广西武宣县50岁及以上HIVAIDS病例流行病学特征分析罗立璇1钟柳青2（通讯作者）（1广两武宣县疾病预防控制中心广两武宣545900）（2广丙柳州市疾病预防控制中心广丙柳州545007）【摘要】目的了解广两武宣县50岁及以上HIV/AIDS病例疫情及其变化趋势,为有针对性地开展该人群的艾滋病预防控制工作提供科学依据。方法采用描述流行病学方法对该县1998〜2012年50岁及以上所有HIV/AIDS病例的流行病学调查资料进行分析。结果该县2004年出现首例50岁及以上病例，截止2012年共报告133例，占总病例数的36.74%;2004年开始，病例数及所占比例呈逐年增加，年平均增长率为59.28%;病人平均年龄（63.35±9.42）岁，最大94岁；男性占74.44%;职业以农民、离退休人员所占比例较高；文化程度较低，初中及以下文化程度者占91.59%;所有病例均为异性性传播感染，传播途径以非婚异性性接触为主，占87.22%;55.64%的病例在报告时的疾病状态为AIDS病人。结论艾滋病对该县50岁及以上人群的影响日益严重，急需采取有针对性的措施降低艾滋病对农村老年人群的危害。【关键词】HIV/AIDS老年人流行病学【中图分类号】R18【文献标识码】A【文章编号】2095-1752（2013）19-0103-03Theepidemiologicalcharacteristicsofelderlypeopleovertheageof50yearslivingwithHIV/AIDSinWuxuanCounty,Guangxi,China545900LuoU-xuan,WuxuanCountyCenterforDiseaseControlandPrevention,Wuxuan545900，China.Correspondingauthor:ZhongLiu-qing，E-mail:zhong-3663@163.com【Abstract】ObjectiveThestudywasconductedtoinvestigatetheepidemiologicfeaturesofelderlypeopleovertheageof50yearslivingwithHIV/AIDSinWuxuanCounty，inordertofacilitatethedevelopmentofHIV/---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---AIDSincidenceandriskactioninterventionplansinatargetedpopulationinWuxuan.MethodsThedescriptiveepidemiologicalmethodwasusedtomakeastatisticalanalysisforepidemicdataofelderlypeopleovertheageof50yearslivingwithHIV/AIDSinWuxuanCountyfrom1998to2010.ResultsThefirstHIV/AIDScaseofelderlypeopleovertheageof50yearsinWuxuanCountywasfoundin2004,bytheendof2012,133patientsolderthan50yearswerefound,accountedfor36.74%ofthetotalHIV/AIDScasesofthecounty.ThenumberofHIV/AIDScasesofelderlypeopleovertheageof50yearsandtheproportionisincreasingyearafteryearfromthebeginningof2004.Theaverageannualgrowthrateis59.28%.Theaverageageofthepatientsis(63.35±9.42)yearsold,andtheoldestcaseis94yearsold,andthefemalecasesaccountfor74.44%.TheproportionofthefarmerandretireescasesofHIV/AIDSolderthan50yearsishigherthanotherolderpeople.Thesecaseshavelowereducationexperience,juniorhighschoolandbeloweducationaccountedfor91.59%.AllHIV/AIDScaseswereinfectedthroughheterosexualtransmission,themainrouteoftransmissionisunmarriedheterosexualsexualcontact,accountfor87.22%.Thediseasestatusesof55.64%caseswereAIDSpatientswhentheywerereported.ConclusionTheimpactoftheAIDSonthepopulationofaged50andaboveinthecountyisbecomingmoreandmoreserious,moretargetedmeasuresshouldbetakentoreducethedangersoftheHIV/AIDSontheruralelderlypopulation.【Keywords】HumanImmunodeficiencyVirusacquiredImmunodeficiencySyndromeOldPeopleEpidemiology目前，普遍认为艾滋病病毒(humanimmunodeficiencyvirus，HIV)的主要感染人群是处于性活跃期的15〜49岁的青壮年，但是，随着流行形势的发展变化，50岁及以上的中老年人群受到艾滋病(acquiredimmunodeficiencysyndrome，AIDS)的危害正日益严重。广西武宣县1998年发现了首例HIV感染病例，2004年发现首例5---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---0岁及以上的病例，近年来全县该年龄组病例数明显增加，在今后的艾滋病控制工作中应予以高度重视。本...