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目的了解河南省≥60岁年龄组人群艾滋病病例报告情况。方法在艾滋病综合防治信息系统“历史卡片下载”处,下载截至2013年底河南省累计报告HIV/AIDS数据库,对相关数据进行分析。结果 2009-2013年新报告病例中≥60岁年龄组病例共2 288例,以男性为主,性别比从2009年的1.56增长到2013年的2.86,呈逐年上升趋势(χ2=31.171,P<0.001)。异性传播的构成比从2009年的40.2%上升到2013年的93.7%。同性传播的构成比从0.4%上升到3.5%。采血(浆)、输血/血制品的构成比呈逐年下降的趋势,分别从2009年的17.4%和34.0%,下降到2013年的1.0%和1.4%(χ2=514.744,P<0.001)。结论河南省≥60岁年龄组人群报告病例数逐年增多,异性传播成为该人群感染HIV的主要途径,应将老年男性作为今后艾滋病宣传教育、监测和干预等工作的重点人群之一。
Objective To understand the reported cases of AIDS among the population of ≥60 years old in Henan province. Methods In HIV / AIDS prevention and control information system, “History Card Download”, we downloaded the cumulative HIV / AIDS database in Henan Province as of the end of 2013 and analyzed the related data. Results A total of 2 288 cases of ≥60 years of age were reported in the newly reported cases from 2009 to 2013, mainly male, and the sex ratio increased from 1.56 in 2009 to 2.86 in 2013 (χ2 = 31.171, P < 0.001). The proportion of heterosexual transmission rose from 40.2% in 2009 to 93.7% in 2013. Proportion of same-sex transmission increased from 0.4% to 3.5%. Blood sugar (blood plasma) and blood transfusion / blood product ratio decreased from 17.4% and 34.0% respectively in 2009 to 1.0% and 1.4% in 2013 (χ2 = 514.744, P <0.001). CONCLUSIONS: The number of reported cases in Henan ≥60 years of age has been increasing year by year. Heterosexual transmission has become the main route of HIV infection in this population. Elderly men should be regarded as one of the key populations for AIDS education, monitoring and intervention in the future.