摘要
目的分析云南省寻甸县235例人类免疫缺陷病毒(HIV)阳性者的相关特征,了解寻甸县艾滋病(AIDS)的流行特征和变化规律,为制定AIDS预防控制措施提供依据。方法收集2004—2012年在寻甸县疾病预防控制中心进行抗体检测,并经HIV抗体确认的235例HIV抗体阳性者的资料进行流行病学及相关特征分析。结果 235例HIV抗体阳性者中,男性140例,女性95例,男女性别比为1.47∶1;平均年龄30岁,文化程度以初中及以下为主(92.34%),职业以农民及民工为主(63.83%)。感染者检测原因:自愿咨询检测(VCT)占22.55%,婚前检查及其他就诊者分别占18.72%,其他原因占16.17%,术前检查占6.81%。临床诊断为AIDS的69例,占29.36%。235例感染者中,有134例检测了CD4+,CD4+计数最小为7个/μl,最多为1 156个/μl,平均为565个/μl,65例无临床症状和体征者CD4+均值为587个/μl,69例有临床症状和体征者CD4+均值为287个/μl。传播途径以异性性途径感染为主(62.98%),其次为静脉吸毒感染(17.45%)。结论该县异性性传播成为AIDS流行的主要途径,初中及以下文化程度及农民(民工)是AIDS预防控制及宣传教育的主体,同时应关注离退休人员的AIDS防治工作。重视高危人群的宣传教育和行为干预,并促使其及时主动进行检测,及时发现感染者,有助于控制AIDS流行。
[ Objective] To analyze the related features of 235 cases of HIV positive in Xundian County of Yunnan Province, to un- derstand the epidemiological characteristics and variation laws of AIDS, and provide evidence for developing AIDS control meas- ures. [ Methods ] A total of 235 cases of confirmed HIV positive, who received antibody detection in Xundian CDC from 2004-2012 were recruited in this study, their information was epidemiologically analyzed for related features. [ Results ] Of all 235 cases, 140 were male, 95 were female, the ratio was 1.47 ： 1, their average age was 30 years, 92.34% with education level of secondary school or below, 63.83% were peasants. The reasons for test were voluntary counseling and testing （ VCT ） （22.55%）, premarital checks and other examinations （18.72%） , other reasons （ 16.17% ） and preoperative examination （6.81% ）. Sixty nine cases was clinically diagnosed as AIDS patients, occupying 29.36%. Of 235 cases, 134 had tested CD4＋, the minimum and maximum count of CD4＋ was 7/μ1 and 1 156/μ1, respectively, with an average of 565/μl. The average CD4＋ of 65 cases who had no clini- cal signs and symptoms was 287/μl. The main route of transmission was heterosexual activity（62.98% ） , followed by intravenous drug（ 17.45% }. [ Conclusion] Heterosexual activity has become the main route of AIDS transmission. Peasants （migrant work- ers ） are the main body of the AIDS control and education. Meanwhile the retire personnel should attracted attention too. To pay at- tention to health education and behavior intervention of high risk groups, to prompt active detection, to identify the infection imme- diately are effective ways to control epidemic of AIDS.
出处
《职业与健康》
CAS
2013年第7期789-791,共3页
Occupation and Health
关键词
HIV感染
流行病学
相关特征
分析
HIV infection
Epidemiology
Related characteristics
Analysis
