2011-2020年山东省新报告15～24岁学生HIV/AIDS基本特征及趋势
Basic characteristics and trend of newly diagnosed students aged 15-24 years with HIV/AIDS in Shandong province,2011-2020
路真真 1李玲 2赵帅 2李亚君 2王国永 2康殿民 2张娜3
作者信息
- 1. 潍坊医学院公共卫生学院,山东潍坊 261000
- 2. 山东省疾病预防控制中心,艾滋病预防控制中心,山东济南 250014
- 3. 潍坊医学院公共卫生学院,山东潍坊 261000;山东省疾病预防控制中心,艾滋病预防控制中心,山东济南 250014
- 折叠
摘要
目的 分析2011-2020年山东省新报告15～24岁学生HIV/AIDS的基本特征及趋势,为制定在校青年学生艾滋病防控措施提供依据.方法 以2011-2020年山东省新报告15～24岁学生HIV/AIDS为研究对象,分析其社会人口学特征、传播途径、样本来源、首次CD4检测情况和性行为等,运用Joinpoint回归模型分析历年报告发病率的时间变化趋势.结果 2011-2020年山东省新报告15～24岁学生HIV/AIDS共1 035例,主要为男性(99.30％),大专及以上学历(83.96％),同性传播(92.08％),61.54％通过检测咨询发现;2011-2015年报告发病率呈上升趋势(APC=41.28％,P＜0.05),2016年及以后保持平稳趋势(APC=-0.33％,P＞0.05).历年新报告HIV/AIDS中,首次CD4细胞计数500～个/μ L者占比呈逐年下降趋势(x2=7.19,P＜0.05).结论 2011-2020年山东省青年学生HIV/AIDS整体发病率上升趋势有所减缓,青年学生男男同性性行为(MSM)人群是感染H1V的重点人群,在扩大检测咨询基础上,应加强健康教育和行为干预.
Abstract
Objective To analyze the basic characteristics and epidemic trend of newly diagnosed students aged 15-24 years old with HIV/AIDS in Shandong province from 2011 to 2020,and provide evidence for AIDS prevention and control among young students in schools.Methods Newly reported HIV/AIDS cases among students of aged 15-24 years old in Shandong province from 2011 to 2020 were used to analyze their socio-demographic characteristics,transmission routes,sample sources,first CD4 testing and sexual behavior,and to analyze the temporal trends of reported incidence rates over time using Joinpoint regression models.Results From 2011 to 2020,a total of 1 035 new HIV infection cases were diagnosed among young students aged 15-24 years old in Shandong province,mainly were males(99.30％),with tertiary education and above(83.96％),infected by homosexual transmission(92.08％),and 61.54％were diagnosed through testing and counseling.The detection rate showed an increasing trend(APC=41.28％,P＜0.05)from 2011 to 2015,and a stable trend between 2016 and 2020(APC=-0.33％,P＞0.05).The proportion of newly reported HIV/AIDS with a first CD4 cell count of 500-cells/μL had been decreasing over the years(x2=7.19,P＜0.05).Conclusion The overall rising trend of HIV/AIDS among young students in Shandong province from 2011 to 2020 had slowed down,and the population of young students men who had sex with men(MSM)was a key population for HIV infection,and health education and behavioral interventions should be strengthened based on expanded testing and counseling.
关键词
HIV/AIDS/青年学生/Joinpoint回归模型/男男同性性行为Key words
HIV/AIDS/Young student/Joinpoint regression models/MSM引用本文复制引用
基金项目
山东省自然科学基金青年基金(ZR2014HQ038)
山东省医药卫生科技发展计划(2019WS438)
出版年
2024
NETL
NSTL
万方数据