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目的分析昆明市艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)死亡情况。方法从“国家艾滋病综合防治数据信息系统”中下载历史卡片,按录入日期选择2011年12月31日前现住址为昆明市的死亡病例进行分析。结果至2011年底,累计报告现住址为昆明市的HIV/AIDS死亡病例851例,其中男性占78.5%,汉族占91.1%,已婚有配偶的占42.5%,初中文化程度占43.1%,农民和家政/家务和待业的分别占37.0%和34.7%。平均死亡年龄(40.2±12.2)岁,71.0%的死亡年龄在25～44岁间。因AIDS、非AIDS其他疾病、吸毒过量、其他原因而死亡的分别占47.7%、23.1%、9.2%、6.2%,还有13.7%的死亡原因不详。HIV确认阳性后存活时间的中位数只有1.1年,确认阳性后1年内死亡的比例达47.9%。结论近几年昆明市HIV/AIDS死亡病例数逐年增加,AIDS已经成为主要的死亡原因;死亡原因的报告质量急需提高;病例发现晚,急需扩大HIV检测覆盖面。
Objective To analyze the deaths of HIV-infected and AIDS patients (referred to as HIV / AIDS patients) in Kunming. Methods The historical cards were downloaded from the “National AIDS Integrated Prevention and Control Information System”, and the death cases before Kunming were selected as December 31, 2011 according to the input date. Results By the end of 2011, a total of 851 HIV / AIDS deaths were reported in Kunming City, of which 78.5% were male, 91.1% were Han nationality, 42.5% were married spouses, 43.1% had junior high school education, Domestic / domestic and unemployed accounted for 37.0% and 34.7% respectively. The average age of death (40.2 ± 12.2) years old, 71.0% of the deaths aged 25 to 44 years old. 47.7%, 23.1%, 9.2%, 6.2%, and 13.7% of the deaths due to AIDS, non-AIDS other diseases, drug addicts and other causes are unknown. The median survival time after positive HIV confirmation was only 1.1 years, with 47.9% of deaths within 1 year after positive confirmation. Conclusion In recent years, the number of deaths from HIV / AIDS in Kunming has been increasing year by year. AIDS has become the main cause of death. The quality of the report of the cause of death is urgently needed to be improved. In the late stage of cases, HIV coverage is urgently needed.