title: Clinical epidemiology of HIV/AIDS in China from 2004-2011.
abstract: This study retrospectively analyzed Chinese publicly reported data on Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). The HIV/AIDS morbidity (1/100,000) and mortality (1/100,000) rates in China continually increased from 0.23 and 0.06 in 2004 to 1.53 and 0.69 in 2011, respectively. The AIDS case fatality rate decreased yearly from 53.57% in 2008 to 45.11% in 2011, and the fatality rate in rural areas (0.25-0.42%) was higher than that in cities (0.13-0.22%). The number of HIV/AIDS patients discharged from city-level hospitals increased from 329 in 2004 to 7,266 in 2011, and this number was higher than the number of similar patients discharged from county-level (rural) hospitals (the number of HIV/AIDS patients increased from 252 in 2004 to 5,957 in 2011). The factors contributing to these trends include: enhanced physician HIV/AIDS education regarding diagnosis, intervention, monitoring, testing, and treatment; improved safety of blood collection and use; and improved management of HIV/AIDS patients. Therefore, HIV/AIDS prevention and control in rural areas of China is the key to reducing HIV transmission and mortality in China.
authors.affiliation: Shanghai Public Health Clinical Center, Fudan University.
authors.forename: Min
authors.initials: M
authors.lastname: Li
authors.forename: Yinzhong
authors.initials: Y
authors.lastname: Shen
authors.forename: Xiaofei
authors.initials: X
authors.lastname: Jiang
authors.forename: Qi
authors.initials: Q
authors.lastname: Li
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Zhou
authors.forename: Hongzhou
authors.initials: H
authors.lastname: Lu
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000266:history* / Q000517:prevention & control; D000367:Age Factors; D002681:China / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D049674:History, 21st Century; D006801:Humans; D009017:Morbidity; D009026:Mortality; D010351:Patient Discharge / Q000706:statistics & numerical data / Q000639:trends; D012424:Rural Population / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data*