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目的:分析钦州市钦南区2000—2012年老年人艾滋病流行病学特征,为制定老年人艾滋病防治措施提供科学依据。方法:收集钦州市钦南区2000-2012年的老年人艾滋病疫情报告资料,对病例三间分布特点、传播途径构成、发现途径及相关信息进行分析。结果:2000—2012年累计报告老年人艾滋病感染者和艾滋病病人410例,其中艾滋病病人182例,死亡134例;99.7%为本地居民;男女比例为1.7∶1;最大年龄92岁,平均年龄(57.9±7.2)岁;职业以农民和离退休人员为主,占65.2%;高中以上文化程度45例,占10.9%;传播途径以异性传播为主,占90.3%;2009—2012年,有42.4%的病例经HIV自愿咨询检测(Voluntary Counseling&Testing,VCT)门诊发现。结论:钦州市钦南区老年人艾滋病报告病例数增长明显,性接触传播是主要途径,VCT门诊在发现病例中逐步起重要作用。应进一步加强老年人艾滋病预防宣传教育。
Objective: To analyze the epidemiological characteristics of AIDS among elderly people in Qinnan District of Qinzhou City from 2000 to 2012, and provide a scientific basis for the development of AIDS prevention and control measures for the elderly. Methods: The information of HIV / AIDS epidemic situation among seniors in 2000 ~ 2012 was collected from Qinan District of Qinzhou City. The distribution characteristics of the three cases, the route of transmission, the ways of finding out and the related information were analyzed. Results: A total of 410 HIV / AIDS patients and AIDS patients were reported in the elderly in 2000-2012, including 182 AIDS patients and 134 deaths; 99.7% were native residents; the ratio of men to women was 1.7:1; the maximum age was 92 years and the average age ( 57.9 ± 7.2); 65.2% occupations were farmers and retired persons; 45 were high school students or above, accounting for 10.9%; the transmission route was heterosexual transmission, accounting for 90.3% of the total; 42.4 % Of cases were detected by the Voluntary Counseling & Testing (VCT) clinic. Conclusion: The reported cases of HIV / AIDS among the elderly in Qinnan District of Qinzhou City increased significantly. Sexual transmission was the main route. The VCT clinic gradually played an important role in the detection of cases. AIDS prevention and treatment of the elderly should be further strengthened.