| 樊盼英,马彦民,聂玉刚,刘洋,赵东阳,张国龙,李宁.河南省2015-2020年非婚非商业异性性传播HIV/AIDS特征和流行趋势分析[J].Chinese journal of Epidemiology,2021,42(10):1835-1839 |
| 河南省2015-2020年非婚非商业异性性传播HIV/AIDS特征和流行趋势分析 |
| Characteristics and trends of HIV/AIDS cases with the non-martial and non-commercial heterosexual transmission in Henan province, 2015-2020 |
| Received:May 15, 2021 |
| DOI：10.3760/cma.j.cn112338-20210515-00401 |
| KeyWord: 艾滋病病毒 异性性传播 非婚 非商业 |
| English Key Word: HIV Heterosexual transmission Non-martial Non-commercial |
| FundProject:国家科技重大专项（2018ZX10715009）；河南省科技攻关项目（172102310452） |
| Author Name | Affiliation | E-mail | | Fan Panying | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | | | Ma Yanmin | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | | | Nie Yugang | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | | | Liu Yang | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | | | Zhao Dongyang | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | | | Zhang Guolong | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | | | Li Ning | Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China | lining0386@yeah.net |
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| Abstract: |
| 目的 分析2015-2020年河南省新报告非婚非商业异性性传播HIV/AIDS的特征和流行趋势变化。方法 从我国艾滋病防治基本信息系统下载2015-2020年河南省新报告≥15岁非婚非商业异性性传播HIV/AIDS个案信息，应用SPSS 22.0软件描述和分析病例的特征和流行趋势。结果 2015-2020年河南省新报告非婚非商业异性性传播HIV/AIDS 10 877例，占HIV/AIDS总数的构成比由2015年的32.6%增长至2020年的35.5%（趋势χ2=81.880，P<0.01）；男女性别比1.9：1（7 105：3 772），年龄（45.5±15.8）岁，逐年增加（F=5.184，P<0.01），以40~59岁年龄组为主，女性病例中<50岁组的构成比逐年减少（趋势χ2=69.888，P<0.01）；主要分布在HIV早期流行地区（驻马店市、南阳市、周口市、商丘市）和郑州市，与首次CD4+T淋巴细胞（CD4）<200个/μl病例集中的地区一致；首次CD4 M（P25，P75）为298（143，462）个/μl，首次CD4<200个/μl的构成比随时间无明显变化，首次CD4≥500个/μl的构成比逐年减少（趋势χ2=18.961，P<0.01）。结论 河南省非婚非商业异性性传播HIV/AIDS总体疫情呈上升趋势，以男性、已婚、初中、农民或民工、40~59岁为主，提示需关注农村地区和中年人群，结合生物学和社会学因素特点，采取综合性的防控措施，控制艾滋病传播。 |
| English Abstract: |
| Objective To analysis the characteristics and trends of non-martial and non-commercial heterosexual transmission of HIV/AIDS cases in Henan province between 2015 and 2020. Methods Information of newly reported HIV/AIDS through non-martial and non-commercial heterosexual transmission was collected from National Comprehensive HIV/AIDS Information system, using SPSS 22.0 to analyze the characteristics and tend of cases. Results During 2015-2020, a total of 10 877 HIV/AIDS cases infected by non-martial and non-commercial heterosexual transmission were newly reported in Henan province. This mode of infection increased from 32.6% in 2015 to 35.5% in 2020 (trend χ2=81.880,P<0.01). The male to female ratio was 1.9:1 (7 105:3 772). The mean age was (45.5±15.8) years, increasing annually (F=5.184,P<0.01). For female cases, the proportion of aged 15-50 years group was decreased annually (trend χ2=69.888, P<0.01). Most HIV/AIDS cases were distributed in the early HIV epidemic areas and Zhengzhou city, the same as the cases of the first CD4+T cells counts (CD4) below 200 cells/μl. The median (P25, P75) first CD4 count was 298 (143, 462) cells/μl. The proportion of the first CD4<200 cells/μl was no significant change annually, while the proportion of the first CD4 ≥ 500 cells/μl was decreasing annually (trend χ2=18.961,P<0.01). Conclusions The reported cases through non-martial and non-commercial heterosexual transmission increased, with most of them were male, married, junior, farmer, migrant laborer, and aged 40-59 years. It is needed to focus on the rural district and the middle-aged population, combined with biological and social factors to control the prevalence of AIDS through comprehensive prevention and control measures. |
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