摘要
目的分析云南省保山市缅籍人员艾滋病防控工作方案出台前后缅籍感染者/病人监测报告情况、各项管理指标进展,为进一步完善外籍防控方案提供科学依据。方法以保山市1998年至2020年底累计发现的缅籍HIV/AIDS为研究对象,分析不同防治措施实施阶段病例的基本人口学特征、样本来源,比较随访管理过程中的相关指标进展有无差别。结果 (1998~2020)年保山市累计报告缅籍HIV/AIDS 1173例,2个边境县报告病例较多(84.6%),职业以农民为主(81.9%),已婚有配偶为主(61.5%),小学及以下文化程度为主(84.5%),感染途径以性传播途径为主(79.6%),2011年及以前样本来源主要为检测咨询(18.5%)、孕产期检查(15.1%)、出入境人员体检(14.3%),(2012~2016)年主要为其他就诊者和术前检测(37.6%)、羁押/劳教戒毒(24.0%)和孕产期检查(13.3%);(2017~2020)年主要为出入境人员体检(36.9%)、其他就诊者和术前检测(23.4%)、孕产期检查(12.2%)。CD4检测率45.9%、配偶/固定性伴检测率62.3%、抗病毒治疗比例19.9%均较低,接受抗病毒治疗的均为涉外婚姻家庭HIV/AIDS,治疗脱失率逐渐下降,(2017~2020)年下降至16.3%,随访后坚持安全套使用率高达100%。结论外籍艾滋病防控范方案出台后,全面监测检测检出较多缅籍HIV/AIDS,但对其随访管理困难,纳入治疗管理的均为涉外婚姻家庭HIV/AIDS,通过对其随访干预,抗病毒治疗脱失率下降、坚持使用安全套比例得到极大提高,取得较好成效。仍有80.1%的缅籍HIV/AIDS未得到有效管理和规范治疗,需要探索对检出缅籍HIV/AIDS如何分类随访管理和抗病毒治疗的有效综合管理模式。
Objective To analyze the progress of management indicators of foreign HIV/AIDS before and after the introduction of the aids prevention and control program for foreign nationals in baoshan city of yunnan province, and to provide a scientific evidence for further improvement of the foreign prevention and control program. Methods Using Burmese HIV/AIDS accumulated from 1998 to 2020 in Baoshan were recruited as the subjects of study,by analyzing the General demographic characteristics and sample sources of cases in different stages of implementation of prevention and control measures, and compares the differences in the progress of relevant indicators in the follow-up management process. Results A total of 1,173 HIV/AIDS cases of Burmese nationality were reported in Baoshan City from 1998 to 2020. More cases(84.6%) were reported in two border counties. Farmers(81.9%) were the main occupation, married couples(61.5%), primary school level and below(84.5%), and sexual transmission(79.6%) were the main routes of infection. The sample sources in 2011 and before were mainly voluntary consultation testing(18.5%), pregnancy and childbirth examination(15.1%), physical examination of entry and exit personnel(14.3%), other visitors and preoperative examination(37.6%), detention/rehabilitation through labor(24.0%) and pregnancy and childbirth examination(13.3%) from 2012 to 2016. From 2017 to 2020, the main diseases were physical examination of entry and exit personnel(36.9%), other visitors and preoperative examination(23.4%), and pregnancy and childbirth examination(12.2%). The Detection rate of CD4 was 45.9%, the detection rate from spouse/fixed partner was 62.3%, and the proportion of antiviral treatment of 19.9% are all low. Those receiving antiviral treatment are all foreign marriage and family HIV/AIDS. The treatment loss rate has gradually decreased, and it decreased to 16.3% from 2017 to 2020. After follow-up, the condom use rate is insisted to be as high as 100%. Conclusion After the formulation and introduction of th
作者
胡安艳
董贤雅
李正旭
安丽
杨晓娟
赵彩佐
李红梅
马强
张腾
HU An-yan;DONG Xian-ya;LI Zheng-xu;AN Li;YANG Xiao-juan;ZHAO Cai-zuo;LI Hong-mei;MA Qiang;ZHANG Teng(Baoshan Center for Disease Control and Prevention,Yunnan,Baoshan 678000,China;Baoshan College of Traditional Chinese Medicine,Yunnan,Baoshan 678000,China;School of Public Health,Kunming Medical University,Yunnan,Kunming 650500,China)
出处
《皮肤病与性病》
2021年第6期725-729,共5页
Dermatology and Venereology
基金
保山市高层次创新人才项目(202004)。
