【摘要】 目的 了解北京市大兴区新报告HIV/AIDS流行病学特征和流行趋势,为制定艾滋病防控策略提供依据。方法对2009—2023年报告现住址为大兴区的HIV/AIDS资料进行描述流行病学分析。应用Excel 2021软件建立数据库,SPSS 26.0进行数据分析,使用Joinpoint软件构建线性回归模型探索其流行趋势。结果 2009—2023年共报告HIV/AIDS 2 060例,其中HIV 1 643人,AIDS 417人,疫情总体呈先上升(2009—2016年)后下降(2016—2023年)的趋势。新报告病例以外地户籍(占59.1%)、男性(占94.7%)、20～49岁(占85.0%)、未婚(占56.6%)、大专及以上文化程度(占47.9%)和从事家政、家务及待业(占42.7%)为主。感染途径以性传播(95.8%)为主,其中男性同性传播占74.6%。病例来源以检测咨询(29.7%)为主,CD4+T淋巴细胞计数中位数为361.0个/μL(233.0,496.0)。结论 大兴区艾滋病疫情呈现先升后降的流行趋势,主要通过男性同性传播。应针对高危人群加强艾滋病防控知识宣传,采取有效干预防控措施,加强对流动人口、老年人群艾滋病防控工作。更多还原

【Abstract】 Objective To understand the epidemiological characteristics and trends of newly reported HIV/AIDS individuals in Daxing District, Beijing from 2009 to 2023, and to provide evidence for better formulation of AIDS prevention and control strategies.Methods Newly reported HIV/AIDS individuals were recruited with current living addresses in Daxing District from 2009 to 2023. Excel 2021 software was used to set up the database and SPSS 26. 0 was employed for data processing and analysis. Joinpoint software was used to construct linear regression models to explore the prevalence trends.Results From 2009 to 2023, the annual reported HIV/AIDS cases in Daxing District showed an increasing trend( 2009-2016) followed by a decreasing trend(2016-2023). Totally, 2 060 individuals were newly reported, including 1 643 HIV infections and 417 AIDS patients. The reported cases were primarily characterized by non-Beijing household registration( 59. 1%),male(94. 7%), age at 20-49 group( 85. 0%), unmarried status( 56. 6%), college education or higher( 47. 9%), and engagement in housework, domestic work, or non-engagement in work(42. 7%). Sexual contact accounted for 95. 8% of infections, with 74. 6% of men who had sex with men( MSM). The source of cases was mainly testing and counseling( 29. 7%)and the median CD4+ T cell count was 361. 0 cells/m L(233. 0, 496. 0).Conclusion The HIV/AIDS epidemic in Daxing District showed an upward and then downward trends. and it is mainly transmitted through MSM. The knowledge of HIV/AIDS prevention and control should be reinforced focusing on the high-risk groups, effective intervention and control measures should be taken, and AIDS prevention and control efforts should be strengthened for mobile populations and the elderly.更多还原