2016-2017年广州市外地户籍新报告成年HIV/AIDS病例特征分析
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摘要
目的了解广州市外地户籍成年HIV感染者/艾滋病病人(HIV/AIDS)的流行病学特征,为制定针对性强的艾滋病防控策略提供科学依据。方法通过"艾滋病网络直报信息系统",收集广州市2016-2017年新报告≥15岁、外地户籍HIV/AIDS病例的信息,分析特征。结果 2016-2017年广州市新报告15岁以上成年外地户籍病例2 554例,占71.8%。男性外地户籍病例以未婚(63.9%)、高中/中专或以上文化程度(62.5%)、同性传播(63.5%)、咨询检测发现(45.4%)为主。女性外地户籍病例以已婚有配偶(59.4%)、小学至初中文化程度(68.8%)、非商业非婚异性性接触感染(57.1%)和配偶/固定性伴传播(33.8%)、医疗机构检测发现(60.2%)为主。差异有统计学意义(P<0.05)。结论应特别重视流动人口的艾滋病防控工作。预防艾滋病经男男同性性行为、非商业非婚异性性行为传播是重点。针对女性,要强调预防婚内传播的重要性。加强艾滋病咨询检测宣传推广。
Objective To understand the epidemiological characteristics of HIV infections in adult migrants in Guangzhou, and to provide scientific evidence for HIV/AIDS prevention and control in the target population. Methods From the AIDS Report System, cases who met the following criteria were selected for the study: diagnosed from 2016 to 2017, aged 15 years and over, lived in Guangzhou but without Guangzhou household register. Their epidemiological characteristics were analyzed.Results A total of 2 554(71.8%) HIV/AIDS cases aged 15 years and over, lived in Guangzhou but without Guangzhou household register were reported in 2016 to 2017. The majority of the male cases were single(63.9%), graduated from senior high school or technical school or above(62.5%), transmitted through male homosexual behavior(63.5%), and diagnosed in voluntary counseling and testing sites(45.4%). The majority of the female cases were married(59.4%), graduated from primary school or junior high school(68.8%), transmitted through heterosexual behavior with noncommercial casual partners(57.1%) or spouse or steady partners(33.8%), and diagnosed in medical institutes(60.2%). The differences between male and female cases had statistical significance(P<0.05). Conclusion Special efforts should be made to prevent HIV/AIDS in the migrant population. To prevent HIV/AIDS transmission through male homosexual behavior and heterosexual behavior with noncommercial casual partners is the key issue. Females should paid attention to the risk of sexual transmission of HIV/AIDS by spouse or steady partners.Voluntary counseling and testing should be promoted continuously.
Objective To understand the epidemiological characteristics of HIV infections in adult migrants in Guangzhou, and to provide scientific evidence for HIV/AIDS prevention and control in the target population. Methods From the AIDS Report System, cases who met the following criteria were selected for the study: diagnosed from 2016 to 2017, aged 15 years and over, lived in Guangzhou but without Guangzhou household register. Their epidemiological characteristics were analyzed.Results A total of 2 554(71.8%) HIV/AIDS cases aged 15 years and over, lived in Guangzhou but without Guangzhou household register were reported in 2016 to 2017. The majority of the male cases were single(63.9%), graduated from senior high school or technical school or above(62.5%), transmitted through male homosexual behavior(63.5%), and diagnosed in voluntary counseling and testing sites(45.4%). The majority of the female cases were married(59.4%), graduated from primary school or junior high school(68.8%), transmitted through heterosexual behavior with noncommercial casual partners(57.1%) or spouse or steady partners(33.8%), and diagnosed in medical institutes(60.2%). The differences between male and female cases had statistical significance(P<0.05). Conclusion Special efforts should be made to prevent HIV/AIDS in the migrant population. To prevent HIV/AIDS transmission through male homosexual behavior and heterosexual behavior with noncommercial casual partners is the key issue. Females should paid attention to the risk of sexual transmission of HIV/AIDS by spouse or steady partners.Voluntary counseling and testing should be promoted continuously.
引文
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[2]孙群露,丁庆山,涂玉山,等.宝安区流动人口艾滋病知晓率及安全套使用情况分析[J].现代预防医学,2016,43(5):925-927,960.
[3]王莉,蒲晨,江琦,等.2016年成都市某劳务市场男性流动人口艾滋病知信行调查[J].预防医学情报杂志,2018,34(8):1043-1046.
[4]贺淑芳,李桂英,孙燕鸣,等.2010-2013年北京市男性流动人口艾滋病哨点监测结果分析[J].中国艾滋病性病,2014,20(9):668-671.
[5]陈方方,郭巍,王丽艳,等.我国部分地区艾滋病非婚异性性传播病例感染方式构成及特征分析[J].中国艾滋病性病,2015,21(7):550-553.
[6]赵琬,杨瑛,张星灿,等.闵行区婚检人群性行为及安全套使用影响因素分析[J].现代预防医学,2016,43(17):3213-3216.
[7]穆金萍,宋巍,王路.2008-2017年沈阳市艾滋病疫情流行特征分析[J].现代预防医学,2018,45(16):2894-2897,2949.
[8]孟琴,沈智勇,刘玄华,等.广西2008-2016年≥50岁HIV/AIDS病人的特征分析[J].中国艾滋病性病,2018,24(4):341-344.
[9]王丽艳,秦倩倩,葛琳,等.我国50岁及以上艾滋病病毒感染者/艾滋病患者特征分析[J].中华流行病学杂志,2016,37(2):222-226.
[10]Zhou Y,Ding Y,Gu K,et al.Motivations for sexual risk behaviors among older men in Shanghai,China:a qualitative study[J].BMCPublic Health,2014,14:802.
[11]孙群露,方芳,周指明,等.深圳市宝安区流动人口自愿咨询检测服务情况及影响因素[J].中国艾滋病性病,2017,23(1):44-47.