1987～2005年金华市艾滋病监测结果及流行病学分析

The surveillance results and epidemiological analysis of AIDS in Jinhua City from 1987 to 2005

目的分析1987～2005年金华市艾滋病监测结果及流行病学特点,为制定艾滋病防治策略提供依据。方法对金华市艾滋病监测及流行病学管理资料进行统计分析。结果1987～2005年金华市累计报告艾滋病病毒(HIV)感染者94例,其中艾滋病病人(AIDS)14例,以青壮年为主,男女性别比为2.92∶1;传播途径以静脉注射毒品和性接触感染为主,分别占46.80%和39.36%;47.87%的感染者文化程度为小学及以下。其中,31.00%为常住人口,以性接触途径感染为主,占79.31%,部分是HIV阳性配偶或性伴侣间感染,占24.13%。1987～2005年共完成重点人群监测122180人,检出HIV抗体阳性87例,阳性率为0.07%。结论金华市艾滋病流行态势由传入期进入播散期,AIDS流行正由高危人群向一般人群扩散蔓延,并已造成了家庭内传播。预计今后重点人群中HIV感染者将大幅度增长,需加大防治力度。

Objective This study was made to analyze the epidemiological characteristics of AIDS based on the surveillance results of the epidemic in Jinhua City from 1987 through 2005, providing a basis for the formulation of strategies for the prevention and control of AIDS. Methods Statistical analysis were performed on the data from AIDS surveillance and epidemiological management in Jinhua City. Results 94 HIV-infected cases were reported from 1987-2005 in Jinhua City with 14 AIDS patients included. Young adults were predominantly affected with the ratio of male to female being 2.92：1. Intravenous drug use and sexual contact were the major routes of transmission, accounting for 46.80% and 39.36% respectively. 47.87% of all the infected received only elementary school education or even lower. Among the HIV-infected individuals, permanent residents accounted for 31.00% of all the infected with transmission through sexual activities constituting 79.31% and through HIV positive spouses/sexual partners 24.13%. Surveillance was done on 122 180 individuals from vulnerable population from 1987 to 2005,with positive HIV antibody found in 87 cases （positive rate 0.07%）. Conclusion The AIDS epidemic trends in Jinhua City have developed from the introduction phase to the spreading phase. The epidemic is spreading from high-risk population to general population with family HIV transmissions having occurred. It is expected that HIV infections will increase substantially, so greater efforts need to be made to strengthen the prevention and control of the epidemic.