2008-2019年密西西比州艾滋病毒/艾滋病发病率趋势

Adetoun F. Asala, A. Bhuiyan, A. Mitra, Vincent L Mendy, A. Mawson, Luma Akil
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引用次数: 0

摘要

背景和目的:尽管美国各地的新艾滋病毒感染率有所下降,但密西西比州的新艾滋病毒感染率仍然很高。报告强调了地理位置和社会人口因素的显著差异。这项研究调查了2008年至2019年密西西比州艾滋病毒/艾滋病发病率的趋势。材料和方法:HIV/AIDS诊断数据提取自Mississippi Enhanced HIV/AIDS Reporting System数据库。使用Microsoft Excel和SAS 9.4对数据进行清理和去识别。使用2000年美国人口,按性别、种族和年龄计算总体和年度年龄调整的艾滋病毒和艾滋病发病率。采用Joinpoint回归模型对年变化百分数(APC)和年平均变化百分数(AAPC)进行分析。结果:总体而言,HIV感染率从2008年的25.0 / 10万人下降到2019年的18.79 / 10万人(下降24.8%),艾滋病发病率从2008年的6.4 / 10万人上升到2019年的8.2 / 10万人(上升28.1%)。各年龄组性别间比较,HIV新发感染率呈下降趋势(男性:-1.50,女性:-5.17),艾滋病发病率呈上升趋势(男性:1.90,女性:3.70)。经年龄调整的艾滋病发病率在黑人和白人中分别下降了26.8%和12.4% (AAPC:黑人:-2.8,白人:-1.0),但在2008年至2019年期间,两种种族的年龄调整艾滋病发病率没有显著变化。结论:本研究表明,密西西比州经年龄调整的艾滋病发病率正在下降,但趋势因种族、性别和年龄而异。密西西比州需要更多的干预措施,以确保早期诊断、与护理的适当联系以及防止艾滋病毒发展为艾滋病,特别是在高危人群中。中华医学会医学杂志。2023;17(2): 002。DOI: https://doi.org/10.55010/imcjms.17.012*Correspondence: adowoun F. Asala,流行病学和生物统计学系,公共卫生学院,350w伍德罗·威尔逊博士,杰克逊,MS 39213。电子邮件:adetoun.f.asala@students.jsums.edu
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in HIV/AIDS incidence rate in Mississippi, 2008-2019
Background and objectives: Despite the decline in new HIV infection across the United States, Mississippi is still experiencing high rates of new HIV infections. Reports highlighted significant variations by geographical locations and socio-demographic factors. This study examined trends of HIV/AIDS incidence rates in Mississippi from 2008 to 2019. Materials and methods: Data on HIV/AIDS diagnosis were extracted from Mississippi Enhanced HIV/AIDS Reporting System database. Data were cleaned and de-identified using Microsoft Excel and SAS 9.4. Overall and annual age-adjusted HIV and AIDS incidence rates were calculated by sex, race, and age using 2000 US population. Annual Percentage Change (APC) and Average Annual Percentage Change (AAPC) were analyzed using Joinpoint regression models. Results: Overall, HIV incidence rate declined from 25.0 in 2008 to 18.79 per 100,000 population in 2019 (24.8% decrease) while AIDS incidence increased from 6.4 in 2008 to 8.2 per 100,000 population in 2019 (28.1% increase). Comparison between sexes of all age groups showed a downward trend of new HIV infection (AAPC: Male:-1.50, Female:-5.17) and an upward trend of AIDS incidence (AAPC: Male: 1.90, Female: 3.70). Age adjusted HIV incidence declined by 26.8% and 12.4% among blacks and whites respectively (AAPC: Blacks: -2.8, Whites:-1.0) but there was no significant change in age-adjusted AIDS incidence among both races from 2008-2019. Conclusion: This study indicated that age-adjusted HIV incidence rate is declining in Mississippi but trends differ by race, gender, and age. More interventions aimed at ensuring early diagnosis, proper linkage to care and preventing the progression of HIV to AIDS particularly among at-risk population are needed in Mississippi. IMC J Med Sci. 2023; 17(2):002. DOI: https://doi.org/10.55010/imcjms.17.012 *Correspondence: Adetoun F. Asala, Department of Epidemiology and Biostatistics, School of Public Health, 350 W Woodrow Wilson Dr, Jackson, MS 39213. Email: adetoun.f.asala@students.jsums.edu
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