艾滋病防治攻坚工程下钦州市钦南区艾滋病流行特征分析

AIDS epidemiological characteristics in Qinnan District of Qinzhou after the implementation of AIDS prevention project

目的：了解钦州市钦南区2010-2014年实施艾滋病防治攻坚工程期间艾滋病流行趋势及其新出现的流行特征,为预防控制艾滋病提供科学依据。方法：对2010-2014年艾滋病进行描述流行病学分析。结果：实施艾滋病防治攻坚工程期间,钦南区艾滋病出现以下新的流行特征：2010-2014年累计新报告的艾滋病病毒感染者（HIV）和艾滋病病人（AIDS）共1001例（其中HIV 528例,占52.75%;AIDS 473例,占47.25%）。年均发病率为3.17/万,呈逐年下降,累计死亡337例,年均病死率为33.67%,呈逐年上升;病例集中分布在1个城区和4个乡镇（占65.33%）;HIV/AIDS病例以性传播途径为主（占91.2%）,同性传播病例逐年上升;男性718例（占71.73%）,女性283例（占28.27%）,男女比例逐年缩小;婚姻状况以已婚有配偶最多,占66.13%;职业分布以农民为主,占51.05%,并且逐年上升;≥60岁的病例最多,占27.00%,呈剧增趋势,30~39岁、50~59岁病例分别占21.10%和16.90%;年平均抗病毒治疗率为71.8%;每年自愿咨询检测人数明显上升,并且有43.46%的病例是通过自愿咨询检测发现的。结论：实施艾滋病防治攻坚工程,艾滋病防治各项措施得到较好的贯彻和落实,并取得初步成效。同时暴露出现一些新的流行特征,需要我们继续加强各项防治措施。

Objective To analyze the AIDS epidemiological trends and the emergence of new popular characteristics in Qinnan District of Qinzhou during the implementation of AIDS prevention project from 2010 to 2014,and to provide a scientific evidence for the prevention and control of AIDS. Methods We collected the data from 2010 to 2014 ,and made a descriptive epidemiological analysis. Results During the project, the AIDS epidemiological characteristics of Qinnan followed a new feature., the new HIV infectors and AIDS patients added up to 1001 from 2010 to 2014. There were 528 HIV infectors （52.75 %） and 473 AIDS patients （47.25 %）. The annual morbidity was 3.17/10 000, showing a decrea- sing trend year by year. The cumulative death was 337, and the average annual mortality was 33.67 %, showing an as- cending trend year by year. The cases were clustered together in the urban district and 4 towns（65.33 %）. The trans- mission route was mainly sexual intercourse （91.2%） ,gay transmission cases increasing year by year. There were 718 males （71.73%）and 283 females（28. 27%）, the ratio of male to female being shrinking each year. The patients were mainly married people （66. 13%）. Farmers infected AIDS （51. 05%） showed an increasing trend year by year. The number of cases over the age of 60 years old was maximal,accounting for 27.00%, which showed a peaking trend; the cases whose age from 30 to 39 years old and 50 to 59 years old accounted for 21.10% and 16.90% ,respectively. The annual average rate of anti-- HIV treatment was 71.8%, and the voluntary counseling and testing number of people rose markedly,43.46% of whom were diagnosed. Conclusions The measures of AIDS prevention and control have a- chieved initial success after the implementation of AIDS prevention project. Simultaneously, some new popular charac- teristics emerged, which need us to enhance the measures of AIDS prevention and control.