史宏博, 洪航, 董红军. 浙江省宁波市HIV/AIDS流动病例的流行病学特征分析[J]. 疾病监测, 2018, 33(10): 835-838. DOI: 10.3784/j.issn.1003-9961.2018.10.011
引用本文: 史宏博, 洪航, 董红军. 浙江省宁波市HIV/AIDS流动病例的流行病学特征分析[J]. 疾病监测, 2018, 33(10): 835-838. DOI: 10.3784/j.issn.1003-9961.2018.10.011
Hongbo Shi, Hang Hong, Hongjun Dong. Epidemiological characteristics of HIV/AIDS cases in floating population in Ningbo, Zhejiang[J]. Disease Surveillance, 2018, 33(10): 835-838. DOI: 10.3784/j.issn.1003-9961.2018.10.011
Citation: Hongbo Shi, Hang Hong, Hongjun Dong. Epidemiological characteristics of HIV/AIDS cases in floating population in Ningbo, Zhejiang[J]. Disease Surveillance, 2018, 33(10): 835-838. DOI: 10.3784/j.issn.1003-9961.2018.10.011

浙江省宁波市HIV/AIDS流动病例的流行病学特征分析

Epidemiological characteristics of HIV/AIDS cases in floating population in Ningbo, Zhejiang

  • 摘要: 目的分析浙江省宁波市2013 — 2017年近5年艾滋病病毒感染者/艾滋病患者(HIV/AIDS)人口流动情况,掌握疫情特征,为制定防控措施提供参考依据。方法对2013 — 2017年宁波市报告的HIV/AIDS疫情数据,采用描述性流行病学方法分析宁波市流动病例的流行病学特征。结果宁波市近5年共报告HIV/AIDS病例3 034例,其中22.45%病例已流出至外市/外省;近5年宁波市现住址管理的病例共2 642例,其中11.05%的病例为外地流入。 流入流出的病例主要以未婚青壮年为主。流出本市的病例中大部分患者是外地户籍;流入本市的病例中大部分患者非本地户籍。 流出病例文化程度集中在初中及以下,主要经异性性接触感染。 流入病例文化程度集中在初中及以上,主要经同性性接触感染。流出至外地的病例接受抗病毒治疗比例相对较低(P<0.05),流入至本地的病例接受抗病毒治疗比例较高(P>0.05)。 死亡病例抗病毒治疗比例较低,不同流动方式的未治疗死亡病例从发现到死亡时间上,差异有统计学意义(P<0.05),死因分类上差异无统计学意义(P>0.05)。结论宁波市HIV/AIDS病例流动性较大,流出本市的病例治疗比例普遍偏低,作为传染源存在较大的传播风险。 因此,在病例转入转出的过程中,建议随访医生进一步加强流动病例的随访管理及抗病毒治疗工作,对于减少二代传播意义重大。

     

    Abstract: ObjectiveTo understand the epidemiological characteristics of HIV/AIDS cases in floating population in Ningbo, Zhejiang province during 2013–2017 and provide evidence for the prevention and control of HIV infection.MethodsThe epidemiological characteristics of HIV/AIDS cases in floating population were analyzed by descriptive epidemiologic method by using the reporting AIDS epidemic data in Ningbo during 2013–2017.ResultsIn recent 5 years, a total of 3 034 HIV/AIDS cases were reported, in which 22.45% left Ningbo; and 2 642 HIV/AIDS cases lived in Ningbo, in which 11.05% were from other areas. Most HIV/AIDS cases in floating population were young adults and unmarried. Most HIV/AIDS cases who came from other areas and left for other areas were not local residents. The education level of HIV/AIDS cases who left for other areas were concentrated in junior high school and below, the main transmission mode was heterosexual contact. The education level of HIV/AIDS cases who came from other areas were concentrated in junior high school and higher, the main transmission mode was homosexual contact. The anti-retroviral therapy rate was low among HIV/AIDS cases who left Ningbo (P<0.05). The anti-retroviral therapy rate was high among HIV/AIDS cases who came to Ningbo (P>0.05). The anti-retroviral therapy rate was low among death cases of HIV/AIDS. If receiving no anti-retroviral therapy, the difference in interval between the case reporting and death was significant between out-floating cases and in-floating cases (P<0.05), the difference in death cause was no significant between out-floating cases and in-floating cases (P>0.05).ConclusionThe proportion of HIV/AIDS cases in floating population was high in Ningbo, but the anti-retroviral therapy rate in out-floating cases was low, posing a greater risk of transmission as the source of infection. It is suggested to strengthen the follow up and anti-retroviral therapy in both our-floating cases and in-floating cases of HIV/AIDS to reduce the secondary transmission.

     

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