2005—2012年广西壮族自治区钦州市钦北区艾滋病流行病学分析

Epidemiological analysis on AIDS in Qinbei District of Qinzhou City of the Guangxi Zhuang Autonomous Region from 2005-2012

目的了解钦州市钦北区2005-2012年艾滋病的流行状况，为今后政府制定防治措施提供科学依据。方法对2005--2012年钦北区艾滋病疫情进行统计分析。结果2005-2012年钦北区艾滋病发病人数呈现出逐年上升的趋势。20—29岁发病人数最多（32．92％），其次是30—39岁（28．35％）；初中文化程度发病人数最多（43．81％），其次是小学文化程度（36．99％）；男性艾滋病发病率明显高于女性，男女性别比为3．15：1；农民发病最多（24．69％），家务及待业人员次之（10．72％），再次是民工（10．72％）和工人（4．49％）。新棠、大寺、平吉、城区、大直5个镇的患者所占的比例较多，分别是15．54％，12．47％，10．06％，9．31％，8．89％，那蒙、贵台、长滩、那香等4个镇所占的比例较少。从传播途径来看，主要有非婚异性性接触史（51．21％）、注射毒品史（21．78％）、配偶／固定性伴阳性（10．89％）。结论初中和小学文化程度、年龄在20—39岁、农民和民工及待业人员是艾滋病防治的重点对象，新棠、大寺、平吉、城区、大直是防治的重点地区，要严防“非婚异性性接触”和“注射毒品”行为，杜绝艾滋病的传播。

[ Objective] To analyze epidemic situation of AIDS in Qinbei District of Qinzhou City, provide scientific evidence for government to make the prevention and control measures in the future. [ Methods ] The epidemic situation of AIDS in Qinbei District from 2005-2012 were analyzed statistically. [ Results]The number of AIDS patients showed an increasing trend in Qinbei District from 2005-2012, and the case number in 20-29 year-old age group was the largest （ 32.92% ） , followed by 30-39 year-old age group. The patients with educational level of junior high school accounted for 43.81%, followed by primary school （ 36.99% ）. The AIDS incidence in males was significantly higher than that in female, and the male-to-female ratio was 3.15： 1. The most of patients were farmers （24.69%） , followed by housework and job-waiting people （ 10.72% ） , migrant workers （ 10.72% ） and workers （4.49%）. The proportions of patients in five towns, including Xintang Town, Dasi Town, Pinji Town, urban area and Dazhi Town, were the largest, which was respectively 15.54%, 12.47%, 10.06%, 9.31% and 8.89%. The proportions of pa-tients in Nameng Town, Guitai Town, Changtan Town and Naxiang Town were smaller relatively. The routes of transmission mainly included non-marital heterosexual contact history （51.21%）, history of drug injection （21.78%） , and spouse / regular partner with positive HIV （ 10.89% ）. [ Conclusion] The key populations of AIDS prevention include people with educational level of junior high school or primary school, peoph, aged 20-39 years old, and people who are farmers, migrant workers and the unemployed peo-ple. Xintang Town, Dasi Town, Pinjio Town, urban area and Dazhi Town are the key areas of AIDS prevention. It is important to prevent non-marital heterosexual contact and drug injection, to control the spread of AIDS.