摘要
目的了解2017—2021年郑州市新报告≥50岁艾滋病病毒感染者和艾滋病患者(HIV/AIDS)病例的流行特征,为制定老年人群艾滋病防控措施提供依据。方法通过郑州市智慧公共卫生管理系统收集2017—2021年郑州市新报告≥50岁HIV/AIDS病例的流行病学资料,采用描述性流行病学方法分析病例的人群分布、传播途径和检测发现途径等流行特征。结果2017—2021年郑州市新报告≥50岁HIV/AIDS病例533例,占同期HIV/AIDS病例总数的25.94%。男性400例,女性133例,男女比为3.01∶1;50~<60岁288例,占54.03%;初中及以下学历467例,占87.62%;郑州市户籍391例,占73.36%;职业为农民333例,占62.48%。性接触为主要传播途径,524例占98.31%。医疗机构检测发现居多,305例占57.22%;其次为咨询检测,167例占31.33%。2017—2021年医疗机构检测发现的比例呈下降趋势(χ_(趋势)^(2)=10.953,P=0.001),而咨询检测发现的比例呈上升趋势(χ_(趋势)^(2)=5.438,P=0.020)。结论2017—2021年郑州市新报告≥50岁HIV/AIDS病例以本地男性农民为主,主要经性接触传播、通过医疗机构检测发现,咨询检测比例呈逐年上升趋势。
Objective To investigate the epidemiological characteristics of newly reported HIV/AIDS cases at ages of 50 years and older in Zhengzhou City from 2017 to 2021,so as to provide the evidence for formulating the AIDS control measures among the elderly.Methods Epidemiological data of newly reported HIV/AIDS cases at ages of 50 years and older in Zhengzhou City from 2017 to 2021 were collected through the Zhengzhou Municipal Intelligent Public Health Management System.The epidemiological characteristics including population distribution,transmission route and route of detection were analyzed using a descriptive epidemiological method.Results A total of 533 newly reported HIV/AIDS cases at ages of 50 years and older were diagnosed in Zhengzhou City from 2017 to 2021,accounting for 25.94%of all HIV/AIDS cases.There were 400 male cases and 133 female cases,with a male-to-female ratio of 3.01∶1,288 cases at ages of 50 to 59 years(54.03%),467 cases with an educational level of junior high school and below(87.62%),391 cases with household registered residence in Zhengzhou City(73.36%),and 333 farmers(62.48%).Sexual contact was the main route of transmission(524 cases,98.31%),and HIV/AIDS cases were predominantly detected by medical institutions(305 cases,57.22%),followed by counseling and testing(167 cases,31.33%).The proportion of HIV/AIDS cases diagnosed by medical institutions appeared a tendency towards a decline in Zhengzhou City from 2017 to 2021(χ2trend=10.953,P=0.001),while the proportion of HIV/AIDS cases diagnosed by counseling and testing showed a tendency towards a rise(χ2trend=5.438,P=0.020).Conclusions The newly reported HIV/AIDS cases at ages of 50 years and older were predominantly local male farmers in Zhengzhou City from 2017 to 2021,with sexual contact as the main transmission route and medical institutions as the predominant route of detection.The proportion of newly reported HIV/AIDS cases appeared a tendency towards a rise.
作者
许太彬
程春荣
段江洋
兰培利
段欣洋
XU Taibin;CHENG Chunrong;DUAN Jiangyang;LAN Peili;DUAN Xinyang(Microbiological Laboratory,Zhengzhou Center for Disease Control and Prevention,Zhengzhou,Henan 450007,China)
出处
《预防医学》
2023年第4期323-326,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
艾滋病
流行特征
老年人
AIDS
epidemiological characteristics
elderly
作者简介
许太彬,硕士,主管技师,主要从事微生物检验工作;通信作者:程春荣,E-mail:taibin.happy@163.com。
