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. 2014 Jul 15;59(2):e53-60.
doi: 10.1093/cid/ciu214. Epub 2014 Apr 3.

HIV/AIDS epidemic among older adults in China during 2005-2012: results from trend and spatial analysis

Jiannan Xing  1 , Yin-ge Li  2 , Weiming Tang  3 , Wei Guo  1 , Zhengwei Ding  1 , Guowei Ding  1 , Liyan Wang  1 , Qianqian Qin  1 , Yan Xu  4 , Shasha Qian  1 , Tanmay Mahapatra  5 , Lu Wang  1
Affiliations

HIV/AIDS epidemic among older adults in China during 2005-2012: results from trend and spatial analysis

Jiannan Xing et al. Clin Infect Dis. .

Abstract

Background: Recent studies have indicated an increasing burden of human immunodeficiency virus (HIV)/AIDS among older adults.

Methods: All identified people living with HIV/AIDS (PLWHA) recorded through the Chinese HIV/AIDS CRS during 2005-2012 were included in the study, except for the cases that lacked specific spatial information. Trend tests and spatial analyses were conducted.

Results: Information about 73,521 PLWHA (aged ≥50 years) was collected during 2005-2012. Three provinces-Guangxi, Henan, and Yunnan-accounted for 54.4% of the identified cases during the study period. Compared with 2005, the ratio between residents and migrants among the study population decreased to 40.1% in 2012. The ratio of HIV-infected patients to AIDS patients and the ratio of males to females increased gradually among older infected adults. Results of spatial analysis indicate a clustered distribution of HIV/AIDS among older adults throughout the country. Hot spots were observed in 4 provinces (Guangxi, Henan, Yunnan, and Sichuan) and 1 municipality (Chongqing). A trend from central provinces toward southern provinces was also identified.

Conclusions: The number and proportion of HIV/AIDS among older adults have increased in recent years. The hot spots showed movement from central to southern China. A focused intervention strategy targeting the older PLWHA is urgently required in China.

Keywords: HIV/AIDS; older adult; spatial analysis.

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Figures

Figure 1.
Figure 1.
Geographical distribution of the number of people living with human immunodeficiency virus/AIDS reported among older adults at the city level in the years 2005, 2008, 2010, and 2012 in China. Abbreviation: HIV, human immunodeficiency virus.
Figure 2.
Figure 2.
A, Proportional distribution of transmission route of identified people living with human immunodeficiency virus (HIV)/AIDS (PLWHA) among older adults by year. B, Number and proportion of identified PLWHA among older adults by year. C, Ratio of disease type and Hukou status among younger and older HIV-infected cases. D, Gender distribution (male:female) among resident and migrant HIV-infected persons in younger and elderly age groups.
Figure 3.
Figure 3.
Hot spots and spatial median points of human immunodeficiency virus/AIDS infection among older adults at the city level in the years 2005, 2008, 2010, and 2012.
See this image and copyright information in PMC

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