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目的分析2008—2014年横县新报告及晚发现HIV/AIDS病例的流行病学特征,旨在了解该县HIV/AIDS防治现状,为今后科学防治艾滋病提供理论依据。方法采用描述流行病学方法,对2008—2014年横县新报告及晚发现HIV/AIDS病例进行流行病学分析。结果 2008—2014年横县新报告HIV/AIDS病例共计3 011例,且每年均有新报告病例,新报告病例数和死亡数均呈先上升后稳定趋势;新报告病例数位居前3位的地区为百合镇(20.26%)、横州镇(12.69%)和云表镇(10.03%);男性高于女性,男、女性别比为2.87∶1;以≥50岁(57.12%)和25~<50岁(38.82%)的人群为主,且25~<50岁人群呈逐年下降趋势,≥50岁人群呈逐年上升趋势;职业以农民为主,占84.59%。2008—2014年晚发现比例呈先上升后稳定趋势,差异均有统计学意义(P<0.05);人群分布男性高于女性;≥50岁人群高于其他年龄组人群。结论 2008—2014年横县新报告HIV/AIDS的发病率及其晚发现比例均呈先上升后稳定趋势,晚发现比例高于全国水平。
Objective To analyze the epidemiological characteristics of the newly reported Hengxian County and late-onset HIV / AIDS cases in 2008-2014 so as to know the current status of HIV / AIDS prevention and treatment in this county and provide a scientific basis for scientific prevention and treatment of AIDS in the future. Methods Descriptive epidemiological methods were used to carry out epidemiological analysis of the newly reported Hengxian County and late-onset HIV / AIDS cases in 2008-2014. Results A total of 3 011 new cases of HIV / AIDS were reported in Hengxian during 2008-2014. There were newly reported cases every year. The number of new reported cases and the number of deaths showed a trend of first rising and then stabilizing. The number of newly reported cases was the top three (20.26%), Hengzhou town (12.69%) and Yun table town (10.03%). The ratio of male to female was 2.87:1, 25 ~ <50 years old (38.82%), and the population aged 25 ~ <50 years showed a downward trend year by year. The population aged ≥50 years showed an upward trend year by year. The main occupation was peasant, accounting for 84.59%. The proportion found in the period from 2008 to 2014 showed the trend of first rising and then stabilizing, the differences were statistically significant (P <0.05); the distribution of males was higher than that of females; and those of ≥50 years of age were higher than those of other age groups. Conclusion The incidence of HIV / AIDS and its late detection rate in Hengxian County from 2008 to 2014 showed the trend of first rising and then stabilizing, and the rate of late detection was higher than the national average.