Wang Chong-Wen, Chan Cecilia L W, Ho Rainbow T H
a Centre on Behavioral Health , The University of Hong Kong , Hong Kong SAR , China.
AIDS Care. 2015;27(7):849-54. doi: 10.1080/09540121.2015.1005568. Epub 2015 Jan 29.
This study examined the time trend and pattern of HIV/AIDS-related deaths in China. Data on HIV deaths and AIDS deaths were provided by the Chinese Ministry of Health. Time trend of the overall death rates over the period 2000-2012 was examined using Poisson regression models. Pattern of AIDS deaths was examined for the period 2006-2012, using the age-, gender-, and region-specific death rates. The results indicated that HIV/AIDS-related death rate increased significantly in China over the past decade, with an average annual percentage change of 22.3%. A vast majority of the deaths occurred among those aged between 20 and 65 years, with two age peaks. The death rate was higher for males than females and in rural areas than urban areas. A total of 83% of the deaths occurred among rural residents and 67% among males. The upward trend and distribution pattern of HIV/AIDS-related deaths depicted in the present study not only provides valuable information for additional understanding of the dynamics of the HIV/AIDS epidemic in China, but also has implications for evidence-based public health intervention strategies and policies as well as for further studies.
本研究调查了中国艾滋病相关死亡的时间趋势和模式。艾滋病死亡数据由中国卫生部提供。利用泊松回归模型研究了2000年至2012年期间总体死亡率的时间趋势。利用特定年龄、性别和地区的死亡率研究了2006年至2012年期间艾滋病死亡模式。结果表明，在过去十年中，中国艾滋病相关死亡率显著上升，年均变化率为22.3%。绝大多数死亡发生在20至65岁的人群中，有两个年龄高峰。男性死亡率高于女性，农村地区高于城市地区。共有83%的死亡发生在农村居民中，67%发生在男性中。本研究中描述的艾滋病相关死亡的上升趋势和分布模式，不仅为进一步了解中国艾滋病疫情动态提供了有价值的信息，也对基于证据的公共卫生干预策略和政策以及进一步的研究具有启示意义。
