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2016年12月全国艾滋病性病疫情
引用本文:王亚男, 胡清海, 张博雯, 马强, 姜拥军. 2006 — 2016年某综合性医院确诊HIV阳性患者特征分析[J]. 中国公共卫生, 2018, 34(6): 914-917. DOI: 10.11847/zgggws1119486
作者姓名:王亚男  胡清海  张博雯  马强  姜拥军
作者单位:1.中国医科大学附属第一医院 国家卫生和计划生育委员会艾滋病免疫学重点实验室,沈阳 110001;2.中国医科大学附属第一医院 感染性疾病诊治协同创新中心(杭州)
基金项目:国家自然科学基金(81703277)
摘    要:
  目的  了解2006 — 2016年某医院艾滋病病毒感染者及患者(HIV/AIDS)抗体筛查阳性率及流行病学特征。  方法  2006 — 2016年中国医科大学附属第一医院共有646 040人接受了HIV抗体检测,1 036例HIV抗体阳性,收集HIV确诊阳性患者流行病学数据。利用SAS 9.2软件进行统计学分析。  结果  HIV抗体检测阳性率逐年上升(趋势χ2 = 176.3,P < 0.001),2016年的HIV抗体检测阳性率是2006年的8倍。1 036例HIV/AIDS中大学及以上者占35.2 %,从2006年的28.6 %上升至2016年的35.2 %(趋势χ2 = 4.5,P = 0.035);经男男同性(MSM)性传播占73.9 %,从2006年的28.6 %上升至2016年的80.7 %(趋势χ2 = 134.8,P < 0.001);MS性传播者中未婚比例为61.4 %,高于异性性传播的18.7 %(χ2 = 247.5,P < 0.001)。  结论  医院就诊患者中HIV抗体检测阳性率逐年升高,以MSM性传播感染为主。需扩大医院HIV抗体检测范围,加强对MSM人群的咨询检测。


关 键 词:HIV/AIDS  HIV抗体检测  综合性医院
收稿时间:2018-04-23

Population-based sexual behavior surveys in China: Liuzhou compared with other prefectural cities
Ya-nan WANG, Qing-hai HU, Bo-wen ZHANG, . Characteristics of HIV-positive patients diagnosed in a general hospital, 2006 – 2016[J]. Chinese Journal of Public Health, 2018, 34(6): 914-917. DOI: 10.11847/zgggws1119486
Authors:Ya-nan WANG  Qing-hai HU  Bo-wen ZHANG
Affiliation:1.Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang, Liaoning Province 110001, China
Abstract:
  Objective  To examine characteristics of positive detections of human immunodeficiency virus (HIV) and HIV-positive patients among examinees in a general hospital from 2006 to 2016.  Methods  We collected results of serum HIV antibody detection for 646 040 examinees from 2006 through 2016 in the First Affiliated Hospital of China Medical University from the hospital's Clinical Information Management System; then we collected relevant data on 1 036 HIV-positive patients diagnosed among all the examinees from the AIDS Prevention and Control Information System of Chinese Center for Disease Control and Prevention. Statistical analyses were performed using SAS 9.2 software.  Results  The detection rate of HIV-positive increased yearly during the 11-year period (χ2trend = 176.3, P < 0.001) and the rate in 2016 was 8 times higher than that in 2006. Of the first diagnosed HIV-infected individuals in 2016, 35.2% (82) had the education of college or higher and the ratio was higher than that in 2006 (28.6%), with an increasing trend (χ2trend = 4.5, P = 0.035). For all the HIV-positive patients, 73.9% were identified being infected via the transmission among the men who have sex with men (MSM) and the annual proportion of MSM transmission increased significantly from 28.6% in 2006 to 80.7% in 2016 (χ2trend = 134.8, P < 0.001). Of the HIV-positive individuals infected via MSM transmission, 61.4% were unmarried and the ratio was significantly higher than that (18.7%) among the HIV-positive individuals infected via heterosexual transmission (χ2 = 247.5, P < 0.001).  Conclusion  The detection rate of serum HIV antibody positive is increasing yearly among examinees in general hospitals and the majority of the HIV-positive patients were infected via MSM transmission. The results suggest that HIV antibody detection among outpatients and provider-initiated HIV testing and counseling should be promoted.
Keywords:HIV/AIDS  HIV antibody detection  general hospital
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