2009—2013年陕西省合阳县HIV/AIDS流行特征分析

Epidemic characteristics of HIV/AIDS in Heyang County of Shanxi Province from 2009-2013

目的了解陕西省合阳县人类免疫缺陷病毒感染者/艾滋病患者（HIV/AIDS）的流行特征,为制定预防控制措施提供依据。方法采用描述流行病学方法,对合阳县2009—2013年HIV/AIDS疫情资料进行分析。结果合阳县共报告HIV/AIDS发病22例,死亡9例,病死率为40.91%;时间分布无季节差异;按年龄分布：主要集中在40岁~年龄组,共发病6例,占总发病的27.26%;男性发病19例,女性3例,男女比例为6.33∶1;职业分布涉及7种职业,其中以农民为主,发病10例,占45.45%;可能感染途径均为性接触传播,主要为异性传播,共发病15例,占总发病的68.18%。结论合阳县2009—2013年HIV/AIDS发病率逐年上升,病死率先升高然后下降;加强HIV抗体检测和高危行为干预工作力度,规范治疗管理、加大关怀和宣传力度、取缔色情场所是防控重点。

[Objective]To understand the epidemic characteristics of HIV/AIDS in Heyang County of Shanxi Province from 2009-2013, and provide evidence for developing prevention and control measures.[Methods]The descriptive epidemiology was used to analyze the HIV/AIDS epidemic data in Heyang County from 2009-2013.[Results]A total of 22 cases of HIV/AIDS were reported, with 9 cases of death, the case fatality rate was 40.91%. The time distribution showed no seasonal difference. The age distribution showed cases concentrated in the 40-49 years age group, with 6 cases, accounting for 27.26% of the total cases. There were 19 male cases and 3 female cases, the ratio was 6.33：1. The profession distribution displayed 7 kinds of occupation were involved , 10 cases were farmers, accounting for 45.45%. The possible routes of infection were sexual contact, 15 cases （68.18%） via heterosexual transmission.[Conclusion]The total incidence of HIV/AIDS is increasing annually from 2009-2013, mortality increases first and then decreases. The key to control HIV/AIDS is to strengthen HIV antibody detection and high-risk behavior intervention, to standardize management of the treatment, to improve care and propaganda, and to ban porn sites.