我国9个市(县)艾滋病相关死亡回顾性分析

目的 了解艾滋病相关死亡历年变化情况及其对当地造成的寿命损失.方法 根据全国第3次死因调查方案和艾滋病死因同顾性分析的调查方案,采用州顾件调查的方法在云南省个旧市、云南省瑞丽市、云南省陇川县、广东省阳东县、广西壮族自治区鹿寨县、河南省尉氏县、河南省柘城县、湖北省浠水县和河北省固安县6省9市(县)进行死亡名单摸底、人口资料收集、入户调查和死因推断,回顾性分析艾滋病死亡构成及其寿命损失.结果 在6省9市(县)共调查死亡人数118 719例,粗死亡率为5.83%,其中艾滋病相关死亡2002例,占1.67%.艾滋病平均死亡年龄为38.03岁,明显早于非艾滋病死亡的平均年龄(63.10岁),其平均减寿年数为33.80年,人均工作寿命损失为20.50年,其造成的平均潜在寿命损失在所有死因中排第2位.结论 艾滋病在全死因构成中占有一定的比例,在部分高发地区,其死因构成超过10%以上,并已造成较为严重的潜在寿命和潜在工作寿命损失.

Retrospective research on proportion of HIV related death causes in nine counties in China

Objective To investigate the proportion of HIV related death cause,and its years of potential life lost(YPLL)and work years of potential life lose(WYPLL)in project counties.Method According to the protocol of the third national death causes surveillance and HIV related death causes surveillance,retrospective study was implemented including baseline investigation of deaths' name list,demography information,door-to-door interview and death causes deduction in Gejiu,Ruili and Longchuan county in Yunnan province,Yangdong county in Guangdong province,Luzhai county in Guangxi zhuang Autonmous Region,Weishi and Zhecheng county in Henan province,Xishui county in Hubei province and Gu'an county in Hebei province.Results The study Was conducted among nine counties located in seven provinces.A total of 118 719 cases were included,raw mortality was 5.83‰,2002 death cases were related to HIV,which contributed 1.67%of total deaths.The average age of HIV death was 38.03 yearsow,which was earlier than the non-HIV-related life-span(63.10 years).The YPLL and WYPLL of HIV death was 33.80 years and 20.50 years,respectively,which had contributed the second highest average YPLL Conclusion HIV has an important proportion among all death causes,and has contributed severe average YPLL and WYPLL.