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目的了解2009—2014年厦门市HIV/AIDS疫情变化趋势和病例的人群特征,为制定防治策略提供依据。方法对厦门市2009—2014年艾滋病疫情数据进行统计分析。计数资料采用趋势性χ2检验,P<0.05为差异有统计学意义。结果2009—2014年厦门市共报告HIV/AIDS病例805例,厦门病例多集中在岛内两区,为522例(64.84%),性别比为6.45:1;病例高发年龄段为20~40岁,为603例(74.91%);所有检出病例中,未婚病例所占比例逐渐增加(4.12%、7.75%、10.65%、15.98%、21.79%、39.71%),差异有统计学意义(χ2=36.02,P<0.05);病例中大专及以上所占比例逐年上升(2.36%、9.09%、8.42%、16.16%、20.20%、43.77%),差异有统计学意义(χ2=35.62,P<0.05)。检测咨询途径所占的比例逐年上升(2.54%、8.70%、9.06%、15.94%、20.29%、43.48%),差异有统计学意义(χ2=29.63,P<0.05)。异性性传播病例412例(51.18%),同性性传播病例365例(45.34%),注射毒品传播病例13例(1.61%)。经性途径传播的病例中,同性性传播所占的比例正在逐渐增加(4.23%、7.89%、10.14%、12.68%、16.34%、48.73%),差异有统计学意义(χ2=54.35,P<0.05)。结论近年来厦门市艾滋病的发病率呈明显上升趋势;病例集中在岛内发达地区,以青壮年为主,男性多于女性。性传播成为主要传播途径,尤其同性性传播病例增加明显,同性人群应成为重点关注人群。
Objective To understand the population characteristics of HIV / AIDS epidemic trends and cases in Xiamen City from 2009 to 2014, and to provide basis for prevention and treatment strategies. Methods A statistical analysis of AIDS epidemic data in Xiamen City from 2009 to 2014 was conducted. Counting data using trend χ2 test, P <0.05 for the difference was statistically significant. Results A total of 805 cases of HIV / AIDS were reported in Xiamen City from 2009 to 2014. Most of the cases in Xiamen were in 522 districts (64.84%) with a sex ratio of 6.45: 1. The incidence of cases was 20-40 years , And 603 cases (74.91%). Among all the detected cases, the proportion of unmarried cases increased gradually (4.12%, 7.75%, 10.65%, 15.98%, 21.79%, 39.71%), the difference was statistically significant (χ2 = 36.02, P <0.05). The proportion of college graduates and above cases increased year by year (χ2 = 35.62, P <0.05), and the difference was statistically significant (2.36%, 9.09%, 8.42%, 16.16%, 20.20%, 43.77% ). The proportion of testing and counseling ways increased year by year (2.54%, 8.70%, 9.06%, 15.94%, 20.29%, 43.48%). The difference was statistically significant (χ2 = 29.63, P <0.05). 412 cases of heterosexual transmission (51.18%), 365 cases of homosexual transmission (45.34%) and 13 cases (1.61%) of injecting drugs. Proportion of sexually transmitted sexually transmitted diseases is gradually increasing (4.23%, 7.89%, 10.14%, 12.68%, 16.34%, 48.73%), the difference was statistically significant (χ2 = 54.35, P < 0.05). Conclusion The incidence of AIDS in Xiamen City in recent years showed a clear upward trend; the cases concentrated in the developed areas of the island, mainly young adults, more men than women. Sexual transmission has become the main route of transmission, especially in cases of homosexual transmission increased significantly, same-sex people should be the focus of the crowd.