广东省第四轮艾滋病综合防治示范区艾滋病防控需求分析

doi:10.12183/j.scjpm.2021.0964

摘要/Abstract

摘要： 目的了解广东省第四轮艾滋病综合防治示范区的防控需求,为示范区采取相关策略和措施提供参考。方法采用描述流行病学分析方法对全国艾滋病综合防治信息系统中广东省第四轮示范区地区2011—2018年HIV/AIDS报告病例及抗病毒治疗等资料进行分析。结果 2011—2018年共新报告HIV/AIDS病例34 926例,其中城市示范区报告病例集中在20~39岁（68.76%）、以同性传播为主（48.09%）;县区示范区报告病例中异性传播是首要感染途径（77.87%）,≥50岁年龄组占比呈上升趋势并成为首要感染群体（P<0.01）。两者样本来源均以医疗机构就诊检测发现为主（49.43%、56.79%）、晚发现病例来源医疗机构就诊检测比例高（63.5%、64.0%）。城市和县区示范区报告病例的年龄、文化程度、户籍、感染途径等特征,以及晚发现比例、现存活病例抗病毒治疗比例和治疗成功率等差异均有统计学意义（均P<0.01）。结论 2011—2018年广东省城市和县区示范区地区报告病例特征和防控现状存在差异。广东省第四轮示范区在落实国家示范区工作指导方案的同时还需要结合城市和县区示范区疫情特点和当地实际,采取更细化和有针对性的防控措施。

关键词: 综合防治, 示范区, 艾滋病, 病例报告

Abstract: Objective To understand the prevention and control needs of the fourth round of comprehensive AIDS prevention and treatment demonstration areas in Guangdong Province, and to provide references for the demonstration areas to adopt relevant strategies and measures. Methods The descriptive epidemiological analysis method was used to analyze the reported HIV/AIDS cases and antiretroviral treatment data of the fourth round of demonstration areas Guangdong Province in the National AIDS Comprehensive Prevention and Control Information System from 2011 to 2018. Results A total of 34 926 HIV/AIDS cases were newly reported from 2011 to 2018. Among them, the reported cases in the urban demonstration area were concentrated in the 20-39 years old （68.76%）, and the majority were homosexual transmission （48.09%）; in the cases of county demonstratio areas, the opposite sex transmission was the primary route of infection （77.87%）, and the proportion of the group aged over 50 years old was on the rise and became the primary infection group （P<0.01）. Both sample sources were mainly based on medical institution visits and inspections （49.43%, 56.79%）, and cases which were found late had a high proportion in medical institutions visits and inspections （63.5%, 64.0%）. There were statistically significant differences in the age, educational level, household registration, route of infection and other characteristics of the reported cases in the demonstration areas of urbans and counties, as well as the proportion of late detection, the proportion of antiviral treatments for surviving cases, and the success rate of treatment （all P<0.01）. Conclusion There are differences in the characteristics of reported cases and the prevention and control status between urbans and counties of demonstration areas in Guangdong Province from 2011 to 2018. The fourth round of demonstration areas in Guangdong Province needs to integrate the cities while implementing the work guidance plan for the national demonstration areas. To take more detailed and targeted prevention and control measures in accordance with the characteristics of the epidemic situation in the demonstration areas of the counties and districts and the local reality.

Key words: Comprehensiv prevention and treatment, Demonstration area, AIDS, Case report

中图分类号:

R183.9

黎健荣, 杨放, 林鹏, 李艳, 刘珺, 罗玉兰, 付笑冰, 徐慧芳. 广东省第四轮艾滋病综合防治示范区艾滋病防控需求分析[J]. 华南预防医学, 2021, 47(8): 964-967.

LI Jian-rong, YANG Fang, LIN Peng, LI Yan, LIU Jun, LUO Yu-lan, FU Xiao-bing, XU Hui-fang. Needs analysis of AIDS prevention and control in the fourth round of comprehensive AIDS prevention and treatment demonstration areas in Guangdong[J]. South China Journal of Preventive Medicine, 2021, 47(8): 964-967.

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