【摘要】：目的了解河南省成人艾滋病陽性家庭流行病學(xué)特征及家庭內(nèi)成人HIV陽性者的免疫狀況。方法通過"河南省艾滋病感染家庭隨訪管理分析系統(tǒng)"和"河南省艾滋病防治數(shù)據(jù)綜合分析系統(tǒng)"收集河南省艾滋病陽性成人家庭相關(guān)資料,對其流行病學(xué)特征和HIV陽性者的免疫狀況進行分析。結(jié)果 2011年,河南省有艾滋病成人陽性家庭25 188個,其中HIV陽性人員29 812人;艾滋病成人陽性家庭主要分布在豫東南地區(qū),家庭內(nèi)HIV陽性人員以35~54歲組為主,占71.37%,83.90%(25 013/29 812)的HIV陽性者接受(過)抗病毒治療,經(jīng)血傳播者在治構(gòu)成比為84.82%(19 775/23 313),高于其他傳播途徑(χ2=1 692.920,P=0.000);有72.36%(21 573人)的人HIV陽性者進行了CD4計數(shù)檢測(CD4M:393 cells/μL,IQR:238~506 cells/μL),47.97%(14 302人)的人進行了病毒載量檢測(VL);按照家庭類型和傳播途徑不同對家庭內(nèi)HIV陽性者CD4計數(shù)和VL結(jié)果分析,經(jīng)性途徑傳播HIV陽性人員HIV病毒量較高,治療率較低。結(jié)論河南省艾滋病陽性家庭規(guī)模大,HIV陽性人員以壯年居多。經(jīng)性途徑傳播HIV陽性人員是治療、救助和幫扶的重點人群。
[Abstract]:Objective to investigate the epidemiological characteristics of adult HIV-positive families in Henan province and the immune status of HIV-positive adults in the family. Methods the family follow-up management and analysis system of HIV infection in Henan province and the comprehensive analysis system of data on prevention and treatment of AIDS in Henan province were used to collect the relevant data of adult families with HIV positive in Henan province. The epidemiological characteristics and immune status of HIV positive patients were analyzed. Results in 2011, there were 25,188 adult AIDS positive families in Henan Province, among which 29,812 were HIV positive. Adult HIV positive families were mainly distributed in southeastern Henan Province. The majority of HIV positive persons in the family were 35 / 54 years old, accounting for 71.37%, 83.90% (25 013 / 29 812) of HIV positive persons received (over) antiviral therapy. The proportion of patients treated with blood transmission was 84.82% (19 775 / 23 313), which was higher than that of other transmission routes (蠂 2 / 1 692.920, P < 0.000). CD4 counts (CD4M:393 cells/ 渭 L, IQR:238~506 cells/ 渭 L) were detected in 72.36% (21,573 persons) of HIV positive patients, and (VL); was detected in 47.97% (14,302 people) of them. According to the type of family and different transmission routes, the CD4 count and VL results of HIV positive persons in the family were analyzed. The results showed that the HIV virus quantity was higher and the treatment rate was lower in sexually transmitted HIV positive persons. Conclusion the size of HIV-positive families in Henan Province is large, and the majority of HIV-positive persons are adults. Sexually transmitted HIV positive people are the focus of treatment, relief and assistance.
【作者單位】： 河南省疾病預(yù)防控制中心性病艾滋病防治研究所;
【基金】：國家科技重大專項(2012ZX10004905)
【分類號】：R512.91
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本文編號：2452698