Ge X M, Yang W M, Zhu Q Y, Wu X L, Shen Z Y, Zhu J H, Lan G H, Chen H H, Meng Q, Zhou X J, Ding D N, Liu X H, Tang S, Huang J H, Deng Y Q
Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2019 Mar 10;40(3):315-321. doi: 10.3760/cma.j.issn.0254-6450.2019.03.011.
To understand the characteristics of HIV/AIDS epidemic in Guangxi Zhuang Autonomous Region (Guangxi) with a purpose to accurately provide scientific basis for prevention and control measures, 2010-2017. Data were retrieved from case reporting cards of Guangxi during 2010 to 2017 through National HIV/AIDS Comprehensive Response Information Management System. Data was analyzed using epidemiological methods such number of cases, proportion and rate. (2) test was used for statistical analysis. The HIV positive rate was 12.53 per ten thousand (85 182/67 959 000) in Guangxi during 2010 to 2017. The number of newly diagnosed HIV/AIDS cases and the number of death yearly respectively increased by 22.34(2 602/11 648) and 32.83 (952/2 900) in 2011 compared with 2010, and both showed a six-year continuous downward trend (the number of newly diagnosed cases respectively 12 229 cases, 10 877 cases, 9 460 cases, 9 190 cases, 8 848 cases, 8 680 cases, and the number of death respectively 3 888 cases, 3 316 cases, 2 914 cases, 2 717 cases, 2 595 cases, 2 600 cases) from 2012 to 2017. But proportion of late discovery remained above 50.00 (50.53-57.06) for eight-years continuously. The ratio of male and female was 2.47 ∶ 1 (60 639/24 543). The ratio of males and females aged 50 and over was 2.71∶1 (28 654/10 557). Proportion of the cases in 25-49 years old group and 50 years old group accounting for 47.40(40 377/85 182) and 46.03 (39 211/85 182) respectively. The occupation was farmers accounting for 68.40 (58 262/85 182), housekeeping, housework and unemployment accounting for 11.21 (9 546/85 182), student accounting for 0.86 (729/85 182). Heterosexual transmission accounted for 90.60 (77 171/85 182, homosexual transmission accounted for 3.13 (2 669/85 182), injection drug use transmission accounted for 4.60(3 924/85 182) and mother-to-child transmission accounted for 0.73 (619/85 182). The number of newly diagnosed cases and the number of death yearly showed a continuous downtrend for six-years from 2012 to 2017. However, proportion of late discovery remained above 50.00 for eight-years. The major route of infection was heterosexual transmission. With the change of HIV/AIDS newly epidemic mode in Guangxi, there are many new challenges for HIV/AIDS prevention and control work. Strategy of targeted intervention modes should be innovated for a new breakthrough.
为了解2010 - 2017年广西壮族自治区(广西)艾滋病流行特征,以便准确为防控措施提供科学依据,通过国家艾滋病综合防治信息管理系统检索广西2010年至2017年的病例报告卡数据。采用病例数、构成比和率等流行病学方法进行数据分析,并用(2)检验进行统计分析。2010 - 2017年广西艾滋病病毒阳性率为万分之12.53(85182/67959000)。2011年新诊断艾滋病病毒/艾滋病病例数和死亡数与2010年相比分别增长22.34(2602/11648)和32.83(952/2900),且2012 - 2017年两者均呈连续6年下降趋势(新诊断病例数分别为12229例、10877例、9460例、9190例、8848例和8680例,死亡数分别为3888例、3316例、2914例、2717例、2595例和2600例)。但晚发现比例连续8年保持在50.00以上(50.53 - 57.06)。男女比例为2.47∶1(60639/24543),50岁及以上男女比例为2.71∶1(28654/10557)。25 - 49岁组和50岁组病例构成比分别为47.4(40377/85182)和46.03(39211/85182)。职业以农民为主,占68.4(58262/85182),家务、无业及待业占11.21(9546/85182),学生占0.86(729/85182)。经性传播占90.6(77171/85182),经同性传播占3.13(2669/85182),经注射吸毒传播占4.6(3924/85182),母婴传播占0.73(619/85182)。2012 - 2017年新诊断病例数和死亡数呈连续6年下降趋势,但晚发现比例连续8年保持在50.00以上。主要传播途径为经性传播。随着广西艾滋病流行模式的变化,艾滋病防治工作面临诸多新挑战,应创新针对性干预模式策略以取得新突破。