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2013年波兰的艾滋病毒与艾滋病情况

HIV and AIDS in Poland in 2013.

作者信息

Niedźwiedzka-Stadnik Marta, Pielacha Magdalena, Rosińska Magdalena

机构信息

Department of Epidemiology, National Institute of Public Health - National Institute of Hygiene in Warsaw.

出版信息

Przegl Epidemiol. 2015;69(2):267-72, 381-4.

Abstract

AIM

The aim is to analyze the epidemiological situation of newly diagnosed HIV infections and AIDS cases in Poland in 2013 and years earlier.

MATERIALS AND METHODS

Descriptive analysis of newly detected HIV cases and incident AIDS cases was performed based on routine notifications by clinicians and laboratories. Data on the number of HIV tests were derived from annual survey among laboratories.

RESULTS

In 2013 there were 1,098 HIV cases diagnosed in Poland (detection rate 2.85 per 100,000 population), including 23 among non-Polish citizens. The rate remained at the same level as in 2011, but 14.7% higher than median in 2007-2011. The total number of AIDS cases was 163 (incidence 0.42 per 100,000) and 46 AIDS patients died (0.12 per 100,00). HIV infection is mainly detected among people aged 20 to 39 years (73.3%) and among males (85.6%). Aproximately 68.4% of newly diagnosed infections with known transmission category were acquired by homosexual contacts (MSM). The number of infections in this group decreased by 2.2% compared to previous year. The percentage of late presenters (defined by the time between HIV and AIDS diagnoses of less than 3 months) increased in comparison with year 2012 (8.4% of newly diagnosed HIV infections).

CONCLUSIONS

HIV epidemic continues to develop among MSM in Poland. However, assessment of epidemiological situation is limited by the missing data on the probable transmission route in a large percentage of reported newly detected cases of HIV infection.

摘要

目的

分析2013年及更早年份波兰新诊断的艾滋病毒感染和艾滋病病例的流行病学情况。

材料与方法

基于临床医生和实验室的常规报告,对新检测出的艾滋病毒病例和艾滋病发病病例进行描述性分析。艾滋病毒检测数量的数据来自实验室年度调查。

结果

2013年波兰诊断出1098例艾滋病毒病例(检测率为每10万人2.85例),其中非波兰公民中有23例。该比率与2011年保持在同一水平,但比2007 - 2011年的中位数高14.7%。艾滋病病例总数为163例(发病率为每10万人0.42例),46例艾滋病患者死亡(每10万人0.12例)。艾滋病毒感染主要在20至39岁人群中检测到(73.3%),男性中占比85.6%。在已知传播途径分类的新诊断感染中,约68.4%是通过同性接触(男男性行为者)感染的。该群体中的感染数量与上一年相比下降了2.2%。与2012年相比,晚期就诊者(定义为艾滋病毒诊断与艾滋病诊断之间时间少于3个月)的百分比有所增加(新诊断艾滋病毒感染的8.4%)。

结论

波兰男男性行为者中的艾滋病毒疫情仍在继续发展。然而,由于很大比例的报告新检测出的艾滋病毒感染病例缺少可能传播途径的数据,对流行病学情况的评估受到限制。

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