Objective To analyze the epidemic characteristics of HIV/AIDS patients aged 50 and above in Jiangmen, to provide basis for formulating targeted prevention and control measures
Methods The data of reported HIV/AIDS cases aged 50 and above in Jiangmen during 2000 to 2017 were collected from China Information System of AIDS Comprehensive Control and Prevention, and used for the analysis of epidemic characteristics.
Results A total of 1 085 HIV/AIDS patients aged 50 and above in Jiangmen were reported from 2000 to 2017. Among of them, 79.91% were male and 20.09% were female, and the average age was (62.58±8.95) years old. The education degree of junior high school accounted for 52.63%. The main occupation groups were farmer, home-worker and unemployed, accounting for 65.99%. Heterosexual transmission was the major transmission route, accounting for 84.15%. Among of them, the male cases were mainly heterosexual transmission out of marriage, accounting for 79.12%, and the female cases were mainly spousal positive transmission, accounting for 58.71%. 74.10 % cases were detected through medical institutions. There were also statistically significant differences in sample sources between the genders ( P<0.001). The proportion of cases in the elderly rose from 0.87% in 2000 to 37.37% in 2017. The case fatality rate was 51.71%, and 74.69% of deaths occurred within one year of diagnosis.
Conclusion The elderly cases in Jiangmen City are growing rapidly, with high mortality rate, and mainly spread by heterosexual, which is mainly detected by medical institutions. It is necessary to explore the new mode of AIDS propaganda and intervention for the elderly population, popularize the knowledge of AIDS prevention and treatment and strengthen the screening efforts, so as to effectively control the spread of AIDS in this population.
摘要： 目的 分析江门市老年人≥50岁)艾滋病疫情及流行特征，为制定针对性防控措施提供依据。 方法从艾 滋病综合防治佶息系统收集2000—2017年江门市年龄≥50岁艾滋病病毒感染者/艾滋病病人(HIV/AIDS)疫情报告资 料，进行流行病学特征分析。 结果 2000—2017 年江门市报告年龄≥50岁 HIV/AIDS 共 1 085 例, 79.91% 为男性, 20.09% 为女性;平均年龄 (62.58±8.95) 岁;文化程度以小学及以下为主，占 52.63%;职业以农民、家政、家务及待业为主, 占 65.99%;传播途径以异性传播为主，占 84.15%, 其巾男性病例以非婚异性传播为主，占 79.12%，女性病例以配偶阳性 传播为主，占 58.71%，通过医疗机构检测发现占 74.10%，不同性别的样本来源差异也有统计学意义 ( P<0.001)。 老年病 例占当年新报告病例的比例由 2000 年的 0.87% 上升到 2017 年的 37.37%。 病死率为 51.71%，并且死亡病例巾74.69% 是在诊断后一年内死亡。 结论 江门市老年 HIV/AIDS 病例呈持续增长趋势，病死率高，以异性传播为主，主要通过医 疗机构检测发现，应针对老年人群探索新的艾滋病宣传干预模式，普及艾滋病防治知识及加大筛查力度，从而有效控 制艾滋病在该人群巾的蔓延。