首页|浙江省台州市2019-2022年新报告HIV感染者的时空分布及新近感染的影响因素

浙江省台州市2019-2022年新报告HIV感染者的时空分布及新近感染的影响因素

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目的 对浙江省台州市新报告人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者流行病学特征及新近感染的影响因素进行分析.方法 收集2019-2022年台州市HIV抗体确证阳性样本,采用HIV-1限制性抗原亲和力酶联免疫(HIV-1 limiting-antigen avidity enzyme immunoassay,LAg-Avidity EIA)方法对样本进行检测.采用多因素logistic回归分析模型筛选HIV新近感染的影响因素,采用地理信息系统ArcGIS 10.7软件进行空间描述.结果 共纳入1785例新报告HIV感染者,新近感染比例为17.5%(313/1 785),2019-2022年新近感染比例分别为10.6%、15.9%、23.9%、20.2%.多因素logistic回归分析结果显示:18~<30岁、文盲、同性传播、主动检测咨询者的新近感染风险较高.在空间分布上,HIV新近感染者主要集中在临海市、椒江区、路桥区、温岭市等地区.结论 2019-2022年台州市HIV新近感染比例相对较高且呈逐年递增趋势.HIV新近感染者以男性为主,地区间分布不均匀.应加强对HIV新近感染高危人群的宣传教育,重点关注病例密集地区,并加大对≥40岁人群的检测发现力度.
The spatial-temporal distribution of newly reported HIV-infected patients and factors associated with recent HIV infection in Taizhou of Zhejiang Province from 2019 to 2022
Objective This study aims to analyze the epidemiological characteristics of newly reported human immunodeficiency virus(HIV)cases and the influencing factors of recent infection in Taizhou City,Zhejiang Province.Methods HIV-1 limiting-antigen avidity enzyme immunoassay(LAg-Avidity EIA)was performed to detect recent infection within new HIV diagnoses reported between 2019 and 2022 in Taizhou City.Multivariate logistic regression models were employed for multifactorial analysis of factors influencing the proportion of recent infection.The spatial analysis was conducted with arc geographic information system(ArcGIS)10.7 software.Results In total,1 785 eligible subjects were enrolled for further study,with 313 cases(17.5%)classified as HIV recent infections.The proportion of recent infections in 2019-2022 was 10.6%,15.9%,23.9%and 20.2%,respectively.The high-risk population for recent infection includes individuals aged 18-<30 years old,illiterate,homosexual transmission and voluntary testing and counseling.HIV recent infections were primarily distributed in Linhai,Jiaojiang,Luqiao and Wenling.Conclusions The proportion of HIV recent infection in Taizhou City was relatively high and showed an increasing trend from 2019 to 2022.The recent infection cases are predominantly male,with uneven distribution across regions.It is important to enhance targeted education in high-risk population,focusing on areas with dense cases,and strengthen the detection and discovery of individuals aged 40 and above.

Human immunodeficiency virusRecent infectionSpatiotemporal distribution

吴烜赫、汪剡灵、王雅婷、谢亚莉、王婷婷、沈伟伟、陈潇潇、林海江、何纳

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复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室,上海 200032

台州市疾病预防控制中心,台州 318000

人类免疫缺陷病毒 新近感染 时空分布

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(12)