摘要
目的了解2003-2018年贵州省男男性行为人群(MSM)艾滋病流行特征,为制定防控策略提供参考依据。方法采用描述性流行病学方法,分析2003-2018年"艾滋病防治基本信息系统"中报告的现住址为贵州省且感染途径为同性性传播的艾滋病病毒感染者/艾滋病患者(HIV/AIDS)的相关信息;同时分析2010-2018年贵州省MSM哨点监测数据信息。结果 2003-2018年,贵州省累计报告MSM HIV/AIDS病例4 244例,报告数从2004年的150例上升到2018年的545例;报告病例以贵阳市、合肥市报告为主,分别占40. 55%和20. 15%,但是其他市州的报告比例呈现逐年上升趋势(χ2趋势=28. 03,P <0. 01);MSM病例主要来源于检测咨询(39. 35%),专题调查(20. 88%)及医疗机构检测(32. 32%);≥45岁(χ2趋势=6. 49,P=0. 01)、少数民族(χ2趋势=13. 82,P <0. 01)、外省户籍(χ2趋势=9. 86,P <0. 01),农民、民工及学生(χ2趋势=29. 34,P <0. 01)病例所占比例呈现上升趋势;MSM哨点监测显示:2010-2018年贵州省HIV感染率在18%~23%之间波动。结论贵州省MSM的艾滋病防控形式较为严峻,应加强MSM的主动干预检测力度,提升宣传教育的针对性,尤其是应注重对经济欠发达市州、农村地区及学校MSM群体的艾滋病防控。
Objective To understand the epidemic characteristics of HIV/AIDS in men who have sex with men( MSM) in Guizhou province from 2003 to 2018,so as to provide scientific evidence for improving prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the relevant information of HIV/AIDS living in Guizhou province with homosexual transmission in the current address reported in the basic information system of AIDS prevention and treatment from 2003 to 2018. Meanwhile,MSM sentinel surveillance data in Guizhou province from 2010 to 2018 were analyzed. Results From 2003 to 2018,4 244 cases of MSM with HIV/AIDS were reported in Guizhou province. The number of reported cases was increased from 150 cases in 2004 to 545 cases in 2018. The cases were mainly reported in Guiyang and Zunyi, accounting for 40. 55% and 20. 15%respectively. However,the proportion of reports from other cities was increasing year by year( χ2趋势= 28. 03,P < 0. 01). The MSM cases was mainly from testing consultation( 39. 35%),special investigation( 20. 88%) and medical institutions( 32. 32%). In addition,the proportion of cases of age≥45( χ2趋势= 6. 49,P = 0. 01),ethnic minorities( χ2趋势= 13. 82,P < 0. 01),other provinces( χ2趋势= 9. 86,P <0. 01),farmers and students( χ2趋势= 29. 34,P < 0. 01) have been increasing year by year. MSM sentinel surveillance showed that HIV prevalence was between 18% and23% from 2010 to 2018. Conclusion The AIDS epidemic among MSM in Guizhou province is serious. Therefore,it is necessary to strengthen the active intervention and detection of MSM,to improve the ability of education,and especially to pay attention to the AIDS prevention and control of MSM in underdeveloped cities,rural areas and schools.
作者
曹文杰
袁智
姚永明
熊兵
韦薇
林锋
CAO Wenjie;YUAN Zhi;YAO Yongming;XIONG Bing;WEI Wei;LIN Feng(Guizhou Provincial Center for Disease Prevention and Control,Guiyang 550004,China)
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2020年第6期665-669,共5页
The Chinese Journal of Dermatovenereology
基金
贵州省卫生计生委科学技术基金项目(gzwjkj2017-1-087)。
