承德市艾滋病流行趋势及预防控制策略

Epidemic Trend of AIDS and Its Prevention and Control Strategy in Chengde City

目的分析承德市10年来艾滋病（AIDS）流行趋势，为制定承德市艾滋病预防控制策略提供科学依据。方法通过血清学、流行病学调查，分析承德市艾滋病流行特征，提出防治措施。结果截止到2007年底承德市共发现艾滋病病毒（HIV）感染者及艾滋病病人（AIDS）45例。年龄分布以青壮年为主，20～39岁占69％，年龄最小的19岁，最大的68岁；男性多于女性，男女之比为2．75：1；传播途径为血液途径占54％，性途径占46％，近年来性途径大幅度上升，2007年新发现的病例中，全部为性途径传播。结论承德市艾滋病流行进入快速增长期，需要加大宣传教育、重点人群监测、高危行为干预的力度，制定相应的防治策略，遏止艾滋病从高危人群向一般人群扩散速度，从而降低艾滋病对社会的危害。

[ Objective] To analyze the epidemic trend of AIDS, and provide scientific evidence for AIDS prevention and control in Chengde city. [ Methods ] The epidemic trend of AIDS was analyzed through serological and Epidemiological investigation so as to put forward prevention and control measures. [ Results] By the end of 2007, 45 cases of HIV/AIDS were reported in Chengde city. Most of them are youth and middle-aged, 69% of them are from 20 to 39 year old, with the youngest of 19 and the oldest of 68 ; male is more than female, the ratio was 2.75：1 ; 54% of the route of transmission is the blood, and 46%of it is the sex with a Substantially increase. In 2007 the newly discovered cases were all for sexual transmission. [ Conclusion] The HIV/AIDS epidemic has drastically increased at a higher speed recendy in Chengde city . It is very important to enhance health education, monitoring, behavior intervention and surveillance programs to prevent HIV/AIDS spreading from high risk people to the general population, in order to decrease the hazard of HIV/AIDS to society.