Spatial-temporal clustering analysis of HIV/AIDS among men who have sex with men in Guigang City from 2007 to 2021
-
摘要 目的：分析2007—2021年贵港市男男同性性行为人群（MSM）艾滋病病毒/艾滋病（HIV/AIDS）人口学及时空分布特征，为贵港市艾滋病防控提供依据。方法：收集中国疾病预防控制信息系统中2007—2021年贵港市MSM HIV/AIDS数据，以乡镇为单位，采用描述性流行病学分析人口学特征和发病情况，采用ArcGIS10.7 软件进行空间自相关分析。结果：2007—2021 年贵港市累计报告MSM 艾滋病病例338例，新报告MSM 病例数从1例增至43例，其构成比从0.16%增至5.26%，15年增长32.90倍，整体呈上升趋势（χ2趋势=102.874，P< 0.001）。全局自相关分析显示，贵港市MSM 艾滋病病例存在空间聚集性（Moran’s I=0.116，Z=2.096，P=0.036），并存在高值聚集（G=0.000 008，Z=4.196，P< 0.01）。热点分析发现，热点区域主要集中在中西部，其次在东北部乡镇或街道。结论：贵港市MSM AIDS 流行呈上升趋势，并存在空间聚集性和热点区域，应对热点区域进行重点防控，加强MSM的干预工作。Abstract Objective: To analyse the demography and spatial-temporal distribution characteristics of Human Im-munodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) among men who have sex with men(MSM) in Guigang City from 2007 to 2021 and provide evidence for the prevention and control of HIV/AIDS in Guigang City.Methods: The data on HIV/AIDS cases among MSM in Guigang City from 2007 to 2021 were col-lected from the China Information System for Disease Control and Prevention.Descriptive epidemiology was used to analyse the demographic characteristics and incidence, and ArcGIS10.7 software was used for spatial au-tocorrelation analysis.Results: A total of 338 AIDS cases were reported among MSM in Guigang City from 2007 to 2021.The number of newly reported MSM cases increased from 1 to 43 each year, and the constituent ratio in-creased from 0.16% to 5.26%, with a 32.90-fold increase over 15 years.The overall trend was upwards (χ2trend=102.874, P< 0.001).Global autocorrelation analysis showed that there was spatial clustering (Moran's I=0.116, Z=2.096, P=0.036) and high clustering (G=0.000008, Z=4.196, P< 0.01) of HIV/AIDS cases among MSM in Guigang City.The hot spot analysis found that the“hot spot”area was mainly concentrated in the midwest, fol-lowed by the northeast township or street.Conclusion: The prevalence of AIDS among MSM in Guigang City is on the rise, and there are spatial clustering and hot spots.The prevention and control of HIV in hot spots should be focused on, and the intervention for MSM should be strengthened.
-
-
[1] 王丽艳,秦倩倩,丁正伟,等.中国艾滋病全国疫情数据分析[J].中国艾滋病性病, 2017, 23(4):330-333. WANG L Y, QIN Q Q, DING Z W, et al.Current situation of HIV/AIDS epidemic in China[J].Chinese journal of AIDS&STD, 2017, 23(4):330-333.
[2] 孟琴,蓝光华,沈智勇,等.广西2006-2016年男男性行为者HIV感染流行病学特征及趋势分析[J].中国艾滋病性病, 2018, 24(2):155-158. MENG Q, LAN G H, SHEN Z Y, et al.Epidemiological characteristics and trends analysis of men who have sex with men living with HIV/AIDS in Guangxi from 2006 to 2016[J].Chinese journal of AIDS&STD, 2018, 24(2):155-158.
[3] 秦倩倩.中国MSM人群艾滋病流行时空特征及感染率推算模型应用[D].北京:中国疾病预防控制中心, 2017.QIN Q Q.Temporal-spatial analysis on HIV epidemic and estimation of HIVprevalence among men who have sex with men in China[D].Beijing:Chinese center for disease control and prevention, 2017. [4] 许闯,王东丽,周维.2017-2020年常州市钟楼区水痘发病空间特征分析[J].江苏预防医学, 2022, 33(6):705-706, 741. XU C, WANG D L, ZHOU W.Analysis of spatial characteristics of varicella incidence in Zhonglou district of Changzhou city from 2017 to 2020[J].Jiangsu journal of preventive medicine, 2022, 33(6):705-706, 741.
[5] 覃春伟,李晓华,覃雄林,等.贵港市264名男男同性恋HIV/梅毒感染状况及影响因素分析[J].应用预防医学, 2014, 20(4):206-208, 211. QIN C W, LI X H, QIN X L, et al.Analysis of HIV/syphilis infection and its influencing factors among 264 Gay men in Guigang[J].Journal of applied preventive medicine, 2014, 20(4):206-208, 211.
[6] 何纳.中国艾滋病流行病学研究新进展[J].中华疾病控制杂志, 2021, 25(12):1365-1368, 1480. HE N.New progress of AIDS epidemiology in China[J].Chinese journal of disease control&prevention, 2021, 25(12):1365-1368, 1480.
[7] 董振鑫.年轻MSM人群HIV和梅毒新发感染状况及其影响因素[D].合肥:安徽医科大学, 2014. DONG Z X.HIV and syphilis incidence rate and its risk factorsamong young men who have sex with men[D].Hefei:Anhui medical university, 2014.
[8] 王静,席瑾,王瑗瑗.2010-2019年河南省新乡市男男性行为人群艾滋病流行特征[J].河南预防医学杂志, 2021, 32(12):959-961. WANG J.XI J.WANG Y Y.Epidemiological characteristics of HlV/AIDS among men who have sex with men in Xinxiang, Henan from 2010 to 2019[J].Henan journal of preventive medicine, 2021, 32(12):959-961.
[9] 张椰,李现红,鄢芳.男男性行为者配偶艾滋病易感性及防治策略[J].中国公共卫生, 2016, 32(12):1622-1626. ZHANG Y, LI X H, YAN F.A review on susceptibility and prevention strategies of HlV infection among heterosexual spouses of men who have sex with men[J].Chinese journal of public health, 2016, 32(12):1622-1626.
[10] 何佳晋,居豪,吴超.中国MSM人群HIV新发感染率及其影响因素的Meta分析[J].预防医学, 2022, 34(1):70-77. HE J J, JU H, WU C.Incidence of new HIV infection and its influencing factors among men who have sex with men in China:a meta-analysis[J].Preventive medicine, 2022, 34(1):70-77.
[11] 陈宗良,张维,吴国辉,等.2004-2015年重庆市男男性行为人群艾滋病流行状况分析[J].现代预防医学, 2016, 43(18):3277-3280, 3289. CHEN Z L, ZHANG W, WU G H, et al.Epidemiological characteristics of HIV/AIDS among men who have sex with men from 2004 to 2015 in Chongqing[J].Modem preventive medicine, 2016, 43(18):3277-3280, 3289.
[12] 谭唯,赵锦,刘少础,等.深圳市2014-2016年男男性行为者HIV流行特征分析[J].中国艾滋病性病, 2018, 24(5):502-504. TAN W, ZHAO J, LIU S C, et al.Epidemic analysis of HIV/AIDS among MSM from 2014 to 2016 in Shenzhen[J].Chinese journal of AIDS&STD, 2018, 24(5):502-504.
[13] 杨尧,李功权.中国近年艾滋病空间分布及影响因素分析[J].中国艾滋病性病,2018.24(12):1208-1211. YANG Y, LI G Q.Spatial distribution and influencing factors of AIDS in China in recent years[J].Chinese journal of AIDS&STD, 2018, 24(12):1208-1211.
[14] 覃春伟,梁贤君,朱刚劲,等.基于地图信息系统技术分析贵港市1996-2017年艾滋病流行特征[J].中国艾滋病性病, 2019, 25(6):602-605. QIN C W, LIANG X J, ZHU G J, et al.Analysis of epidemic characteristics of HIV/AlDS in Guigang city from 1996 to 2017 based on GIS technology[J].Chinese journal of AIDS&STD, 2019, 25(6):602-605.
-
期刊类型引用(2)
1. 杨金英，贾雯雯，刘芳，杜亚楠，康殿民. 聊城市1995-2021年HIV/AIDS患者空间分布特征分析. 中国艾滋病性病. 2024(06): 635-640 . 
百度学术
2. 施雅莹，朱彦锋，周子慧，刘芳，徐菁佩，代珍，王亮. 2010—2021年成都市新报告MSM艾滋病人群的空间聚集性分析. 现代预防医学. 2024(19): 3489-3494 . 百度学术
其他类型引用(0)
计量
- 文章访问数: 43
- HTML全文浏览量: 0
- PDF下载量: 13
- 被引次数: 2
下载:
