深圳市福田区2005—2009年艾滋病监测情况分析

Monitoring Analysis of HIV/AIDS in Futian District of Shenzhen from 2005 to 2009

目的分析深圳市福田区2005—2009年HIV/AIDS的流行状况,为AIDS的预防控制提供科学依据。方法对福田区2005—2009年AIDS常规监测和哨点监测资料进行描述性的流行病学分析。结果福田区2005—2009年共监测1022540份血清,发现HIV/AIDS658例,其中AIDS患者63例,阳性率0.064%。在658例HIV/AIDS中,年龄分布以21～40岁的中青年为主,占85.58%,男女性别比为3.39∶1。职业分布以无业、退休或家政、商业服务为主,共502例,占76.29%;感染途径为性接触传播的占52.43%。地区分布以外省籍流动人员为主,共324例,占50.00%;样本主要来源于公安监管场所,其他就诊者,检测、性病门诊就诊者,共检出538例,占81.91%;阳性检出率最高的为阳性者配偶或性伴(100.00%)。结论福田区的AIDS流行形势严峻,性接触是HIV/AIDS传播的主要途径,HIV/AIDS中以外地流动人口和无业、退休或家政、商业服务居多,阳性者配偶或性伴检测阳性率最高。当前工作重点是加强对流动人员、阳性者配偶或性伴的防治AIDS知识宣传,采取适当的行为干预措施,促使高危人群改变其高危行为,减少危害,预防和控制AIDS的流行。

[Objective] To analyze the epidemiological characteristics of HIV/AIDS cases in Futian district of Shenzhen from 2005 to 2009, provide scientific basis for control and prevention of AIDS.[Methods]The AIDS data of routine monitoring and sentinel surveillance in Futian district from 2005 to 2009 were analyzed with descriptive epidemiology.[Results]From 2005 to 2009, 658 HIV/AIDS cases were detected in 1 022 540 serum samples in Futian district, in which 63 cases were AIDS patients, and the positive rate was 0.064%. Among 658 HIV/AIDS cases, 85.58% were middle-aged and youth aged from 21 to 40 years, and the ratio of male to female was 3.39∶1. The occupation distribution showed that 502 （76.29%） HIV/AIDS cases were jobless, retirement person or household management, commercial service person. The major transmission route was sexual contact, which accounted for 52.43%. The regional distribution showed that 324 （50.00%） cases were floating population from other provinces. The samples were mainly collected from public security prison, other outpatients and visitors to STD clinic, which 538（81.91%） cases were detected. The positive detection rate of spouse or sexual partner of HIV positive people was the highest （100.00%）.[Conclusion]The epidemic situation of AIDS in Futian district was serious. Sexual contact was the major transmission route of HIV/AIDS. Most of HIV/AIDS cases were floating population, jobless, retirement person or household management, commercial service person. The positive detection rate of spouse or sexual partner of HIV positive people was the highest. It is important to strengthen the education of knowledge about AIDS prevention among floating population, spouse or sexual partner of HIV positive people, carry out advisable behavior intervention measures, so as to help the high risk population change their high risk behavior, reduce harm, prevent and control the transmission of AIDS.