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目的分析重庆市某三甲医院人类免疫缺陷病毒(HIV)感染情况及流行特征,为艾滋病防控相关决策提供证据。方法对2007年1月至2013年12月重庆市某三甲医院HIV感染情况进行整理,统计HIV感染率并分析人群特征。结果2007~2013年度,重庆市某三甲医院HIV感染者新增1 114例,各年增长速度分别为53.7%、55.9%、49.7%、38.9%、35.2%、23.8%和22.4%;新增HIV感染者男女构成差异有统计学意义,男性的比例有增加的趋势;婚姻状况构成差异有统计学意义,已婚者居多(78.5%);各年龄组构成比差异有统计学意义,20~49岁年龄组的比例在各年都最高;文化程度构成差异有统计学意义,低文化程度HIV感染者的比例髙(60.5%),但高文化程度HIV感染者构成比有增加的趋势。传播途径构成差异有统计学意义,性传播(包括同性和异性)感染比例大(88.6%),且有逐年上升趋势。结论 2007~2013年重庆市三甲医院HIV感染呈逐年上升的趋势,但增长速度有所放缓,应进一步加强艾滋病防治工作,重点关注文化程度较低的青年男性人群的防治工作。
Objective To analyze the prevalence and epidemic characteristics of human immunodeficiency virus (HIV) infection in a top three hospital in Chongqing and provide evidence for the prevention and control of AIDS. Methods From January 2007 to December 2013, the HIV infection in a top three hospital in Chongqing was collated, the HIV infection rate was calculated, and the characteristics of the population were analyzed. Results From 2007 to 2013, there were 1,114 HIV-infected patients in a top-rank hospital in Chongqing, with annual growth rates of 53.7%, 55.9%, 49.7%, 38.9%, 35.2%, 23.8% and 22.4% There was a significant difference between men and women with HIV infection. The proportion of males tended to increase. Marital status was significantly different among married people (78.5%). There were significant differences in the composition ratios of all age groups between 20 and 49 The proportion of the aged group is the highest in all years. The differences in the levels of education have statistical significance. The proportion of HIV-infected persons with low education level is 60.5%, but the proportion of HIV-infected persons with high education level tends to increase. There were significant differences in the route of transmission, with a large proportion (88.6%) of sexually transmitted (including same-sex and heterosexual) infections, with an upward trend year by year. Conclusion From 2007 to 2013, HIV infection in the top three hospitals in Chongqing showed a trend of increasing year by year, but the growth rate slowed down. HIV / AIDS prevention and treatment should be further strengthened with a focus on the prevention and treatment of young male population with low educational attainment.