安顺市1997-2006年HIV流行状况分析

An analysis of HIV/AIDS prevalence in Anshun city in 1997-2006

目的通过对安顺市1997-2006年艾滋病疫情分析,了解安顺市艾滋病病毒(HIV)流行的特点和趋势,为制定防治对策提供科学依据。方法采用哨点监测、血清横断面调查和常规资料收集等方法进行血清流行病学调查。结果自1998年发现首例HIV感染者以来,几乎每年均有HIV阳性报告,至2002年大幅度上升,2002年报告的HIV阳性数是前5年的2.8倍;2005-2006年监测发现的HIV阳性者276例,是2004年以前8年累计发现数(121例)的2.28倍。1997-2006年,共检测26 832人份,检出HIV抗体阳性397例,阳性检出率为1.48%。感染者以青壮年为主,男性明显高于女性,男性和女性分别占80.35%、19.65%,主要以静脉吸毒传播为主。结论安顺市艾滋病的流行形势非常严峻,必须尽快采取有效的预防控制措施,减缓艾滋病在安顺的流行速度。

Objective To understand epidemiological characteristics of HIV prevalence in Anshun, and provide scientific evidence for formulating intervention strategies through epidemiolog/cal survey from 1997 to 2006 in this city. Method Sentinel surveillance, special cross - section survey and case detection were used to determine HIV prevalence and epidemic trend. Result Since 1998 when the first HIV case was detected in Anshun, HIV/AIDS cases had been reported nearly every year and had substantially increased in 2002, which was 2.8 times higher than those reported in the past 5 years. Also, a total of 276 cases wcre detected in 2005 - 2006 which was 2.28 times as high as the cumulative 121 cases in the past 8 years before 2004. The persons affected with HIV/AIDS were mainly young people, more men than women;the detection rate among males and females accounted for 80.83 % and 19.65 % , respectively.Drug injection was the main route of transmission.Conclusion Effective prevention and control measures should be implemented as soon as possible to contain the spread of HIV/AIDS in Anshun.