2002～2018年无锡市梁溪区艾滋病流行特征分析
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摘要
目的了解无锡市梁溪区艾滋病疫情流行特征,为制定防控措施提供依据。方法采用Excel数据库和SPSS 19.0分析2002～2018年疫情流行特征。结果 2002～2018年梁溪区新报告现住址HIV/AIDS病例767例,报告发病率呈上升趋势(χ~2_(趋势)=560.44,P<0.01)。男女性别比为11.57∶1。40岁以下青壮年为主要感染对象(占59.58%),50岁以上发病比例逐年增加。传播途径以性传播(98.69%)为主,其中男同同性传播占64.67%。医疗机构(占64.67%)与检测咨询(20.47%)为主要样本来源。767例研究对象中,晚发现286例,晚发现率为37.29%。Logistic回归分析结果显示,40～49(OR=3.639,95%CI:1.071～12.366)、50～岁组(OR=3.770,95%CI:1.106～12.850)相对于20岁以下是晚发现的危险因素;异性传播病例晚发现风险高于男同同性传播(OR=1.656,95%CI:1.153～2.377);医疗机构报告病例晚发现率高于检测咨询(OR=1.627,95%CI:1.070～2.474)。结论无锡市梁溪区艾滋病疫情呈上升趋势,男同同性传播比例增加明显。晚发现率较高。
Objective To understand the epidemiological characteristics of HIV/AIDS in Liangxi district,Wuxi city during 2002-2018,so as to provide the basis for developing prevention and control measures. Methods The HIV/AIDS epidemic situation during 2002-2018 was analyzed by Excel database and SPSS 19.0. Results A total of 767 newly identified HIV/AIDS cases were reported in Liangxi district from 2002 to 2018,and the incidence was on the rise(χ~2=560.44,P<0.01).The male/female ratio was 11.57:1.Young and post adolescent males under 40 years old was the main target of HIV/AIDS infection(59.70%),and the cases aged over 50 years were increasing annually.The main route of transmission was sexual contact(97.70%),among which male homosexuals transmission accounted for 64.67%.The patients were mainly found from medical institutions(64.67%) and voluntary counseling/testing(20.47%).Among the 767 reported subjects,286 were late diagnosis cases,with the rate of 36.34%.Multiple logistic regression analysis indicated that comparing to the cases aged 20 and below,the age group of 40-49 years(OR=3.639,95%CI:1.071-12.366) and 50 years and above(OR=3.770,95%CI:1.106-12.850) were the risk factors of late diagnosis.Heterosexual transmission cases had a higher risk of late detection than male homosexual transmission cases(OR=1.656,95%CI:1.153-2.377);The late detection percentage of HIV/AIDS cases reported by medical institutions was higher than that of those reported by voluntary counseling/testing(OR=1.627,95%CI:1.070-2.474). Conclusion The epidemic of HIV/AIDS is on a rising trend in Liangxi district,Wuxi city,the percentage of male homosexual transmission has risen obviously.The late detection rate is relatively high.
Objective To understand the epidemiological characteristics of HIV/AIDS in Liangxi district,Wuxi city during 2002-2018,so as to provide the basis for developing prevention and control measures. Methods The HIV/AIDS epidemic situation during 2002-2018 was analyzed by Excel database and SPSS 19.0. Results A total of 767 newly identified HIV/AIDS cases were reported in Liangxi district from 2002 to 2018,and the incidence was on the rise(χ~2=560.44,P<0.01).The male/female ratio was 11.57:1.Young and post adolescent males under 40 years old was the main target of HIV/AIDS infection(59.70%),and the cases aged over 50 years were increasing annually.The main route of transmission was sexual contact(97.70%),among which male homosexuals transmission accounted for 64.67%.The patients were mainly found from medical institutions(64.67%) and voluntary counseling/testing(20.47%).Among the 767 reported subjects,286 were late diagnosis cases,with the rate of 36.34%.Multiple logistic regression analysis indicated that comparing to the cases aged 20 and below,the age group of 40-49 years(OR=3.639,95%CI:1.071-12.366) and 50 years and above(OR=3.770,95%CI:1.106-12.850) were the risk factors of late diagnosis.Heterosexual transmission cases had a higher risk of late detection than male homosexual transmission cases(OR=1.656,95%CI:1.153-2.377);The late detection percentage of HIV/AIDS cases reported by medical institutions was higher than that of those reported by voluntary counseling/testing(OR=1.627,95%CI:1.070-2.474). Conclusion The epidemic of HIV/AIDS is on a rising trend in Liangxi district,Wuxi city,the percentage of male homosexual transmission has risen obviously.The late detection rate is relatively high.
引文
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[2] 朱正平,张敏,吴苏姝,等.南京市2008～2012年报告HIV/AIDS流行特征分析[J].中华预防医学控制杂志,2013,17(12):1 037-1 040,1 045.
[3] 曾吉,李洋,叶景荣,等.2013年北京市新报告HIV感染病例的晚发现情况分析[J].中华流行病学杂志,2016,37(2):218-221.
[4] 徐里强,顾艳红等,2010～2015年艾滋病人晚发现比例及其影响因素研究[J].中国艾滋病性病杂志,2017,23(7):613-615.
[5] 田志红,孙禄等,2011～2017年天津市河东区艾滋病流行特征分析[J].预防医学论坛杂志,2018,24(8):613-636.
[6] 龚海,周灵兵,陈敏等,1995～2015重庆市沙坪坝区艾滋病流行现状与对策分析[J].检验医学与临床杂志,2017,14(6):877-879.
[7] 金霞,熊燃,王丽艳等,2010～2014年我国HIV感染病例晚发现情况分析[J].中华流行病学杂志,2016,37(2):218-221.
[8] 苏州市2012～2017年HIV感染病例晚发现情况及影响因素[J].江苏预防医学杂志,2018,29(5):522-523.
[9] 黄珊子,周毅,李晓凤,等,珠海市AIDS病例晚发现的影响因素[J].热带医学杂志,2018,18(9):1 246-1 249.
[10] BENNEETT DE,MYATT M,BERTAGNOIO S,et al.Recomm-endations for surveillance of transmitted HIV drug resistance in countries scaling up antiretroviral treatment[J].Antivir Ther,2008,13(S2):25-36.
[2] 朱正平,张敏,吴苏姝,等.南京市2008～2012年报告HIV/AIDS流行特征分析[J].中华预防医学控制杂志,2013,17(12):1 037-1 040,1 045.
[3] 曾吉,李洋,叶景荣,等.2013年北京市新报告HIV感染病例的晚发现情况分析[J].中华流行病学杂志,2016,37(2):218-221.
[4] 徐里强,顾艳红等,2010～2015年艾滋病人晚发现比例及其影响因素研究[J].中国艾滋病性病杂志,2017,23(7):613-615.
[5] 田志红,孙禄等,2011～2017年天津市河东区艾滋病流行特征分析[J].预防医学论坛杂志,2018,24(8):613-636.
[6] 龚海,周灵兵,陈敏等,1995～2015重庆市沙坪坝区艾滋病流行现状与对策分析[J].检验医学与临床杂志,2017,14(6):877-879.
[7] 金霞,熊燃,王丽艳等,2010～2014年我国HIV感染病例晚发现情况分析[J].中华流行病学杂志,2016,37(2):218-221.
[8] 苏州市2012～2017年HIV感染病例晚发现情况及影响因素[J].江苏预防医学杂志,2018,29(5):522-523.
[9] 黄珊子,周毅,李晓凤,等,珠海市AIDS病例晚发现的影响因素[J].热带医学杂志,2018,18(9):1 246-1 249.
[10] BENNEETT DE,MYATT M,BERTAGNOIO S,et al.Recomm-endations for surveillance of transmitted HIV drug resistance in countries scaling up antiretroviral treatment[J].Antivir Ther,2008,13(S2):25-36.