摘要
目的 了解1997-2022年徐州市艾滋病的流行情况,评估不同人群艾滋病病毒感染者/艾滋病病人(HIV/AIDS)感染途径的差异,为徐州市艾滋病防控工作提供依据.方法 依托全国艾滋病综合防治信息系统,下载1997-2022年徐州市HIV/A1DS病例资料,对徐州市艾滋病年度发病率、病例构成以及不同性别、年龄、职业、居住地等病例的传播途径进行统计分析.结果 1997-2022年,累计上报现居住地为徐州市HIV/AIDS病例3 342例,现存活(现患)2 762例.徐州市HIV/AIDS发病率总体呈快速上升趋势(x2趋势=706.856,P＜0.001),2010-2017年上升最为明显,2017年后出现波动性,维持在历史较高水平.2012年以前每年新增病例以铜山区为主,但占比呈下降趋势,2012年以后新增病例以主城区为主.2012-2022年55岁以上病例占当年新增病例比例呈增长趋势.徐州市HIV/AIDS的传播途径在不同性别、年龄、文化程度和职业人群中差异有统计学意义(P＜0.05);总体疫情以性传播为主,占89.71％,2008年前以血液途径传播为主,2013年以后再无血液途径病例报告;徐州市首例同性途径感染病例发现于2007年,此后同性途径感染病例占比呈逐年上升趋势.病例职业占比前3位的分别是农民26.88％、商业服务24.04％、待业20.24％.结论 徐州市HIV/AIDS的总体疫情处于历史较高水平,病例传播途径以性途径为主,其中同性性传播病例增长较快,应进一步加大对老年人群、男男性行为人群、农村外出务工人群的宣传干预力度,遏制艾滋病的流行.
Abstract
Objective To investigate the prevalence of HIV/AIDS in Xuzhou City from 1997 to 2022,and to evalu-ate the differences in HIV/AIDS infection routes among different populations,to provide evidence for HIV/AIDS prevention and control in the city.Methods Based on the National AIDS Comprehensive Prevention and Control Information System,the data on HIV/AIDS cases in Xuzhou City from 1997 to 2022 were downloaded,and the annual incidence and composition of HIV/AIDS cases were statistically analyzed.Results From 1997 to 2022,a total of 3 342 HIV/AIDS cases were reported in Xuzhou City,and 2 762 cases were alive(present).The incidence of HIV/AIDS in Xuzhou City showed a rapid upward trend(x2trend=706.856,P＜0.001),with the most obvious increase from 2010 to 2017,and fluctuated after 2017 and remained at a historically high level.Before 2012,the annual new cases were mainly in Tongshan District,but the proportion showed a downward trend,and after 2012,the new cases were mainly in the main urban areas.From 2012 to 2022,the proportion of cases over 55 years old in the proportion of new cases in that year showed an increasing trend.There were statistically signifi-cant differences in the transmission route of HIV/AIDS among different genders,ages,education levels,and occupations in Xuzhou City(P＜0.05).The overall epidemic was mainly sexually transmitted,accounting for 89.71％,and before 2008,blood-borne transmission was the mainstay,and no blood-borne cases were reported after 2013.The first case of homosexual trans-mission was found in 2007,and since then the proportion of homosexual transmission cases has been increasing year by year.The top three occupations were farmers(26.88％),commercial services(24.04％),and unemployed(20.24％).Conclusions The overall epidemic of HIV/AIDS in Xuzhou City is at a historically high level,and the transmission route of cases is mainly sexual,among which homosexual transmission is increasing rapidly.Therefore,it is necessary to further strengthen the pub-licity and intervention of the elderly population,homosexual men,rural migrant workers,and others to curb the epidemic of AIDS.
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万方数据