2009-2017年德阳市艾滋病流行特征分析

目的 分析德阳市2009-2017年艾滋病流行病学特征,为制定地区性防控措施提供理论依据。方法 对2009-2017年德阳市HIV感染者的流行概况、时间分布、人群特征、地区分布等相关资料做统计分析。结果 2009-2017年德阳市共检出3 724例HIV感染者,感染率1.07‰,发病率0.38‰,死亡率0.10‰;感染HIV的人群中有35.41%发展为艾滋病,且呈逐年下降,有8.99%死亡。德阳市HIV感染者的高速增长时间集中在2011-2013年间,从2014年逐渐趋于相对较低的增长速度。2009-2017年间德阳市HIV感染者的男女比例3.25〖DK〗∶1,以21-50岁的人群为主,占60.89%,但51-70岁的感染者构成比呈明显上升趋势,感染者职业以农民为主,占40.14%,婚姻状况为已婚的占62.26%,文化程度为初中及以下的占75.54%,人群类型以临床病人为主,占54.81%,医院、疾控是HIV感染者的主要检出机构。德阳市HIV感染者的地区分布与人口结构相关,区域性特征突出。结论 德阳市艾滋病已逐渐进入低速增长和低发病的流行态势。目前感染者人群特征呈现为男性、青壮年、已婚、低学历;但人群特征多元化、年龄老龄化、分布区域化、检出集中化等成为主要的特征趋势。

Epidemiological characteristics of AIDS in Deyang,2009-2017

Objective To analyze the epidemic characteristics of AIDS from 2009 to 2017,and to provide a theoretical reference for preventing and controlling AIDS in Deyang district.Methods The epidemic situation,time distribution,population characteristics and regional distribution of HIV infectors in Deyang from 2009 to 2017 were analyzed.Results A total of 3,724 HIV infectors were detected in Deyang between 2009 and 2017,with the infection rate of 1.07‰,morbidity of 0.38‰ and mortality of 0.10‰.35.41% of the HIV infectors developed into AIDS,and the rate decreased year by year,and 8.99% of these who developed into AIDS were dead.The rapid growth of HIV infectors in Deyang was concentrated from 2011 to 2013,and it gradually tended to a relatively low growth rate since 2014.The male-female ratio of HIV infectors in Deyang from 2009 to 2017 was 3.25〖DK〗∶1,among which the people aged 21 to 50 accounted for 60.89%,while the proportion of infectors at age 51 to 70 showed a tendency to increase.Peasants accounting for 40.14% of the total was the major occupation,and the married people accounted for 62.26%.People having junior high school education or less accounted for 75.54%.Majority of infectors were clinical patients,which accounted for 54.81%,and hospitals and centers for disease control and prevention were the main detection institutions for AIDS.The geographical distribution of infectors was associated with the population structure,showing a prominent regional characteristic.Conclusion AIDS in Deyang have entered the epidemic trend of low-speed growth and low morbidity gradually.Currently,the population characteristics shows that infected people are young adults,males,married or have low education.Nevertheless,the population diversification,age structure ageing,distribution regionalization and detection concentration are the main trends.