摘要
目的 了解2006-2022年杭州市上城区新报告≥15岁艾滋病病毒感染者和艾滋病患者(HIV/AIDS)特征,为完善艾滋病防控策略提供依据.方法 通过中国疾病预防控制信息系统艾滋病综合防治信息系统收集2006-2022年上城区新报告≥15岁HIV/AIDS病例资料,分析病例的人群分布、传播途径等特征,并采用平均年度变化百分比(AAPC)和年度变化百分比(APC)分析病例数的时间变化趋势.结果 2006-2022年上城区新报告≥15岁HIV/AIDS病例4 409例,其中男性3 932例,占89.18%.年龄＜50岁3 447例,占78.18%;≥50岁962例,占21.82%.传播途径以性接触传播为主,4 326例占98.12%;其中同性性接触传播2 626例,占59.56%;异性性接触传播1 700例,占38.56%.HIV/AIDS病例数2006-2022年总体呈上升趋势(AAPC=13.038%,P＜0.05),其中2006-2015年呈上升趋势(APC= 42.578%,P＜0.05),2015-2022年呈下降趋势(APC=-19.713%,P＜0.05).≥50岁组病例数上升速度较＜50岁组快(AAPC=22.641%、11.162%,均P＜0.05).同性性接触传播病例数上升速度较异性性接触传播病例快(AAPC= 20.417%、7.455%,均P＜0.05).结论 2006-2022年上城区新报告≥15岁HIV/AIDS病例数总体呈上升趋势,≥50岁、同性性接触传播病例数上升趋势较快,应加强关注.
Abstract
Objective To investigate the characteristics of newly reported HIV/AIDS cases aged 15 years and older in Shangcheng District,Hangzhou City from 2006 to 2022,so as to provide the basis for improving AIDS prevention and control strategies.Methods Data of newly reported HIV/AIDS cases aged 15 years and older in Shangcheng District from 2006 to 2022 were collected through HIV/AIDS Comprehensive Control System of Chinese Disease Prevention and Control Information System.Population distribution and transmission routes were analyzed,and changing trends in case number were analyzed using average annual percent change(AAPC)and annual percent change(APC).Results A total of 4 409 HIV/AIDS cases aged 15 years and older were newly reported in Shangcheng District from 2006 to 2022,in-cluding 3 932 males(89.18%).There were 3 447 cases(78.18%)under 50 years old and 962 cases(21.82%)being 50 years and older.Sexual contact was a predominant transmission route,with 4 326 cases accounting for 98.12%,includ-ing 2 626 cases(59.56%)with homosexual contact and 1 700 cases(38.56%)with heterosexual contact.The number of HIV/AIDS cases showed an overall upward trend from 2006 to 2022(AAPC=13.038%,P<0.05),with an upward trend from 2006 to 2015(APC=42.578%,P<0.05)and a downward trend from 2015 to 2022(APC=-19.713%,P<0.05).The increase in the number of cases aged 50 years and older group was faster than that of cases aged under 50 years(AAPC=22.641%vs.11.162%,both P<0.05).The increase in the number of cases with homosexual contact transmission was faster than that of cases with heterosexual contact transmission(AAPC=20.417%vs.7.455%,both P<0.05).Conclu-sions The number of newly reported HIV/AIDS cases aged 15 years and older in Shangcheng District performed an overall upward trend from 2006 to 2022.The cases aged 50 years and older and transmitted through homosexual con-tact increased rapidly,which should be taken seriously.
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