2014-2020年四川省凉山州婚检人群HIV筛查结果分析

刘伦皓 刘莉 张灵麟 袁风顺 何芳 卓玛拉措 胡莹 冯燎 余刚

刘伦皓, 刘莉, 张灵麟, 袁风顺, 何芳, 卓玛拉措, 胡莹, 冯燎, 余刚. 2014-2020年四川省凉山州婚检人群HIV筛查结果分析[J]. 疾病监测.
引用本文: 刘伦皓, 刘莉, 张灵麟, 袁风顺, 何芳, 卓玛拉措, 胡莹, 冯燎, 余刚. 2014-2020年四川省凉山州婚检人群HIV筛查结果分析[J]. 疾病监测.
Liu Lunhao, Liu Li, Zhang Linglin, Yuan Fengsun, He Fang, Zhuoma Lacuo, Hu Ying, Feng Liao, Yu Gang. Analysis on premarital HIV screening results in Liangshan, Sichuan, 2014−2020[J]. Disease Surveillance.
Citation: Liu Lunhao, Liu Li, Zhang Linglin, Yuan Fengsun, He Fang, Zhuoma Lacuo, Hu Ying, Feng Liao, Yu Gang. Analysis on premarital HIV screening results in Liangshan, Sichuan, 2014−2020[J]. Disease Surveillance.

2014-2020年四川省凉山州婚检人群HIV筛查结果分析

基金项目: 四川省科技计划(No. 2019JDR0055)
详细信息
    作者简介:

    刘伦皓,男,四川省成都市人,副研究员,主要从事艾滋病与性病防治,Email:lhliu@189.cn

    通讯作者:

    冯燎,Tel:18682560077,Email:58539976@qq.com

  • 中图分类号: R211; R512.9

Analysis on premarital HIV screening results in Liangshan, Sichuan, 2014−2020

Funds: This study was supported by found for Sichuan Science and Technology Program (No. 2019JDR0055)
More Information
  • 摘要:   目的   通过分析2014—2020年四川省凉山彝族自治州(凉山州)婚检人群HIV抗体筛查结果,了解一般人群中HIV流行特征及趋势。  方法   收集并分析2014—2020年凉山州12个市/县婚检人群HIV抗体筛查资料以及HIV抗体筛查阳性者社会人口学特征、感染途径和接触史相关危险行为等内容。  结果   2014—2020年婚检男性HIV抗体阳性率高于女性;男性HIV抗体阳性率在1.49%~1.99%范围内,女性从2014年的0.89%上升到2020年的1.34%;两两比较不同地区婚检HIV抗体阳性率差异较大;婚检HIV抗体阳性者以男性居多,男女性别比从2014年2.08下降至2020年1.36;年龄以25~39岁组居多,<40岁组构成比呈下降趋势;民族以彝族为主,占95.49%;文化程度以文盲为主;异性传播构成比从2014年46.50%上升至2020年62.98%,注射吸毒传播构成比从2014年53.39%下降至2020年37.02%;注射毒品传播的HIV抗体阳性者中男性占86.53%,异性传播中女性多于男性,占58.61%;异性传播接触史以非婚非商业为主,构成比从2014年48.04%上升至2020年72.87%,其次为婚内异性传播。  结论   凉山州一般人群中艾滋病流行水平高,早期流行模式受注射吸毒传播影响。随后逐步向异性性传播方式转变,并以非婚非商业异性性接触史为主,流行模式相应变化,同时具有广泛流行地区异性传播的特点。在布拖县、昭觉县、美姑县等彝族聚居地区,需根据彝族少数民族特点开展针对性宣传及干预方式。
  • 表  1  2014-2020年凉山州12个市/县婚检人群分性别HIV抗体阳性率

    Table  1.   Gender specific HIV positive rate in premarital HIV screening in 12 counties in Liangshan, 2014−2020

    年份男性女性
    筛查数(人)阳性率(%)筛查数(人)阳性率(%)
    201433 6561.8133 6560.89
    201529 9511.6329 9600.88
    201636 6231.9736 8241.11
    201739 1441.7639 1501.08
    201835 6961.4935 7330.97
    201934 5641.9934 6221.43
    202029 3331.9030 9051.34
    下载: 导出CSV

    表  2  2014-2020年凉山州12个市/县婚检人群分地区HIV抗体阳性率(%)

    Table  2.   Area specific HIV positive rate in premarital HIV screening in 12 counties in Liangshan, 2014−2020(%)

    年份布拖昭觉美姑金阳甘洛雷波德昌西昌冕宁盐源宁南会东
    20143.671.871.270.601.380.090.250.270.440.19
    20152.232.162.061.361.250.400.260.240.430.30
    20162.623.212.341.911.400.470.600.460.370.140.310.17
    20173.242.682.211.211.220.210.630.510.630.330.720.20
    20184.043.431.740.991.180.370.580.290.620.250.210.29
    201910.224.072.771.791.290.670.850.370.640.380.530.18
    20208.123.951.911.731.130.480.420.400.310.310.160.13
    注:−. 数据缺失
    下载: 导出CSV

    表  3  2014-2020年凉山州12个市/县婚检HIV抗体阳性者的基本特征

    Table  3.   Basic characteristics of HIV positive people in premarital HIV screening in 12 counties in Liangshan, 2014−2020

    特征2014年2015年2016年2017年2018年2019年2020年
    例数(例)构成比(%)例数(例)构成比(%)例数(例)构成比(%)例数(例)构成比(%)例数(例)构成比(%)例数(例)构成比(%)例数(例)构成比(%)
    性别
     男性60067.4947164.6171364.5867062.5651661.5069258.7953957.71
     女性28932.5125835.3939135.4240137.4432338.5048541.2139542.29
    年龄组(岁)
     <2512213.7210113.8515013.5914713.7212014.3015513.1710411.13
     25~67976.3856176.9680572.9277171.9960772.3579767.7165970.56
     40~889.90679.1914913.4915314.2911213.3522519.1217118.31
    民族
     彝族85696.2969395.061 05195.201 02695.8079594.751 11794.9090196.47
     汉族293.26293.98484.35373.45414.89534.50303.21
     其他40.4570.9650.4580.7530.3670.6030.32
    文化程度
     文盲57865.0948666.7675468.3070165.4553864.1369058.6255559.42
     小学25829.0518425.2727324.7327525.6822126.3436931.3528730.73
     初中404.50476.46625.62726.72637.51958.07687.28
     高中或中专91.0291.2490.81151.4091.07141.19161.71
     大专及以上30.3420.2760.5480.7580.9590.7780.86
    下载: 导出CSV

    表  4  2014-2020年凉山州12个市/县婚检HIV抗体阳性者的感染途径构成

    Table  4.   HIV transmission routes in HIV positive people in premarital HIV screening in 12 counties in Liangshan, 2014−2020

    年份注射毒品异性传播同性传播
    例数
    (例)
    构成比
    (%)
    例数
    (例)
    构成比
    (%)
    例数
    (例)
    构成比
    (%)
    201446453.2740646.6110.12
    201538954.6332345.3700.00
    201656251.8552248.1500.00
    201752850.0052749.9110.09
    201831838.1351661.8700.00
    201944037.9071761.7640.34
    202036439.3956060.6100.00
    下载: 导出CSV

    表  5  2014-2020年凉山州12个市/县婚检HIV抗体阳性者的异性传播方式

    Table  5.   HIV heterosexual transmission in HIV positive people in premarital HIV screening in 12 counties in Liangshan, 2014−2020

    年份商业非婚非商业业婚内
    例数
    (例)
    构成比
    (%)
    例数
    (例)
    构成比
    (%)
    例数
    (例)
    构成比
    (%)
    201452.798648.058849.16
    20153112.4515461.856425.70
    2016276.4028968.4810625.12
    20176013.7630569.957116.29
    20185912.8332169.788017.39
    20196811.0640465.6914323.25
    2020346.8836072.8810020.24
    下载: 导出CSV
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  • 收稿日期:  2021-11-08
  • 网络出版日期:  2022-06-07

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