邵阳市2004～2013年艾滋病流行特征分析

Analysis on epidemiological characteristics of AIDS in Shaoyang city during 2004-2013

目的了解邵阳市艾滋病即获得性免疫缺陷综合征（AIDS）流行特征,为进一步制定防治措施提供依据。方法采用Excel2003软件对邵阳市2004~2013年AIDS疫情进行流行病学分析。结果邵阳市2004~2013年共报告人类免疫缺陷病毒（HIV）/AIDS患者1 515例,其中AIDS患者882例,死亡497例。其人群特点：（1）发病人数及发病率逐年增加,发病率从2004年的0.81/100万上升至2013年的43.92/100万;（2）1 515例HIV/AIDS者中以20~50岁居多,但近年来50岁以上的老年患者增长迅速（2004~2013年从16.7%增长至47.2%）;（3）职业构成主要以农民为主[51.4%（778/1 515）];（4）AIDS的3条感染途径（性传播、血液传播、母亲传播）在邵阳市均有发现,但79.3%（1 202/1 515）来源于性传播。结论邵阳市AIDS疫情已经由高危人群向一般人群扩散,在采取综合防治的基础上必须积极针对性传播链条予以干预及对老年HIV/AIDS患者给予密切关注。

Objective To understand the epidemiological characteristics of acquired immune deficiency syndrome（AIDS）in Shaoyang city to provide a basis for further formulating control measures. Methods The Excel 2003 analysis software were adopted to perform the epidemiological analysis on the epidemic situation of AIDS in Shaoyang city during 2004-2013. Results A total of 1 515 cases of human immunodeficiency virus（HIV） infected persons/AIDS patients（HIV/AIDS） were reported in Shaoyang city from 2004 to 2013,including 882 cases of AIDS,497 cases of which died. The AIDS group characteristics included：（1）the incidence number of AIDS patients was increased year by year,and the morbidity rate was increased from 0.81/1 million in 2004 to43.92/1 million in 2013;（2）the 1 515 HIV/AIDS infected patients were mainly in the 20-50 years old group,but the elderly patients over 50 years old were increased rapidly in recent years（increased from 16.7% in 2004 to 47.2% in 2013）;（3）the occupation constituent of the patients were mainly farmers,accounting for 51.4%（778/1 515）;（4）3 infection routes of AIDS（sexual transmission,blood transmission and mother transmission） were found in Shaoyang city,but 79.3%（1 202/1 515） came from sexual contact.Conclusion The AIDS epidemic situation is spread from high-risk groups to the general population,so it is necessary to intervene the sexual transmission chain actively and pay more attention to HIV/AIDS aged patients on the basis of comprehensive control.