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目的了解艾滋病(AIDS)相关死亡的变化趋势,以及艾滋病相关死亡对当地死亡状况造成的影响。方法采用回顾性调查的方法,对河南省驻马店市上蔡县7个行政村,1995年1月1日-2007年10月31日,所有死亡者进行名单摸底、入户调查和死因推断,分析死亡构成及变化。结果共计死亡2546人,其中艾滋病病毒感染者(HIV)/AIDS死亡521例(20.5%),疑似AIDS死亡525例(20.6%),非AIDS死亡1500例(58.9%)。30～49岁青壮年死亡人数的比例,从1995-1997年的<15%上升到1998年的21.5%,在2002年达到42.3%,之后逐年下降,到2007年为25.5%。30～49岁年龄组HIV/AIDS死亡者和疑似AIDS死亡者,分别占该组死亡人数的59.7%和59.8%。全人群死亡率在1995-1999年为7‰左右,在2002年出现高峰,为14.9‰。结论艾滋病和疑似艾滋病的死亡,成为当地死亡的主要原因,尤其是青壮年的死亡。
Objectives To understand the trend of AIDS-related deaths and the impact of AIDS-related deaths on local deaths. Methods A retrospective survey was conducted to investigate the list of deaths, household surveys and the cause of death in all 7 administrative villages in Shangcai County, Zhumadian City, Henan Province, January 1, 1995 - October 31, 2007 Death composition and change. Results A total of 2546 deaths were reported, of which 521 (20.5%) were HIV / AIDS deaths, 525 (20.6%) were suspected AIDS deaths and 1500 (58.9%) were non-AIDS deaths. The proportion of young adults aged between 30 and 49 rose from 15% in 1995-1997 to 21.5% in 1998 and 42.3% in 2002, and then declined year by year to 25.5% in 2007. The deaths of HIV / AIDS and AIDS-related AIDS among 30-49 age group accounted for 59.7% and 59.8% of the deaths respectively. The overall population mortality rate was around 7 ‰ in 1995-1999 and peaked at 14.9 ‰ in 2002. Conclusions AIDS and AIDS-related deaths are the main causes of local deaths, especially among young adults.