2012-2021年贵阳市青年HIV感染者和艾滋病患者时空分布特征
Spatial and temporal distribution characterisstics of youth HIV-infected individuals and AIDS patients in Guiyang City from 2012 to 2021
徐素芹 1袁飞 2洪峰 1黄婧 1马璐 3张欐 3李劲 3佘敏 3祝继 3袁乡石3
作者信息
- 1. 贵州医科大学公共卫生与健康学院 环境污染与疾病监控教育部重点实验室,贵州贵阳 561113
- 2. 贵州医科大学公共卫生与健康学院 环境污染与疾病监控教育部重点实验室,贵州贵阳 561113;贵阳市疾病预防控制中心
- 3. 贵阳市疾病预防控制中心
- 折叠
摘要
目的 分析贵阳市15～24岁青年人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者和获得性免疫缺陷综合征(acquired immunodeficiency syndrome,AIDS)患者(HIV感染者/AIDS患者)时空分布特征,为制定AIDS精准防控措施提供科学依据.方法 HIV感染者/AIDS患者数据来源于全国艾滋病综合防治信息系统,人口数据来源于贵阳市卫生统计年鉴.采用趋势x2检验分析HIV感染者/AIDS患者流行趋势,采用空间自相关和时空扫描分析青年HIV感染者/AIDS患者的时空聚集性特征.结果 2012-2021年贵阳市共报告青年HIV感染者/AIDS患者1 234例,HIV感染者/AIDS患者报告率总体呈上升趋势(x2趋势=20.73 1,P＜0.01).全局空间自相关分析发现,2012年存在空间自相关,提示HIV感染者/AIDS患者呈聚集性分布(Z=2.073 3,P=0.0350),2013-2021年青年HIV感染者/AIDS患者呈随机分布,未见明显的聚集性.局部空间自相关分析提示,热点区域为云岩区、南明区、乌当区和花溪区.时空扫描分析发现1个聚集区,为观山湖区、南明区和云岩区(RR=1.56,LLR=23.16,P＜0.01),聚集时间为2019-2021年.结论 贵阳市青年HIV感染者/AIDS患者存在聚集性特征,需加强观山湖区、南明区、云岩区、乌当区和花溪区青年人群艾滋病防控,防止传染进一步扩散.
Abstract
Objective To analyze the spatial and temporal distribution characteristics of human immunodeficiency virus(HIV)infected individuals and acquired immunodeficiency syndrome(AIDS)patients(HIV/AIDS patients)aged 15-24 in Guiyang City and to provide a scientific basis for formulating targeted AIDS prevention and control measures.Methods Data on HIV/AIDS patients were obtained from the database of the National HIV/AIDS Comprehensive Information System,and the population data were obtained from the Guiyang Health Statistics Yearbook.Trend Chi-square test was used to analyze the epidemic trend of HIV/AIDS cases,and spatial autocorrelation and spatio-temporal scanning were used to analyze the spatial and temporal clustering characteristics of young HIV/AIDS cases.Results 1 234 young HIV/AIDS cases were reported in Guiyang City from 2012 to 2021,and the overall reporting rate of HIV/AIDS cases showed an upward trend(x2trend=20.73,P＜0.01).The global spatial autocorrelation analysis found that there was spatial autocorrelation in 2012,suggesting that HIV/AIDS cases were clustered(Z=2.0733,P=0.035 0),while young HIV/AIDS cases were randomly distributed from 2013 to 2021,without obvious clustering.Local spatial autocorrelation analysis indicates that the hotspots are Yunyan District,Nanming District,Wudang District,and Huaxi District.Spatio-temporal scanning analysis found one cluster area,including Guanshanhu District,Nanming District,and Yunyan District(RR=1.56,LLR=23.16,P＜0.01)from 2019 to 2021.Conclusions There are clustering characteristics of HIV/AIDS cases in young people in Guiyang.It is necessary to strengthen the prevention and control of AIDS among the younger in Guanshanhu District,Nanming District,Yunyan District,Wudang District,and Huaxi District to prevent the further spread of the epidemic.
关键词
人类免疫缺陷病毒/获得性免疫缺陷综合征/时空分布/青年Key words
Human immunodeficiency virus/Acquired immunodeficiency syndrome/Spatial and temporal distribu-tion/Youth引用本文复制引用
出版年
2024
NETL
NSTL
万方数据