Epidemiological and spatiotemporal analyses of HIV/AIDS prevalence among older adults in Sichuan, China between 2008 and 2019: A population-based study

Autor: Feng-shun Yuan, Li Liu, Lun-hao Liu, Ya-li Zeng, Ling-lin Zhang, Fang He, Xiao-jin Liu, Ju-mei Li, Qian Liu, Meng-jiao Xu, Lacuo Zhuoma, Ying Hu, Xiao-di Pei, Rong-sheng Luan
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Infectious Diseases, Vol 105, Iss , Pp 769-775 (2021)
Druh dokumentu: article
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2021.02.077
Popis: Objectives: To describe epidemiological trends and spatial distributions of HIV/AIDS among older adults (aged ≥50) in Sichuan Province, China during 2008–19, and provide scientific reference for HIV/AIDS prevention, intervention and treatment. Methods: Data on HIV/AIDS cases reported in 2008–19 was extracted from the Case Report System. The Cochran-Armitage trend test was used to determine epidemic trends. Spatial autocorrelation and space-time analysis were conducted with ArcGIS10.6 and ArcGIS Pro2.4, respectively. Results: A total of 77 854 HIV/AIDS cases among older adults were included in the study. Newly reported cases increased from 320 in 2008 to 22 189 in 2019, and the reported incidence rate (number of new reported cases/older adult population) rose from 0.001% to 0.077%. Infections through heterosexual transmission increased from 65.3% to 98.2% of total cases in older adults in this period. Spatial analysis at the county-level showed significant clustering throughout Sichuan, with the main hot spots concentrated in the southeast. Spatiotemporal analysis indicated that most of the southeastern counties/districts were Consecutive Hot Spots. Conclusions: Older adults have become a key population in the HIV/AIDS epidemic in Sichuan; comprehensive prevention and intervention measures targeted to older adults are urgently needed to control the spread of HIV/AIDS.
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