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目的基于全国艾滋病病例报告系统的数据,分析重庆市1999-2015年15~24岁青少年以及报告职业为学生的艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)的特征,为控制艾滋病在学校中传播和蔓延提供科学依据。方法从中国疾病预防控制信息系统艾滋病网络直报系统中,下载重庆市艾滋病网络直报数据库中年龄为15~24岁和职业为学生的病例,采用SPSS 23.0软件,分析15~24岁年龄组青少年和学生报告病例的三间分布(时间、人群、地区)特征。结果 1999-2015年报告的15~24岁青少年组病例共计4411例,男性构成比为78.8%(3475/4411);学生病例组共计965例,男性构成比为95.8%(924/965)。15~24岁青少年组有52.8%(2328/4411)为同性性传播感染,学生病例组有78.7%(759/965)为同性性传播感染。2011-2015年报告的学生病例中,19~22岁(大学本科阶段)感染人数累计达60.6%(444/733),15~18岁(高中阶段)年龄组学生病例构成比呈波动上升趋势,但其中18周岁(粗略估计为高三学生)病例所占比例呈逐年下降,分别为77.3%(17/22)、0、71.4%(15/21)、44.7%(17/38)、43.2%(16/37)。两组研究对象的户籍地均以重庆市为主,分别占91.9%(4055/4411)和82.0%(791/965)。结论男性是15~24岁年龄组人群近年来艾滋病主要的易感人群,2008年以来同性性传播是该人群主要的传播途径,学生感染者呈低龄化趋势。
Objective To analyze the characteristics of HIV-infected and AIDS patients (abbreviated HIV / AIDS patients) in Chongqing aged 15 ~ 24 years old from 1999 to 2015 in Chongqing as well as students who reported their occupation as students based on the data from the National AIDS Case Reporting System. , To provide a scientific basis for controlling the spread and spread of AIDS in schools. Methods From the AIDS Network Direct Reporting System of China Disease Prevention and Control Information System, the cases of 15 to 24 years old and occupational students in Chongqing AIDS Network Direct Report Database were downloaded. SPSS 23.0 software was used to analyze the age group of 15 ~ 24 age group And student distribution of the three reported cases (time, population, and region). Results A total of 4411 adolescents aged 15-24 years were reported in 1999-2015. The male ratio was 78.8% (3475/4411). There were 965 cases in the student cases, with a 95.8% (924/965) male ratio. Fifty-eight percent (2328/4411) of 15-24 years old adolescents had same-sex transmission infection, and 78.7% (759/965) of students had same-sex transmission infection. Among the student cases reported in 2011-2015, 60.6% (444/733) were infected in 19- to 22-year-olds (undergraduate subjects), and the proportion of students in the age group of 15-18 years (senior highschools) fluctuated upward. However, the proportion of patients aged 18 years (roughly estimated as high school students) decreased year by year, reaching 77.3% (17/22), 0,71.4% (15/21), 44.7% (17/38), 43.2% 16/37). The subjects of household registration in both groups were mainly Chongqing, accounting for 91.9% (4055/4411) and 82.0% (791/965) respectively. Conclusion Male is a major predisposing population of HIV / AIDS in the age group of 15-24 years old. Since 2008, homosexual transmission is the main route of transmission for this population.