成都市某院HIV传染性疾病监测结果分析
Monitoring Results of HIV Infection in a Hospital in Chengdu
-
摘要: 目的 了解某院新发现艾滋病感染者流行病学特征.方法 利用成都市某院2013年1月1日至2015年12月31日在中国疾病控制信息系统上报HIV感染者资料,经过上级机构订正后获取可靠数据.结果感染者男性占82.11%,小学以下文化占44.74%,本市其他县占53.68%,非婚异性传播占79.47%.受血或术前检查方式发现感染者占33.68%,感染者已婚有配偶占57.89%,老年艾滋病感染者占27.37%.不同年代不同性别(χ2=1.073,P=0.585)、不同归属地(χ2=2.618,P=0.622)、不同年龄组(χ2=4.375,P=0.358)、不同职业(χ2=0.868,P=0.929)、不同婚姻状态(χ2=190,P=0.535)、不同文化水平(χ2=3.076,P=0.545)、不同传播途径(χ2=1.614,P=0.806)、不同样本来源(χ2=9.815,P=0.133)等HIV感染者差异无统计学意义;不同年代HIV感染者有无性病史(χ2=92.972,P<0.001),差异有统计学意义.结论 2013年至2015年新发现HIV感染者人口学特征未出现很大的变化,需要加大对人群艾滋病健康教育,重点在非婚异性接触的人群及男男性行为人群,对已婚有配偶HIV感染者的对方应加强艾滋病预防相关教育及艾滋病初筛检测,对老年感染者应加大医疗救助与心理疏导,改善其生活质量.Abstract: Objective To learn the epidemiological characteristics of people with HIV infection newly found in the hospital.Methods We assessed the information of people with HIV infection in China information system for disease control and prevention which the superior agency corrected the information during January 1,2013 to December 31, 2015 in the hospital.Results Among the enrolled patients with HIV infection, male patients accounted for 82.11%,patients with education background less than primary school accounted for 44.74%,other county in the city accounted for 53.68%,unmarried sex communication accounted for 79.47%.Patients found by blood or preoperative examination accounted for 33.68%,patients married who has a spouse accounted for 57.89%,etc.old patients accounted for 27.37%.There was no statistically significant difference in gender, place of residence,type of medical treatment insurance among the empty nest old,etc.There was no statistically significant differences in gender(χ2=1.073,P=1.073),different ownership(χ2=2.618,P=0.622),different agegroups(χ2=4.375,P = 4.375),the different professional(χ2=0.868,P=0.868),different marital status(χ2=190,P =0.535),different cultural level(χ2=3.076,P=3.076),different transmission(χ2=1.614,P=1.614),different sample source(χ2=9.815,P=9.815).There was a statistically significant difference in suffering from venereal disease during different years, etc.Conclusion There is no change in demographic characteristics in new found people with HIV during 2013 to 2015.It is necessary to enhance HIV education in the crowd on the knowledge of HIV/AIDS prevention and control,especially for the people with unmarried sex contact and MSM same-sex sexual behaviors.We should provide some education on prevention and control HIV/AIDS to the HIV infected patients married with spouses, and given them the early HIV screening.The government should inprove the medical care and psychological counseling to improve the quality of life of elderly people with HIV infection.
-
[1] [1]LU L,JIA M,MA Y,et al.The changing face of HIV in china[J].Nature,2008,455(7213):609-611. [2]中国疾病预防控制中心.2016年2月全国艾滋病性病疫情及主要防治工作进展[J].中国艾滋病性病,2016,22(4):223. [3]潘珂君,斯热吉木·依明,古丽赛娜木·艾合买提,等.1761名VCT者人口学特征及结果分析[J].中国艾滋病性病,2015,21(3):223-226. [4]罗才会,李红霞,杨阳,等.2014年成都市性病门诊男性就诊者艾滋病哨点监测结果分析[J].疾病监测,2015,30(8):644-647. [5] [5]DENNIS A M,HERBECK J T,BROWN A L,et al.Phylogenetic studies of transmission dynamics in generalized HIV epidemics:an essential tool where the burden is greatest[J].Journal of Acquired Immune Deficiency Syndromes,2014,67(2):181-195. [6]李永福,霍宝锋,郭建生,等.韶关市无偿献血人群10年HIV检测结果与感染者调查分析[J].国际检验医学杂志,2016,36(9):1177-1179. [7]左梦玲,董柏青,吴兴华,等.广西某县HIV现场监测与定点监测的流行病学特征研究[J].中华疾病控制杂志,2016,20(3):225-227. [8]黄炜,石晓天,贾鸣,等.医院就诊者HIV筛查结果分析[J].国际检验医学杂志,2015,36(8):1055-1056. [9]刘蕴婷,林冠文,刘瑛,等.广州市某三甲医院2010~2014年就诊性病特征分析[J].中国热带医学,2015,15(6):755-757. [10] [10]BARNES W,D'ANGELO L,YAMAZAKI M,et al.Identification of HIV-infected 12-to 24-year-old men and women in 15 US cities through venue-based testing.[J].Jama Pediatrics,2010,164(3):273-276. [11]朱义芳,王婷婷,李冬冬,等.综合医院老年人类免疫缺陷病毒感染者的流行病学特征分析[J].实用医院临床杂志,2016,13(1):32-34. [12]万绍平,王桂英,郑世凡.艾滋病知识与行为分离的原因与应对措施[J].实用医院临床杂志,2014,11(3):123-125. [13]邓为民,杨曙光,赵城寒,等.浙江省乐清市农村老年人艾滋病危险因素调查[J].疾病监测,2013,28(8):654-656. [14] [14]LI Y Z,XU J J,QIAN H Z,et al.High prevalence of HIV infection and unprotected anal intercourse among older men who have sex with men in China:a systematic review and meta-analysis[J].BMC Infect Dis,2014,14(1):531. [15] [15]SUN C J,STOWERS J,MILLER C,et al.Acceptability and feasibility of using established geosocial and sexual networking mobile applications to promote HIV and STD testing among men who have sex with men[J].Aids&Behavior,2014,19(3):1-10.
点击查看大图
计量
- 文章访问数: 2749
- HTML全文浏览量: 849
- PDF下载量: 37
- 被引次数: 0