摘要
目的掌握2007—2016年浙江省衢州市艾滋病病毒感染者/艾滋病患者(HIV/AIDS)的流行特征及规律,为实施有效的干预措施和防治提供参考依据。方法收集2007—2016年衢州市报告的HIV/AIDS流行病学资料,采用描述性流行病学方法进行统计分析。结果 2007—2016年衢州市共报告HIV/AIDS 620例,男女性别比为3.3∶1;主要经性接触传播(93.4%);感染者年龄以20~49岁为主(71.1%),老年人的发现比例逐年上升,HIV/AIDS平均年龄呈现明显的上升趋势;本市户籍感染者所占比例呈逐年上升趋势,2016年达到最高,为74.3%;文化程度为初中及以下的占77.8%;发现方式由羁押人员中发现为主转为医院检测发现为主,性病门诊检测报告55例,占8.9%。男男性行为者经性途径传播构成比自2009年开始明显上升,由11.1%上升到2011年的38.2%(最高),近年来一直维持在较高水平。结论 2007—2016年衢州市艾滋病疫情呈明显的上升趋势,性传播为主要传播途径,男男性行为者感染率快速上升,需进一步加强艾滋病宣传教育和扩大高危重点人群检测范围,落实好早发现早治疗策略,以控制疫情的进一步上升。
Objective To understand the epidemiological characteristics of HIV infection/AIDS in Quzhou,Zhejiang province,from 2007 to 2016,and provide scientific evidence for the effective intervention and control. Methods Descriptive epidemiological analysis was conducted on the reported data of HIV infection/AIDS cases in Quzhou during this period.Results A total of 620 HIV infection/AIDS cases were reported during 2007 to 2016,the male to female ratio of the cases was 3. 3∶ 1. Sexual contact was the major transmission route（ 93. 4%）. The majority of HIV infection/AIDS cases（ 71. 1%）were aged 20-49 years. The proportion of the cases in the elderly increased with year,and the average age of the cases increased obviously. The proportion of the cases in local residents increased with year,reaching the highest level of 74. 3% in 2016. About 77. 8% of the cases were with education level lower than middle school. The cases were mainly found through hospital detection instead of the detection in custody personnel previously. Fifty five cases were detected in STD clinics（ 8. 9%）. The proportion of the transmission through male homosexual contacts increased significantly from 11. 1% in 2009 to 38. 2% in 2011 and kept at a high level in recent years. Conclusion AIDS epidemic in Quzhou became serious during 2007-2016. Sexual contact has become the major transmission route of HIV infection,and the HIV infection rate increased rapidly among men who have sex with men. It is necessary further strengthen the health education about HIV/AIDS prevention and control and expand detection coverage in populations at high risk and conduct early detection and treatment of HIV infection/AIDS to control AIDS epidemic.
出处
《疾病监测》
CAS
2017年第12期940-943,共4页
Disease Surveillance
关键词
艾滋病
艾滋病病毒
流行特征
Acquired immune deficiency syndrome
Human immunodeficiency virus
Epidemic logical characteristics
