南京市2011—2016年15～24岁人群艾滋病流行特征分析
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摘要
目的了解2011—2016年南京市15～24岁人群艾滋病病毒(HIV)的流行病学特征,为在青少年中开展宣传教育和干预措施提供依据。方法分析2011—2016年南京市报告的15～24岁HIV感染者/艾滋病(AIDS)病人(简称HIV/AIDS)流行特征以及15～24岁男男性行为者(MSM)哨点监测数据。结果 2011—2016年南京市共报告15～24岁HIV/AIDS 883例,历年报告的病例数占当年病例报告总数的比例呈上升趋势(χ~2_(趋势)=10.63,P=0.001)。15～24岁HIV/AIDS病例以外地户籍、学生和大专以上文化程度为主,同性性传播占83.5%,构成比呈逐年增加趋势(χ~2=28.16,P<0.01);通过检测咨询发现的占51.4%,构成比呈逐年增加趋势(χ~2=68.20,P<0.01)。2011—2016年南京市共报告青少年学生HIV/AIDS 319例,其6年的平均增长速度(33.9%)高于同期所有15～24岁HIV/AIDS(18.9%),青少年学生病例中经同性传播所占比例(93.4%)高于校外青少年病例(77.8%),经献血筛查发现所占比例(14.1%)高于校外青少年(5.3%),差异均有统计学意义(P值均<0.05)。15～24岁MSM梅毒总阳性率为5.4%,HIV总阳性率为7.3%。结论南京市15～24岁人群中艾滋病流行形势严峻,亟需加强学生群体和MSM的艾滋病宣传教育和干预措施。
Objective To understand the HIV epidemic characteristics among population aged 15-24 years from 2011 to2016 in Nanjing. Methods Data of HIV cases aged 15-24 were collected from annual report of HIV/AIDS and MSM cases in Nanjing during 2011-2016. Results A total of 883 HIV cases aged 15-24 years were reported and the proportion of HIV cases among this age group presented an increasing trend during 2011-2016. Most of them were foreigners, students and young people with college degree. Homosexual transmission accounted for 83.5%, most of which were detected from voluntary counseling and testing( VCT)( 51.4%), both showed an increasing trend. A total of 319 HIV cases were found in young students. The average annual growth rate of student cases was higher comparing with all cases aged 15-24 years. The proportion of cases infected via homosexual transmission( 93.4%) and detection rate from blood screening( 14.1%) was higher in student cases, compared with non-student cases( 77.8% and 5.3%, respectively). Syphilis-positive and HIV-positive rate among MSM population aged 15-24 years was 5.4%and 7.3%, respectively. Conclusion The epidemic of HIV/AIDS among population aged 15-24 years is serious in Nanjing. Comprehensive measures for HIV education and prevention intervention are desperately needed to be reinforced targeted students and MSM.
Objective To understand the HIV epidemic characteristics among population aged 15-24 years from 2011 to2016 in Nanjing. Methods Data of HIV cases aged 15-24 were collected from annual report of HIV/AIDS and MSM cases in Nanjing during 2011-2016. Results A total of 883 HIV cases aged 15-24 years were reported and the proportion of HIV cases among this age group presented an increasing trend during 2011-2016. Most of them were foreigners, students and young people with college degree. Homosexual transmission accounted for 83.5%, most of which were detected from voluntary counseling and testing( VCT)( 51.4%), both showed an increasing trend. A total of 319 HIV cases were found in young students. The average annual growth rate of student cases was higher comparing with all cases aged 15-24 years. The proportion of cases infected via homosexual transmission( 93.4%) and detection rate from blood screening( 14.1%) was higher in student cases, compared with non-student cases( 77.8% and 5.3%, respectively). Syphilis-positive and HIV-positive rate among MSM population aged 15-24 years was 5.4%and 7.3%, respectively. Conclusion The epidemic of HIV/AIDS among population aged 15-24 years is serious in Nanjing. Comprehensive measures for HIV education and prevention intervention are desperately needed to be reinforced targeted students and MSM.
引文
[1]吴尊友.我国学校艾滋病防控形势及策略[J].中国学校卫生,2015,36(11):1604-1605.
[2]中国疾病预防控制中心性病艾滋病防控中心.全国艾滋病哨点监测实施发[Z].2009-03.
[3]刘梅艳,张宏,陈传刚,等.2011~2015年福州市新发现15~24岁HIV/AIDS病例的流行特征分析[J].预防医学论坛,2016,22(9):688-691.
[4]方晓君,朱建琼,陈柏芬,等.东莞市2009-2014年15~24岁HIV/AIDS病人的流行病学特征[J].中国艾滋病性病,2016,22(2):84-85,88.
[5]李秀菊,张莹,丁琳,等.南阳市2008-2015年15~24岁HIV/AIDS病人的流行病学特征[J].中国艾滋病性病,2017,23(10):956-958.
[6]叶振淼,秦侠.温州市1988—2015年青少年HIV/AIDS流行病学特征[J].中国学校卫生,2016,37(9):1374-1376.
[7]徐园园,朱正平,吴苏姝,等.南京市2002-2014年青年学生艾滋病疫情特征分析[J].中国艾滋病性病,2015,21(10):893-894.
[8]李宁,樊盼英,马彦民,等.河南省15~24岁青年学生HIV流行情况分析[J].现代预防医学,2015,42(10):1729-1731,1738.
[9]周金玲,王莉,吴少慧,等.辽宁省2011-2015年青年学生艾滋病流行特征分析[J].中国学校卫生,2017,38(5):782-784.
[10]卢巧玲,杨作凯,方益荣,等.绍兴市15~24岁青少年HIV/AIDS特征分析[J].预防医学,2017,29(10):987-990.
[11]徐园园,朱正平,吴苏姝,等.南京市2011-2015年男男性行为人群HIV感染率变化趋势分析[J].中华流行病学杂志,2016,37(11):1503-1508.
[12]葛琳,崔岩,李东民,等.青年学生2010—2015年艾滋病相关性行为连续横断面研究[J].中国学校卫生,2015,36(11):1611-1613,1617.
[13]杨一偲,刘岩琳,罗超,等.哈尔滨市2010-2015年青年学生艾滋病预防知识行为与HIV感染情况变化分析[J].中国公共卫生管理,2017,33(3):370-374.
[14]杨晴,罗雅凌,廖清华.江西省2011—2015年青年学生艾滋病监测结果[J].中国学校卫生,2016,37(7):1079-1081.
[15]柏建芸,刘轶,柳忠泉,等.天津市2012-2016年青年学生男男性行为者的行为特点及HIV和梅毒感染状况[J].中国艾滋病性病,2018,24(1):58-61.
[16]靳伟,程伟彬,徐慧芳,等.广州市部分在校学生MSM的艾滋病危险行为特征分析[J].中国艾滋病性病,2017,23(2):123-125,131.
[17]LI Y,XU J,REILLY K H,et al.Prevalence of HIV and syphilis infection among high school and college student MSM in China:a systematic review and meta-analysis[J].PLo S One,2013,8(7):e69137.
[18]姜海波,张琰,张丹丹.宁波市校外青少年艾滋病知识行为与感染状况调查[J].中国艾滋病性病,2016,22(4):276-278.
[19]苏金星,朱广荣,温萌萌.北京城乡流动青少年艾滋病检测意向及检测行为现状[J].中国学校卫生,2015,36(11):1606-1608.
[2]中国疾病预防控制中心性病艾滋病防控中心.全国艾滋病哨点监测实施发[Z].2009-03.
[3]刘梅艳,张宏,陈传刚,等.2011~2015年福州市新发现15~24岁HIV/AIDS病例的流行特征分析[J].预防医学论坛,2016,22(9):688-691.
[4]方晓君,朱建琼,陈柏芬,等.东莞市2009-2014年15~24岁HIV/AIDS病人的流行病学特征[J].中国艾滋病性病,2016,22(2):84-85,88.
[5]李秀菊,张莹,丁琳,等.南阳市2008-2015年15~24岁HIV/AIDS病人的流行病学特征[J].中国艾滋病性病,2017,23(10):956-958.
[6]叶振淼,秦侠.温州市1988—2015年青少年HIV/AIDS流行病学特征[J].中国学校卫生,2016,37(9):1374-1376.
[7]徐园园,朱正平,吴苏姝,等.南京市2002-2014年青年学生艾滋病疫情特征分析[J].中国艾滋病性病,2015,21(10):893-894.
[8]李宁,樊盼英,马彦民,等.河南省15~24岁青年学生HIV流行情况分析[J].现代预防医学,2015,42(10):1729-1731,1738.
[9]周金玲,王莉,吴少慧,等.辽宁省2011-2015年青年学生艾滋病流行特征分析[J].中国学校卫生,2017,38(5):782-784.
[10]卢巧玲,杨作凯,方益荣,等.绍兴市15~24岁青少年HIV/AIDS特征分析[J].预防医学,2017,29(10):987-990.
[11]徐园园,朱正平,吴苏姝,等.南京市2011-2015年男男性行为人群HIV感染率变化趋势分析[J].中华流行病学杂志,2016,37(11):1503-1508.
[12]葛琳,崔岩,李东民,等.青年学生2010—2015年艾滋病相关性行为连续横断面研究[J].中国学校卫生,2015,36(11):1611-1613,1617.
[13]杨一偲,刘岩琳,罗超,等.哈尔滨市2010-2015年青年学生艾滋病预防知识行为与HIV感染情况变化分析[J].中国公共卫生管理,2017,33(3):370-374.
[14]杨晴,罗雅凌,廖清华.江西省2011—2015年青年学生艾滋病监测结果[J].中国学校卫生,2016,37(7):1079-1081.
[15]柏建芸,刘轶,柳忠泉,等.天津市2012-2016年青年学生男男性行为者的行为特点及HIV和梅毒感染状况[J].中国艾滋病性病,2018,24(1):58-61.
[16]靳伟,程伟彬,徐慧芳,等.广州市部分在校学生MSM的艾滋病危险行为特征分析[J].中国艾滋病性病,2017,23(2):123-125,131.
[17]LI Y,XU J,REILLY K H,et al.Prevalence of HIV and syphilis infection among high school and college student MSM in China:a systematic review and meta-analysis[J].PLo S One,2013,8(7):e69137.
[18]姜海波,张琰,张丹丹.宁波市校外青少年艾滋病知识行为与感染状况调查[J].中国艾滋病性病,2016,22(4):276-278.
[19]苏金星,朱广荣,温萌萌.北京城乡流动青少年艾滋病检测意向及检测行为现状[J].中国学校卫生,2015,36(11):1606-1608.