广东省江门市2000—2017年老年HIV/AIDS病例流行病学特征

Objective: To analyze the epidemic characteristics of HIV /AIDS patients aged 50 and above in Jiangmen, to provide basis for formulating targeted prevention and control measures. Methods: The data of reported HIV/AIDS cases aged 50 and above in Jiangmen during 2000 to 2017 were collected from China Information System of AIDS Comprehensive Control and Prevention, and used for the analysis of epidemic characteristics. Results: A total of 1 085 HIV/AIDS patients aged 50 and above in Jiangmen were reported from 2000 to 2017. Among of them, 79.91% were male and 20.09% were female, and the average age was (62.58±8.95) years old. The education degree of junior high school accounted for 52.63%. The main occupation groups were farmer, home-worker and unemployed, accounting for 65.99%. Heterosexual transmission was the major transmission route, accounting for 84.15%. Among of them, the male cases were mainly heterosexual transmission out of marriage, accounting for 79.12%, and the female cases were mainly spousal positive transmission, accounting for 58.71%. 74.10 % cases were detected through medical institutions. There were also statistically significant differences in sample sources between the genders (P<0.001). The proportion of cases in the elderly rose from 0.87% in 2000 to 37.37% in 2017. The case fatality rate was 51.71%, and 74.69% of deaths occurred within one year of diagnosis. Conclusion: The elderly cases in Jiangmen City are growing rapidly, with high mortality rate, and mainly spread by heterosexual, which is mainly detected by medical institutions. It is necessary to explore the new mode of AIDS propaganda and intervention for the elderly population, popularize the knowledge of AIDS prevention and treatment and strengthen the screening efforts, so as to effectively control the spread of AIDS in this population. © 2020 China Tropical Medicine. All rights reserved.

Epidemiological survey of elderly patients with HIV/AIDS in Jiangmen,Guangdong, 2010-2017

Objective To analyze the epidemic characteristics of HIV /AIDS patients aged 50 and above in Jiangmen, to provide basis for formulating targeted prevention and control measures. Methods The data of reported HIV/AIDS cases aged 50 and above in Jiangmen during 2000 to 2017 were collected from China Information System of AIDS Comprehensive Control and Prevention, and used for the analysis of epidemic characteristics. Results A total of 1 085 HIV/AIDS patients aged 50 and above in Jiangmen were reported from 2000 to 2017. Among of them, 79.91% were male and 20.09% were female, and the average age was (62.58±8.95) years old. The education degree of junior high school accounted for 52.63%. The main occupation groups were farmer, home-worker and unemployed, accounting for 65.99%. Heterosexual transmission was the major transmission route, accounting for 84.15%. Among of them, the male cases were mainly heterosexual transmission out of marriage, accounting for 79.12%, and the female cases were mainly spousal positive transmission, accounting for 58.71%. 74.10 % cases were detected through medical institutions. There were also statistically significant differences in sample sources between the genders (P<0.001). The proportion of cases in the elderly rose from 0.87% in 2000 to 37.37% in 2017. The case fatality rate was 51.71%, and 74.69% of deaths occurred within one year of diagnosis. Conclusion The elderly cases in Jiangmen City are growing rapidly, with high mortality rate, and mainly spread by heterosexual, which is mainly detected by medical institutions. It is necessary to explore the new mode of AIDS propaganda and intervention for the elderly population, popularize the knowledge of AIDS prevention and treatment and strengthen the screening efforts, so as to effectively control the spread of AIDS in this population.