2019-2024年襄阳市市区艾滋病流行病学特点及防控措施综合分析

Objective To analyze the epidemiological characteristics of acquired immunodeficiency syndrome(AIDS) in Xiangyang City from 2019 to 2024, and provide scientific basis for optimizing AIDS prevention and control strategies. Methods 330 newly reported human immunodeficiency virus(HIV)/AIDS patients were selected from China Disease Prevention and Control Information System from January 2019 to December 2024. The distribution characteristics such as diagnosis time, gender, age, education level, occupation, transmission route, detection method were analyzed, and Logistic regression analysis was carried out to obtain the influencing factors of late detection of newly reported HIV/AIDS patients. Results From 2019 to 2024, 330 new cases of HIV/AIDS were reported in the urban area, with 23 deaths. Among them, the proportion of AIDS patients was the highest in 2021, at 21.82%. There were 277 male cases(83.94%) and 53 female cases(16.06%), in terms of age distribution, the number of cases aged 30～39 was the highest, at 86(26.06%). The single-factor analysis showed that there were statistically significant differences in age, educational level, testing method, and transmission route between the late-detection group and the non-late-detection group(P<0.05). The multivariate analysis indicated that age, educational level, testing method, and transmission route were the influencing factors for the late detection of HIV/AIDS patients(P<0.05). Conclusion From 2019 to 2024, the newly reported HIV/AIDS patients in Xiangyang City's urban area mainly consisted of males, with a high incidence among middle-aged individuals aged 30～39, while the proportion of active testing was low. The late detection was closely related to factors such as advanced age, low educational level, passive testing, and heterosexual transmission. Therefore, it is necessary to strengthen health education and promote active AIDS testing.