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目的了解铜仁市老年HIV/AIDS的疫情及流行特征,为该人群的艾滋病防控工作提供科学依据。方法对铜仁市2008年-2013年≥50岁老年HIV/AIDS资料进行分析。结果 2008年-2013年铜仁市累计报告老年HIV/AIDS患者185例,占累计报告艾滋病总数的14.3%。2008年报告老年HIV/AIDS病例8例(3.4%),2013年报告老年HIV/AIDS患者69例(28.2%),呈逐年上升的趋势;疫情分布于全市10个市区;该人群的平均年龄为60.1岁±7.5岁,最大年龄为86岁;年龄多集中在50岁~64岁,占75.7%;性别以男性为主,占67.0%;婚姻状况以已婚有配偶为主,占81.6%;职业以农民和无业人员为主,占80.6%;文化程度以小学及文盲为主,占63.7%;传播途径以异性性传播为主,占95.7%;51.9%的患者由医疗机构报告。结论铜仁市近几年老年HIV/AIDS疫情较为严峻,应采取有针对性的防控措施,预防艾滋病在该人群中传播。
Objective To understand the epidemic and epidemic characteristics of HIV / AIDS among the elderly in Tongren, and to provide a scientific basis for AIDS prevention and control in this population. Methods The data of HIV / AIDS aged 50 years and older in Tongren from 2008 to 2013 were analyzed. Results From 2008 to 2013, Tongren City reported a total of 185 elderly HIV / AIDS patients, accounting for 14.3% of the total reported AIDS. 8 cases (3.4%) reported elderly HIV / AIDS in 2008 and 69 cases (28.2%) reported elderly HIV / AIDS in 2013, which showed an increasing trend year by year. The outbreaks were distributed in 10 urban areas in the city. The average age of the population 60.1 years ± 7.5 years old, the maximum age of 86 years old; age and more concentrated in the 50-year-old to 64-year-old, accounting for 75.7%; male-dominated sex, accounting for 67.0%; marital status to married spouses, accounting for 81.6% . Occupations were dominated by peasants and unemployed persons, accounting for 80.6% of the total; primary education and illiteracy accounted for 63.7% of the total population. Transmission was mainly heterosexual, accounting for 95.7%. 51.9% of the patients were reported by medical institutions. Conclusion The prevalence of HIV / AIDS in the elderly in Tongren City in recent years is relatively severe. Targeted prevention and control measures should be taken to prevent the spread of AIDS in this population.