Liang Y, Li N, Sun D Y, Fan P Y, Yang W J, Nie Y G, Wang Z
Institute of AIDS/STD Prevention and Treatment, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Apr 10;41(4):532-536. doi: 10.3760/cma.j.cn112338-20190929-00712.
To analyze the epidemiological characteristics of newly reported HIV/AIDS cases in Henan province during 2010-2018, and to provide theoretical evidence for strategies on prevention and control. Information about newly reported HIV/AIDS cases in Henan between January 1, 2010 and December 31, 2018 were collected from the National Comprehensive HIV/AIDS Information System. Excel 2010 and software SPSS 23.0 were used for data cleaning and statistical analysis. During 2010-2018, a total of 41 223 HIV/AIDS cases were newly reported in Henan, and the number of newly reported HIV/AIDS cases increased from 3 087 in 2010 to 5 910 in 2018. Sexual contact was the predominant transmission route in newly reported HIV/AIDS cases, and the proportion of sexual transmission increased from 50.6 (1 564/3 087) in 2010 to 98.8 (5 839/5 910) in 2018. The proportion of heterosexual transmission firstly increased from 44.9 (1 387/3 087) in 2010 and then declined to 65.7 (3 885/5 910) in 2018, and the proportion of MSM behavior related transmission increased from 5.7 (177/3 087) in 2010 to 33.1 (1 954/5 910) in 2018. Among the newly reported heterosexual transmitted cases, the proportion of cases with non-marital heterosexual behaviors increased from 69.4 (962/1 387) in 2010 to 91.7 (3 562/3 885) in 2018 ((2)=657.802, <0.001). The number of newly reported HIV/AIDS cases in young people aged 15-24 years and old people aged ≥60 years increased year by year. The youth cases were mainly infected by MSM behavior transmission (52.7, 2 561/4 856), and heterosexual transmission was the main infection route of the elder cases (86.4, 5 907/6 833). Among the elder cases infected by heterosexual transmission, cases with non-marital heterosexual behaviors were mainly males, the number of male cases increased from 122 in 2010 to 738 in 2018, and sex composition ratio was between 82.2 and 91.0, while the sex composition ratio of female cases was increased from 9.0 (12/134) in 2010 to 17.8 (160/898) in 2018. From 2010 to 2018, the number of newly reported HIV/AIDS cases in Henan increased. Sexual transmission had become the main transmission route. AIDS prevention and control should focus on the control of non-marital heterosexual transmission and MSM behavior transmission, and to pay more attention to young people and people aged 60 years and above.
分析2010 - 2018年河南省新报告艾滋病病毒/艾滋病（HIV/AIDS）病例的流行病学特征，为防控策略提供理论依据。从全国艾滋病综合防治信息系统收集2010年1月1日至2018年12月31日河南省新报告HIV/AIDS病例的信息。使用Excel 2010和SPSS 23.0软件进行数据清理和统计分析。2010 - 2018年，河南省共新报告HIV/AIDS病例41223例，新报告HIV/AIDS病例数从2010年的3087例增加到2018年的5910例。性接触是新报告HIV/AIDS病例的主要传播途径，性传播比例从2010年的50.6%（1564/3087）上升到2018年的98.8%（5839/5910）。异性传播比例先从2010年的44.9%（1387/3087）上升，后降至2018年的65.7%（3885/5910），男男性行为（MSM）相关传播比例从2010年的5.7%（177/3087）上升到2018年的33.1%（1954/5910）。在新报告的异性传播病例中，非婚异性性行为病例的比例从2010年的69.4%（962/1387）上升到2018年的91.7%（3562/3885）（χ² = 657.802，P < 0.001）。15 - 24岁年轻人和≥60岁老年人中新报告HIV/AIDS病例数逐年增加。青年病例主要通过MSM行为传播感染（52.7%，2561/4856），异性传播是老年病例的主要感染途径（86.4%，5907/6833）。在异性传播感染的老年病例中，非婚异性性行为病例以男性为主，男性病例数从2010年的122例增加到2018年的738例，性别构成比在82.2%至91.0%之间，而女性病例的性别构成比从2010年的9.0%（12/134）上升到2018年的17.8%（160/898）。2010 - 2018年，河南省新报告HIV/AIDS病例数增加。性传播已成为主要传播途径。艾滋病防控应重点控制非婚异性传播和MSM行为传播，并更加关注年轻人和60岁及以上人群。
