|
|
|
| A study on the epidemic characteristics of HIV/AIDS by different routeof transmission in Huzhou City |
| YANG Zhong-rong, JIN Mei-hua, DONG Zheng-quan, ZHANG Si-chao, LI Jing
|
| The Center for Disease Control and Prevention of Huzhou City, Huzhou, Zhejiang, 313000, China |
|
|
|
|
Abstract Objective The aim of this study is to explore epidemic characteristics of HIV/AIDS by different route of transmission during 2011—2014 in Huzhou City, then to provide a scientific basis for the prevention and control of HIV. Methods The epidemiological case data of HIV/AIDS from 2011 to 2014 were collected in Huzhou City by China information system for disease control and prevention. Descriptive epidemiological methods were used for analysis.Results A total of 436 cases with HIV/AIDS were reported during 2011—2014 in Huzhou City, and the number of HIV/AIDS reports increased year by year. The main route of transmission include heterosexual contact, which was accounted for 56.65%. MSM transmission was accounted for 38.53%, and injection drug transmission was accounted for 3.90%. Mother to child transmission was 1 case and blood transfusion / blood products transmission were 3 cases, which accounting for 0.92%. The constituent ratio of injecting drug patients, mother to child transmission or blood transfusion / blood products patients presented declining trend (P<0.05). Patients who were infected through heterosexual contact mainly were 30 to <60 years of age (68.83%), junior middle school or below education level (80.97%), married (61.94%). Patients who were infected through MSM mainly were 15 to <45 years of age (76.19%), high school or higher education (47.62%), unmarried (51.19%), household registration of Huzhou City (52.98%). Patients who were infected through injection drug mainly were 30 to <45 years of age (70.59%), primary school or lower education level (82.35%), unmarried (47.06%), household registration of other province (94.12%). Most cases were detected HIV positive through clinical tests, which accounting for 51.15%. Most HIV/AIDS of MSM, heterosexual transmission and inject-drugs were distributed in Wu Xing District, which accounting for 67.26%, 51.42% and 64.71%, respectively. 51.15% HIV/AIDS were detected by clinical test.Conclusion The reported cases of HIV/AIDS were still mainly transmitted by heterosexual contact in recent years in Huzhou City, and the constituent ratio of MSM transmission has increased slightly.
|
|
Received: 21 March 2016
Published: 11 December 2017
|
|
|
|
|
|
[1] 中国疾病预防控制中心性病艾滋病预防控制中心, 中国疾病预防控制中心性病控制中心. 2015年12月全国艾滋病性病疫情及主要防治工作进展[J]. 中国艾滋病性病, 2016,22(2):69.
[2]卢巧玲, 傅利军, 杨作凯, 等. 绍兴市不同传播途径艾滋病流行特征[J]. 浙江预防医学, 2014,26(8):806-808.
[3]刘昆仑, 高燕, 吴尊友. 探讨利用互联网对男男性行为人群行为学调查的可行性研究[J]. 中华流行病学杂志, 2011,32(2):207-208.
[4]徐云, 潘晓红, 杨介者, 等. 浙江省2004—2013年MSM的艾滋病疫情分析[J]. 中国艾滋病性病, 2015,15(1):37-40.
[5]郭利芳, 张晓辉, 胡崇高, 等. 浙江省2010—2014年HIV感染孕产妇疫情及预防艾滋病母婴传播服务利用情况分析[J]. 中国预防医学杂志, 17(5):353-357.
[6]陶凤, 陈任, 马颖, 等. 我国暗娼人群艾滋病行为干预前后安全套使用效果的Meta分析[J]. 中国循证医学杂志, 2015,15(1):69-74.
[7]WEI S, ZHANG H, WANG J, et al. HIV and syphilis prevalence and associated factors among young men who have sex with men in 4 cities in China[J]. AIDS Behav, 2013,17(3):1151-1158.
[8]何欢, 张洪波, 丁凡, 等. 上海和成都市HIV阳性MSM人群性传播危险行为及其影响因素[J]. 中华流行病学杂志, 2015,36(3):254-258.
[9]董正全, 金玫华, 杨中荣. 不同文化程度对男男性行为人群艾滋病知识知晓率的影响[J]. 中国艾滋病性病, 2012,18(6):405-407.
[10]BROWN G, MAYCOCK B, BURNS S. Your picture is your bait: use and meaning of cyberspace among gay men[J]. J Sex Res, 2005,42(1):63-73.
[11]YANG Z, ZHANG S, DONG Z, et al. Prevalence of unprotected anal intercourse in men who have sex with men recruited online versus offline: a meta-analysis[J]. BMC Public Health, 2014,14:508.
[12]ALTHOFF K N, BUCHACZ K, HALL H I, et al. U.S. trends in antiretroviral therapy use, HIV RNA plasma viral loads, and CD4 T-lymphocyte cell counts among HIV-infected persons, 2000 to 2008[J]. Ann Intern Med, 2012,157(5):325-335.
[13]COHEN M S, CHEN Y Q, MCCAULEY M, et al. Prevention of HIV-1 infection with early antiretroviral therapy[J]. N Engl J Med, 2011,365(6):493-505.
[14]黑发欣, 王璐, 秦倩倩, 等. 中国2006—2010年男男性行为者艾滋病疫情分析[J]. 中华流行病学杂志, 2012,33(1):67-70.
[15]王俊, 樊先权, 徐茜. 苏州市2009—2010年吸毒人员艾滋病哨点监测结果[J]. 江苏预防医学, 2011, 22(4): 42-43.
[16]吴琼海, 蒋琼俏, 裘丹红, 等. 2007—2009年浙江省台州市吸毒人群艾滋病、梅毒监测分析[J]. 疾病监测, 2010, 25(11): 883-885.
|
|
|
|
