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目的分析内蒙古自治区蒙古族艾滋病(AIDS)病例流行特征。方法利用AIDS网络直报信息系统下载截止2015年9月底报告的艾滋病病毒感染者(HIV)/AIDS定时数据库,收集内蒙古自治区AIDS病例报告数据信息。结果汉族、蒙古族及其他少数民族HIV/AIDS年龄、性别、职业、婚姻及文化程度均有差异(P<0.001),蒙古族以20和30岁年龄组的男性未婚者为主,职业为学生的(10.8%)约为汉族和其他少数民族的2倍;男男性行为接触史(60.1%)、同性传播(60.3%)和性病史(19.4%)高于汉族和其他少数民族(P<0.05);病例发现以检测咨询(23.8%)和其他就诊者检测(24.3%)为主,而其他少数民族以强制/劳教戒毒人员和其他羁押人员体检为主(49.3%)(χ~2=1 083.56,P<0.001)。晚发现和治疗高于其他少数民族;流动性(8.6%)低于汉族(15.0%)和其他少数民族(21.3%),(P<0.001)。AIDS相关死亡高于汉族和其他少数民族(χ~2=27.59,P<0.001)。结论蒙古族AIDS病例主要以男性青年同性传播为主,需针对蒙古族男男行为人群采取有效干预措施。
Objective To analyze the prevalence of AIDS among Mongolian nationalities in Inner Mongolia Autonomous Region. Methods The AIDS Network Direct Reporting System was used to download the HIV / AIDS database from the end of September, 2015 to collect data on AIDS cases in Inner Mongolia Autonomous Region. Results There were differences in age, sex, occupation, marital and educational level of HIV / AIDS among Han, Mongolian and other ethnic minorities (P <0.001). Mongolians were predominantly male unmarried in the 20- and 30-year-old age groups, occupations were students (10.8%) was about twice that of Han and other ethnic minorities. The incidence of MSM (60.1%), same-sex transmission (60.3%) and STD history was higher than that of Han and other ethnic minorities (P <0.05 (23.8%) and other medical examinations (24.3%). Other ethnic minorities were mainly physically (49.3%) with forced / re-education drug abusers and other detainees (χ ~ 2 = 1 083.56, P <0.001). Late detection and treatment were higher than other ethnic minorities; mobility (8.6%) was lower than Han (15.0%) and other minorities (21.3%) (P <0.001). AIDS-related deaths were higher than Han and other ethnic minorities (χ ~ 2 = 27.59, P <0.001). Conclusion The cases of AIDS in Mongolian mainly include same-sex transmission of male youth, and effective interventions should be taken for Mongolian male sex workers.