首页|2012-2021年广州市白云区艾滋病流行特征及变化趋势分析

2012-2021年广州市白云区艾滋病流行特征及变化趋势分析

Analysis of the epidemiological characteristics and trends of HIV/AIDS in Baiyun District,Guangzhou from 2012 to 2021

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目的 了解广州市白云区2012-2021年艾滋病疫情特征,为有效制定防控措施提供科学依据.方法 采用描述性流行病学方法对白云区2012-2021年人类免疫缺陷病毒(Human immunodeficiency virus,HIV)感染者/艾滋病(acquired immure deficiency syndrome,AIDS)病例(简称"HIV/AIDS")疫情数据进行统计分析.结果 2012-2021年白云区累计报告HIV/AIDS病例3 850例,年均报告发病率为11.69/10万,年均报告死亡率为0.56/10万,年均增长率为3.49%;全区24个镇(街道)均有病例报告,以流动人口为主,构成比为83.19%.男女比为6.99:1,20~<50岁年龄组报告病例构成比为82.26%,≥50岁年龄组构成比从2012年的9.56%上升至2021年的16.29%(x2趋势 19.826,P<0.001).2012年与2021年相比,传播途径构成比中性传播由79.52%上升到98.50%,同性传播上升,注射毒品下降;样本来源构成比中检测咨询由19.11%上升到42.61%,羁押人员体检由20.82%下降到1.75%;职业构成比中商业服务、学生呈上升趋势,差异均有统计学意义(x2趋势=106.960、11.310,均P<0.05).学生病例中男男同性传播构成比为82.17%.结论 白云区艾滋病疫情处于低流行态势,但发病率高,防控形势严峻.传播途径以男男同性传播为主,今后应深入开展重点人群的健康教育和干预,继续推行扩大检测策略.
Objective To understand the epidemic features of HIV/AIDS in Baiyun District,Guangzhou from 2012 and 2021,to provide a scientific basis for effective formulation of prevention and control measures.Methods Descriptive epidemiological methods were used to statistically analyze the epidemic data of Human immunodeficiency virus(HIV)infector/acquired immure deficiency syndrome(AIDS)cases(referred to as HIV/AIDS)epidemic situation data in Baiyun District,Guangzhou from 2012 to 2021.Results From 2012 to 2021,a total of 3 850 cases of HIV/AIDS were reported in Baiyun District,with an average annual reported incidence rate of 11.69/100 000 and an average annual reported mortality rate of 0.56/100 000,with an average annual growth rate of 3.49%.Cases were reported in 24 towns(sub-districts)in the district,mainly of floating population,with a proportion of 83.19%.The male-to-female ratio was 6.99:1,the proportion of reported cases in the 20~<50-year-old age group was 82.26%,and the proportion of ≥50-year-old age group increased from 9.56%in 2012 to 16.29%in 2021(x2trend=19.826,P<0.001).In 2012,compared with 2021,the proportion of sexual transmission routes increased from 79.52%to 98.50%,homosexual transmission increased,and injecting drug use decreased.The proportion of sample sources counseling and testing increased from 19.11%to 42.61%,and the physical examination of detainees decreased from 20.82%to 1.75%.The occupational proportion of commercial services and students showed an upward trend,and the differences were statistically significant(x2trend=106.960,11.310,all P<0.05).The proportion of male to male homosexual transmission among student cases was 82.17%.Conclusion The AIDS epidemic in Baiyun District is in a low epidemic situation,but the incidence rate is high,and the prevention and control situation is grim.Male to male homosexual transmission is the main route.In the future,health education and intervention should be carried out in depth for key populations,and the strategy of expanding testing should be continued.

AIDSEpidemiological characteristicMale to male homosexual transmissionPrevention and control strategyGuangzhou CityAnalysis

徐珮琦、刘杰伟、越朝斌、赵丽旋、周勇

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广州市白云区疾病预防控制中心,广东广州 510445

艾滋病 流行特征 男男同性传播 防控策略 广州市 分析

广东省基础与应用基础研究基金

2020A1515010737

2024

医学动物防制
中国民主促进会河北省委员会

医学动物防制

CSTPCD
影响因子:0.553
ISSN:1003-6245
年,卷(期):2024.40(3)
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