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过去十年(2000-2009 年)沙特阿拉伯王国的艾滋病毒病例通报率。

HIV case notification rates in the Kingdom of Saudi Arabia over the past decade (2000-2009).

机构信息

Field Epidemiology Training Program, Saudi Arabia Ministry of Health, Riyadh, Kingdom of Saudi Arabia.

出版信息

PLoS One. 2012;7(9):e45919. doi: 10.1371/journal.pone.0045919. Epub 2012 Sep 26.

DOI:10.1371/journal.pone.0045919
PMID:23049892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3458799/
Abstract

OBJECTIVE

To study trends in HIV case notification rates in the Kingdom of Saudi Arabia.

DESIGN

A ten year retrospective review of annual HIV case notification returns to the Ministry of Health, Kingdom of Saudi Arabia.

METHODS

Annual Registry statistics covering the period 2000 to 2009 were reviewed. Annual incidence trends were stratified according to the following demographics: age, nationality, geographical region of residence, gender, and mode of disease acquisition.

RESULTS

10,217 new HIV cases (2,956 in Saudi nationals and 7,261 in non-Saudis) were reported. Africans of Sub-Saharan Africa origin accounting for 3,982/7,261 (53%) of non-Saudi cases constituted: Ethiopians (2,271), Nigerians (1,048), and Sudanese nationals (663). The overall average annual incidence was <4 cases per 100,000; 1.5 cases per 100,000 for Saudis (range 0.5-2.5), and 13.2 per 100,000 for non-Saudis (range 5.7-19.0). Notifications increased yearly from 2000 for both groups until a plateau was reached in 2006 at 1,390 new cases. Case notification in Saudi nationals increased from 20% in the early 2001 to 40% in 2009. 4% (124/2,956) of cases were reported in Saudi children. The male to female ratio was 1.6:1 for non-Saudi nationals (43.8% male, 27.3% female) and 4.4:1 for Saudis (23.5% male, 5.4% female).

CONCLUSIONS

Whilst the numbers of reported HIV cases have stabilised since 2006, HIV/AIDS remains an important public health problem in KSA, both in migrants and Saudi nationals. HIV transmission to Saudi children is also of concern. Optimization of data collection, surveillance, and pro-active screening for HIV is required.

摘要

目的

研究沙特阿拉伯王国艾滋病毒病例报告率的趋势。

设计

对沙特阿拉伯卫生部 2000 至 2009 年期间艾滋病毒病例年度报告的回顾性十年分析。

方法

对 2000 至 2009 年期间的年度登记统计数据进行了审查。根据以下人口统计学指标对年度发病率趋势进行分层:年龄、国籍、居住地区、性别和疾病传播途径。

结果

报告了 10217 例新艾滋病毒病例(2956 例为沙特国民,7261 例为非沙特国民)。撒哈拉以南非洲裔非洲人占非沙特国民病例的 3982/7261(53%),包括埃塞俄比亚人(2271 人)、尼日利亚人(1048 人)和苏丹国民(663 人)。总体平均年发病率<4 例/10 万;沙特国民为 1.5 例/10 万(范围为 0.5-2.5),非沙特国民为 13.2 例/10 万(范围为 5.7-19.0)。两组的病例报告数逐年增加,直到 2006 年达到 1390 例的峰值。沙特国民的病例报告数从 2001 年初的 20%增加到 2009 年的 40%。在 2956 例病例中,有 4%(124 例)为沙特儿童。非沙特国民的男女比例为 1.6:1(男性占 43.8%,女性占 27.3%),沙特国民的男女比例为 4.4:1(男性占 23.5%,女性占 5.4%)。

结论

自 2006 年以来,报告的艾滋病毒病例数量已趋于稳定,但艾滋病毒/艾滋病仍是沙特阿拉伯的一个重要公共卫生问题,在移民和沙特国民中均存在这一问题。艾滋病毒向沙特儿童传播也令人关注。需要优化数据收集、监测和主动筛查艾滋病毒。

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