甘肃省艾滋病防治效果评价

Assessment of HIV/AIDS prevention and control in Gansu province.

目的为综合评价甘肃省艾滋病防治的实际效果,为实施综合防治措施提供科学依据.方法建立国家及省级监测哨点和流行病学调查的不同阶段对照体系,分析各人群、各阶段相关指标变化.结果2000年各类人群对艾滋病传播途径的正确回答率为75.0%～98.5%,对非传播途径的正确回答率为12.6%～78.1%;而2004年则分别为52.6%～89.4和24.3%～69.5%.安全套使用率低,2000年每次都用的占14.8%～70.3%,而2004年为7.2%～50.3%.静脉注射吸毒和共用注射器的比例不断上升,前者由1995年的3.2%上升至13.0%;后者由0上升至24.1%.结论艾滋病防治虽取得了一些成绩,但实际效果不明显,急需加强机构建设,开展多部门合作,加大投入,不断完善政策,实施综合性防治措施.

Objective To evaluate the result of HIV/AIDS prevention and control in Gansu province,and to provide scientific basis for HIV/AIDS control. Methods Based on the establishment of the national and the provincial HIV/ AIDS surveillance sites,data were analyzed by various target population at different phases. Results In 2000 among all the subjects studied, the correct rates in responding to the questions of HIV/AIDS knowledges ranged from 75.0% to 98.5% ,and 14.8 % to 70.3% gave the correct answer about non-HIV transmission routes. The rates of correct a answers on HIV/AIDS knowledge and HIV tansmission routes in the year of 2004 ranged from 52.6% to 89.4% ,and 24.3% to 69.5% respectively. The condom use rate varied from 14.8% to 70.3% in 2000,and 7.2% to 50.3% in 2004. It was also found that injecting drug use and needle sharing tended to increase. The proportion of intravenous drug injection climbed to 13.0% from 3.2% in 1995, while the proportion of needle sharing reached 24.1% from zero. Conclusions Although some achievements have been made in HIV/AIDS prevention and control, much remains to be done to enhance the mechanisms of multi-sector cooperation and develop relevant policy and environment for adopting comprehensive measures in fighting against HIV/AIDS.