摘要
目的分析盐源县艾滋病流行现状和危险因素,为开展艾滋病防控工作提供科学依据。方法通过艾滋病综合防治信息系统收集2004-2014年艾滋病疫情资料,整理历年检测监测资料,并进行描述流行病学分析。结果 408例HIV/AIDS病例中,本地报告病例占61.3%（250例）,外地报告病例占38.7（158例）;感染者主要为20~49岁青壮年,占93.6%（382例）;注射毒品与异性接触传播分别占59.3%和34.3%;民族以彝族和汉族为主,分别占83.3%（340例）和14.2%（58例）;农民占75.5%,家政或无业者占10%;吸毒人群HIV抗体阳性检出率为7.97%,阳性者配偶及性伴HIV抗体阳性检出率6.9%。结论盐源县艾滋病疫情分布广泛,危险因素广泛存在,3种传播途径并存,部分家庭内出现二代传播和外来媳妇二次传播,性传播病例报告逐年上升,存在高危人群向一般人群蔓延趋势。应继续加强注射吸毒人群等艾滋病高危人群的综合干预工作,提高对HIV/AIDS阳性者的干预效果。
Objective To analyze AIDS epidemic situation and risk factors in Yanyuan County and provide a scientific basis for HIV / AIDS prevention and control. Methods HIV / AIDS epidemic information from 2004 to2014 was collected from the information system of HIV / AIDS comprehensive prevention and control,surveillance data in previous years were sorted out and analyzed by descriptive epidemiological methods. Results Of the 408 HIV / AIDS case reports,local and nonlocal cases accounted for 61. 3%（ 250 /402） and 38. 7%（ 158 /402）,respectively; young adults aged between 20 and 49 accounted for 93. 6%（ 382 /402）; people infected by drug injection and heterosexual contact accounted for 59. 3% and 34. 3%,respectively; Yi people and Han people accounted for 83. 3%（ 340 /402） and 14. 2%（ 58 /402）,respectively; peasants accounted for 75. 5%;housekeepers and jobless people accounted for 10%; drug users accounted for 7. 97% of HIV-positive people;the HIV antibody detection rate in mates and sexual partners of HIV-positive people was 6. 9%. Conclusion The HIV / AIDS epidemic in Yanyuan has an extensive coverage,and risk factors widely exist. All of the three transmission routes are present. There are cases of second-generation transmission and secondary transmission by wives from other places in some families; the number of STD cases shows yearly increases,and a tendency of spreading from high-risk populations to the general population has been found. The comprehensive intervention should be strengthened in AIDS high-risk groups such as IDU so as to improve the effect of behavior intervention in HIV / AIDS-positive people.
出处
《预防医学情报杂志》
CAS
2016年第4期404-407,共4页
Journal of Preventive Medicine Information
关键词
艾滋病
疫情
流行特征
危险因素
盐源县
AIDS
epidemic situation
epidemiological characteristics
risk factors
Yanyuan County
