大理市1990-2005年艾滋病流行状况分析

Analysis of HIV Epidemic from 1990 to 2005 in Dali City

目的掌握HIV流行特征及流行趋势,明确防治工作重点,寻找有效控制措施。方法收集整理大理市1990-2005年艾滋病常规监测、哨点监测、VCT(艾滋病自愿咨询检测)咨询、专题调查、个案随访,进行统计分析。结果大理市自1990年首次发现HIV感染者,至2005年已累计发现1392例HIV感染者。传播途径以静脉吸毒为主,占总数的62.21%,但性传播途径所占的比例逐年上升。结论大理市HIV/AIDS已属高度流行区,目前艾滋病流行形势仍然严峻,应及时采取有效的防控措施,加强宣传教育,减少社会歧视,推广美沙酮和针具交换,加强对HIV感染者的管理。

Objective To understand the prevalence status of HIV/AIDS in dali city from 1990 to 2005,and to provide effective measures for prevention and control of HIV/AIDS in dali.Methods The data of the routine and sentinel surveillance、VCT were collected and analyzed.Results Since the first HIV infector was identified in 1990,a total of 1 392 infectors had been diagnosed up to 2005.Most of the infectors were injecting drug users,accounting for 62.21% of all infectors.Proportion of sexual transmission of HIV increased with time.Conclusion Prevalence of HIV/AIDS is high in Dali city,with a tendency of spreading from risk population to general population.Effective preventive and control measures such as strengthening education,reducing social discrimination,promotion of methadone maintenance treatment(MMT)and needle exchange programme(NEP),strengthening management of the people living with HIV/AIDS should be adopted.