Pandey Arvind, Thomas M, Reddy D C S, Kant Shashi, Bhattacharya M
National Institute of Medical Statistics, ICMR, New Delhi.
Indian J Public Health. 2007 Jan-Mar;51(1):7-13.
This article attempts to appraise the methodology of estimating the people living with AIDS in India. In this estimation, the primary demographic data were obtained from Registrar General of India and Sample Registration System. HIV prevalence data was drawn from HIV Sentinel Surveillance conducted at 704 sites in 2005. The HIV prevalence at each site was estimated using the formula p +/- 1.645O(pq/n), where p represents the proportion of HIV positives and n the number of attendees at the site. Statewise prevalence for each risk group was estimated with the help of the formula giving 90% confidence internal for median prevalence as Median of the proportion positive +/- 1.645 x 1.2533O(pq/n), where 1.2533 was the adjustment for large variations involved. If the estimated median prevalence comes out to be zero, it was replaced by the actual prevalence of the low prevalent states for each risk group. In case of general population, the urban-rural ratio came out to be 1:1 in case of high prevalence states and 2.4:1 in case of other states. Having adjusted for age, the sex differential was 1.2:1 in gereralised epidemic states, 2:1 in concentrated epidemic states and 3:1 in low epidemic states. Overall additions were made for FSW by applying to them the HIV prevalence observed in FSWsites under TI. Prevalence in child population was done by applying the GFR to the women with HIV and then multiplying it by 0.3 (percentage infected).
本文试图评估印度艾滋病感染者人数的估算方法。在该估算中,主要人口数据取自印度注册总署和抽样登记系统。艾滋病毒流行率数据来自2005年在704个地点进行的艾滋病毒哨点监测。每个地点的艾滋病毒流行率使用公式p +/- 1.645O(pq/n)进行估算,其中p代表艾滋病毒阳性者的比例,n代表该地点的检测人数。借助给出中位数流行率90%置信区间的公式,即阳性比例的中位数 +/- 1.645 x 1.2533O(pq/n),估算每个风险组的各邦流行率,其中1.2533是对所涉较大差异的调整。如果估算出的中位数流行率为零,则用每个风险组低流行邦的实际流行率取而代之。对于一般人群,高流行邦的城乡比例为1:1,其他邦为2.4:1。在对年龄进行调整后,在广泛流行邦性别差异为1.2:1,在集中流行邦为2:1,在低流行邦为3:1。通过将在TI下的女性性工作者(FSW)场所观察到的艾滋病毒流行率应用于她们,对FSW进行了总体补充估算。儿童人群的流行率估算方法是,将孕产妇艾滋病毒感染率应用于感染艾滋病毒的妇女,然后乘以0.3(感染百分比)。