摘要
目的分析2018—2022年广西壮族自治区(广西)柳州市新报告艾滋病疫情流行特征,为制定艾滋病防控策略提供参考依据。方法采用描述性流行病学方法对2018—2022年柳州市新报告的艾滋病病毒感染者/艾滋病患者(HIV/AIDS)流行特征进行分析。结果新报告HIV/AIDS病例5552例,年均晚发现比例为52.20%,晚发现比例呈下降趋势,从2018年的53.31%下降至2022年的47.38%(χ^(2)_(趋势)=16.272,P<0.05)。新报告病例中3564例分布在以农村人口为主的县,占64.19%;男性3941例,占70.98%;≥45岁4099例,占73.83%,≥55岁构成比呈上升趋势(χ^(2)_(趋势)=29.746,P<0.05);职业以农民、家政/家务/待业者为主,分别占60.88%(3380例)、20.84%(1157例);小学及以下学历2903例,占52.29%,初中1803例,占32.47%。异性性传播占93.34%(5182/5552),学生以同性性传播为主,占65.79%(50/76);≥35岁中男性病例非婚商业接触感染占55.25%(1805/3267),女性病例非婚非商业性接触感染占66.73%(1059/1587)。病例主要来源于其他就诊者检测2608例,占46.97%;术前检测994例,占17.90%,咨询检测948例,占17.07%。结论柳州市HIV/AIDS晚发现比例较高,以性传播途径为主,今后柳州市艾滋病防治应重点关注男性、≥45岁、农民、家政/家务/待业等人群,落实艾滋病扩大检测工作,促进早检测、早发现、早治疗。
Objective To analyze the epidemiological characteristics of the newly-reported HIV/AIDS cases in Liuzhou City,Guangxi Zhuang Autonomous Region(Guangxi)from 2018 to 2022,so as to provide a basis for developing of HIV/AIDS prevention and control strategies.Methods Descriptive statistical methods were empployed to analyze the epidemiological characteristics of the newly reported HIV/AIDS cases in Liuzhou from 2018 to 2022.Results A total of 5552 HIV/AIDS cases were reported,with an average annual late detection rate of 52.20%,decreasing from 53.31%to 47.38%annually(χ^(2)_(trend)=16.272,P<0.05).The majority of cases were in rural areas(3564 cases,64.19%)and involved males(4099 cases,70.98%).There were 4099 cases in the age group of≥45 years,accounted for73.83%,with an increasing trend observed in the≥55 years age group(χ^(2)_(trend)=29.746,P<0.05).The most common occupations were farmers(3380 cases,60.88%),domestic/household workers/unemployed(1157 cases,20.84%).Over half of the cases had primary school education or less(2903 cases,52.29%),and 1803 cases had junior high school education(32.47%).Heterosexual transmission was the primary route of transmission(93.34%)(5182/5552).Among the student cases homosexual transmission was the primary route of transmission(65.79%)(50/76).In male cases aged≥35 years,55.25%(1805/3267)were infected through non-marital commercial sexual contact,while in female cases,66.73%(1059/1587)were infected through non-commercial sexual contact.Case identification primarily occurred through patient-initiated testing(46.97%,2608 cases),preoperative testing(17.90%,994 cases)and testing consultation(17.07%,948 cases).Conclusions In Liuzhou,a high proportion of HIV/AIDS cases are detected late,with sexual transmission as the main route.Future prevention and control efforts should focus on men,those aged≥45 years,farmers,and domestic/household workers/unemployed.Expanded HIV testingis reommanded topromote earlytesting,detection and treatment.
作者
孔继连
韦陶
谭寿南
KONG Jilian;WEI Tao;TAN Shounan(Liudong New District Center for Disease Control and Prevention,Liuzhou,Guangxi 545000,China;Liuzhou Center for Disease Control and Prevention)
出处
《现代疾病预防控制》
2024年第8期583-588,共6页
MODERN DISEASE CONTROL AND PREVENTION
关键词
HIV/AIDS
流行特征
防控策略
HIV/AIDS
Epidemiological characteristics
Prevention and control strateg
