2000—2012年常熟市艾滋病流行病学分析

Epidemiological analysis of HIV/AIDS in Changshu City from 200-2012

目的分析常熟市人类免疫缺陷病毒感染者／艾滋病患者（HIV／AIDS）的流行状况及主要危险因素，为完善防治对策提供依据。方法收集该市2000--2012年报告的HIV／AIDS病例个案和疫情监测资料，进行描述流行病学分析。结果2000--2012年常熟市累计发现HIV／AIDS196例。发现数呈总体上升态势，户籍人口与外来流动人口的发现数相差不大，近年该市户籍感染者比重在加大。男女性别比为3．67：1，以20-49岁、小学及初中文化程度人群居多。以性传播途径为主，占87．24％，男男性行为传播上升明显，占43．37％。结论常熟市的AIDS疫情发展迅速，流行特征已发生明显改变，今后应加大宣传、干预、发现、管理及治疗等工作的力度，尤其是加强对男男性行为人群的宣传干预，遏制AIDS快速传播和流行的势头。

[ Objective] To analyze the epidemic status and main risk factors of HIV/AIDS in Changshu City, and provide evidence for perfecting the prevention countermeasures. [ Methods ] The data of HIV/AIDS cases and epidemic surveillance in Changshu City from 2000-2012 were analyzed for analysis of descriptive epidemiology. [ Results] From 2000--2012, a total of 196 cases of HIV/AIDS were identified in Changshu City. The case number showed an upward trend,the case number of floating population was similar with local population, with the proportion of local infections increasing in the recent years. The ratio of male-to-female was 3.67： 1, and a majority of cases were people aged 20-49 years old and with the education level of junior middle school or below. The sexual transmission route accounted for 87.24%, and the route of men who have sex with men （ MSM ） accounted for 43.37%. [ Conclusion ] The epidemic of AIDS have improve significantly in Changshu City. It is important to strengthen the publicity, inter- vention, discovery, management and treatment, especially advocacy intervention for MSM, to curb the epidemic and the rapid spread of HIV/AIDS.