广东省1986～1999年艾滋病患者与艾滋病病毒感染者流行特征及趋势

Trend and characteristics of HIV/AIDS epidemic in Guangdong province,

目的 分析广东省艾滋病患者与艾滋病病毒感染者 (HIV/AIDS)流行现状及影响因素 ,寻找控制措施。方法 分析全省的HIV常规、哨点、行为监测及实验室资料。结果 1996年底首次发现静脉吸毒者HIV阳性以来 ,HIV/AIDS报告数年平均上升 86 .2 % ,静脉吸毒占的比例从 1996年前的 1.4%上升到 1999年的 91.0 % ;吸毒者 6 1.3%为HIV 1C亚型。结论 HIV/AIDS疫情已进入快速增长期 ,静脉吸毒为主要传播途径 ;当前工作重点是预防HIV/AIDS从吸毒人群向暗娼以及一般人群传播 。

Objective To analyze the epidemic characteristics and risk factors of HIV/AIDS in Guangdong province and to search for measure of control. Methods Data from routine, sentinel, behavior and laboratory surveillance programs were collected and evaluated. Results Since the first HIV case in IDUs was found by the end of 1996, the number of HIV/AIDS has increased by 86.2 % yearly and the proportion of cases infected through IDU increased rapidly from 1.4 % before 1996 to 91.0 % in 1999. HIV 1 C subtype in IDUs accounted for 61.3 %. Conclusions Number of HIV/AIDS cases has increased rapidly in recent years in Guangdong. The major transmission route was through IDU. It was important to prevent HIV/AIDS spreading from IDUs to sex workers then to the general population through behavioral surveillance and intervention.