广西第二轮全国艾滋病综合防治示范区艾滋病流行特点分析

AIDS Epidemic Characteristics of Second-Round China CARES Program in Guangxi

目的对2008-2013年广西第二轮艾滋病综合防治示范区艾滋病流行特点进行分析,为探索和制订适合广西的艾滋病综合防治策略和干预措施提供科学依据。方法从全国艾滋病综合防治数据信息系统收集2008-2013年广西第二轮艾滋病综合防治区（13个）的数据,用SPSS19.0软件进行分析。结果 2008-2013年示范区HIV/AIDS报告数中,男女性别比为2.27∶1。20-49岁年龄组患者占58.20%。2008-2013年,50岁及以上年龄组的构成比分别为30.76%、33.97%、35.66%、44.83%、43.67%、45.10%;农民的构成比分别为66.95%、69.67%、70.24%、75.60%、75.78%、76.60%;初中及以下文化水平的分别为90.99%、90.32%、88.86%、91.47%、91.72%、91.58%。13个示范区中HIV/AIDS累计报告数〉500例的有10个,其中≥2 000例的有1个,1 000-1 999例的有4个,500-999例的有5个。8个示范区的发病比例超过1.0‰。2008-2013年经性接触途径传播的构成比分别为64.73%、75.55%、85.84%、92.25%、92.59%、94.65%。结论 ＂三间＂分布特征提示应更加重视孕产期艾滋病抗体筛查;关注老年人群经性途径感染艾滋病的现象;尝试和探索更多针对低素质人群的有效防治模式;随着更多的地区成为高流行区域和性传播成为最主要的传播途径,艾滋病防治任务越来越艰巨,应继续深入实施防治艾滋病攻坚工程。

Objective To analyze AIDS epidemic characteristics of the second-round China CARES program which was conducted in Guangxi from 2008 to 2013,therefore to provide scientific evidences for developing HIV /AIDS prevention and intervention strategies for Guangxi. Methods The data of second-round China CARES program in Guangxi（ 13 comprehensive AIDS prevention and control demonstration zones） from 2008 to 2013 collected from the national HIV /AIDS prevention and control epidemic information system were analyzed by using SPSS19. 0 software.Results The HIV /AIDS reports（ 2008-2013） showed that,for the overall patients in demonstration zones,male to female ratio was 2. 27 ∶ 1. Patients aged ≥20 and ≤49 years old accounted for 58. 20% in total. From 2008 to 2013,patients aged 50 years old or older accounted for 30. 76%,33. 97%,35. 66%,44. 83%,43. 67%,45. 10%,respectively.Farmers accounted for 66. 95%,69. 67%,70. 24%,75. 60%,75. 78%,76. 60%,respectively. Patients with education level of junior school or below accounted for 90. 99%,90. 32%,88. 86%,91. 47%,91. 72%,91. 58%. Ten of 13 demonstration zones reported a cumulative number of HIV/AIDS cases which was more than 500,of which there was one demonstration zone with HIV / AIDS cases more than 2000,4 demonstration zones with HIV /AIDS cases more than 1 000 and less than 1999,5demonstration zones with HIV /AIDS cases more than 500 and less than 999. There were 8 demonstration zones with HIV /AIDS incidence higher than 1. 0%. From 2008 to 2013,the proportions of HIV /AIDS transmission though sexual contact were 64. 73%,75. 55%,85. 84%,92. 25%,92. 59%,94. 65%,respectively. Conclusion The analysis on the characteristics of distribution of time,region and population in the study suggests that： We should pay more attentions to the HIV /AIDS antibody screening in pregnancy women,focus on HIV /AIDS infection though sexual transmission in elderly people,and explore more effective ways to prevent HIV /AIDS infection for the population with poor education level. Under the background of HIV /AIDS spreads in more and more areas and sexual contact becomes the major pattern of HIV /AIDS transmission,HIV /AIDS prevention and treatment is getting harder to complete. HIV /AIDS prevention project should be implemented thoroughly and consistently.