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 newly-reported and late diagnosed HIV/AIDS cases from 2008 to 2014 in Heng County, aiming to understand current situation of HIV/AIDS in the county, to provide theoretical basis in prevention and control of AIDS in the future. Methods The descriptive epidemiology was carried out in analy- sis of the data of newly-reported and late diagnosed HIV/AIDS cases from 2008 to 2014 in Heng County. Results A total of 3 011 HIV/AIDS individual cases were statistically analyzed, newly-reported cases were reported in every years the number of newly-reported cases and deaths showed a trend of rising then lowered down in stable. The top three regions with most newly-reported cases were Baihe Town ( 20.26% ) , Hengzhou Town ( 12.69% ) and Yunbiao Town ( 10.03% ). Male cases were more than female cases with a ratio 2.87 : 1 ( male to female ). Newly-reported HIV/AIDS cases mainly in ≥50 years group (57. 12%) and 25-〈50 years group (38.82%), the constituent ratio of newly-reported cases in 25-〈50 group showed a decreasing trend year by year, but that of newly-reported cases in ≥50 years group showed a increasing trend year by year. The occupation distribution showed that the farmers took up a large proportion, accounting for 84.59% of the total cases. From 2008 to 2014, the ratio of late diagnosed cases showed an increasing trend year by year, and all the differences had statistical meaning (P〈0.05). Male cases were more than female cases in late diagnosed cases of newly-reported HIV/AIDS cases, patients in 〉150 years group occuped a higher propotion than in the other age groups. Conclusion The incidence of newly- reported HIV/AIDS cases and the proportion of late diagnosed cases showed that the trend initially appeared a upward then lowered down in a stable, the proportion of late diagnosed cases was higher than the national level from 2008 to 2014 in Heng County.