 24.53%(247 cases)through non-marital and non-commercial sexual partners.34.30%(1 388 cases)died.59.51%(826 cases)died within 6 months after HIV positive diagnosis,and 94.16%(1307 cases)died within three years.61.48%of the patients received antiviral treatment(ART),with a significant difference in the survival rate between those with ART and those without ART(χ~2=926.43,P=0.000).Conclusion The HIV/AIDS cases among male people over 50 years in Jiangxi is increasing with years.Heterosexual transmission is the main route of infection.HIV/AIDS cases are diagnosed relatively late,and proportion of the patients receiving ART is low,with a high rate of death.The male people over 50 years should be the focus group for monitoring,intervention,detection and publicity in the future.Moreover,early detection and early treatment should be strengthened.
作者
杨晴
汪芬
胡强
YANG Qing;WANG Fen;HU Qiang(Jiangx i Provincial Center for Disease Control and Prevention,Nanchang 330029,China;Xinjian District of Nanchang Center for Disease Control and Prevention,Xinjian 330100,Jiangxi)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2019年第9期920-922,935,共4页
Chinese Journal of Aids & STD
关键词
老年男性
艾滋病
流行特征
elderly male
HIV/AIDS
epidemiological characteristics
