2009-2013年攀枝花市仁和区艾滋病哨点人群HIV、HCV、TP检测分析

Detection Analysis on HIV,Hepatitis C Virus and Treponema Pallidum in Sentinel Population in Panzhihua City,2009-2013

目的了解2009-2013年攀枝花市仁和区艾滋病（AIDS）哨点人群的人类免疫缺陷病毒（HIV）、丙型肝炎病毒（HCV）、梅毒螺旋体（TP）感染状况,为制定相应的疾病干预措施提供科学依据。方法按照《全国艾滋病哨点监测实施方案》要求,对暗娼、吸毒人群采集血样,用酶联免疫吸附试验（ELISA）检测HIV、HCV、TP抗体。结果 2009-2013年攀枝花市仁和区艾滋病（AIDS）哨点人群HIV阳性率分别为6.55%、8.30%、5.88%、5.37%和5.51%;HCV阳性率分别为25.50%、27.08%、29.62%、19.10%和19.35%;TP阳性率分别8.26%、5.53%、5.50%、8.80%和8.04%。暗娼、吸毒人群HIV阳性率分别为1.37%、11.27%;HCV阳性率分别为2.62%、46.23%;TP阳性率分别为6.61%、7.76%。检测阳性人口学特征：HIV、HCV感染者以男性为主分别为84.55%、86.35%,TP感染者以女性为主55.78%;年龄组以20～40岁感染者为主;文化程度以初中及以下为主;婚姻状况HIV、HCV以未婚居多,TP已婚居多;HIV感染者彝族感染者稍多,HCV、TP感染者汉族居多。结论攀枝花市仁和区HIV、HCV感染率最高的人群是吸毒人群,今后在防控中要加大力度对吸毒人群的监管。TP感染率女性较多,应加大卖淫嫖娼的打击力度。同时应针对目标人群文化程度低的青壮年,开展有针对性的宣传教育和行为干预工作。

Objective To investigate the infection status of HIV, hepatitis C virus （HCV） and Treponema palli- dum （TP） in Renhe district of Panzhihua city, and to provide a basis for formulating control and prevention measures. Methods According to National Sentinel Surveillance Implementation Plan, the antibodies of HIV, HCV AND TP were assessed with Enzyme Linked Immunosorbent Assaymethod （ELISA）. Results During 2009 -2013, the positive rate of HIV was respectively 6. 55% , 8.30% , 5.88% , 5.37% and 5.51% ; the positive rate of TP was respectively 8.26%, 5.53%, 5.50% , 8.80% and 8.04%. The HIV positive rate in illicit prostitution and drug users was respectively 1.37% and 11.27% ; and the positive rate of HCV in the two populations was respectively 2. 62% and 46.23%; the positive rate of TP was respectively 6.61% and 7.76%. The infectors of HIV and HCV were mainly males, with a proportion of 84.55% and 86.35% ; while the TP infectors was mainly females, with a proportion of 55.78%. The vulnerable population was mainly 20 -40 years old and with education degree under junior high school. The infectors were mainly those unmar- ried for HIV and HCV; while for TP, married took the major proportion. For HIV infectors, the Yi nationali- ty took a considerable proportion and for HCV and TP, the Han nationality took greater proportion. Conclu- sion The vulnerable population of HIV and HCV are drug users and the TP vulnerable population are females. Targeted measures, such as health propaganda and behavior intervention, need be carried out towards drug us- ers, prostitution and low education degree young adults.