南京市2002-2014年青年学生艾滋病疫情特征分析

HIV/AIDS epidemic status among young students in Nanjing City during 2002-2014

目的了解南京市青年学生中艾滋病（AIDS）疫情状况,为有针对性地开展高校艾滋病宣传教育提供依据。方法下载南京市2002-2014年艾滋病综合防治信息系统中报告的年龄≥15岁、职业为学生的艾滋病病毒（HIV）感染者/AIDS病人（简称HIV/AIDS病人）数据,采用SPSS 18.0进行分析。结果截至2014年10月,南京市共报告青年学生HIV/AIDS病人183例。2010-2014年,青年学生病例报告数占当年病例报告总数的比例逐年上升,分别为3.7%、4.8%、6.3%、6.9%、8.0%。20~24岁年龄组病例占75.4%,同性性传播占90.2%。2002年和2003年青年学生感染HIV是通过输血/血制品传播的,2008年后以同性性传播为主。病例来自于自愿咨询检测（VCT）的占42.6%,无偿献血的占14.2%。结论近年来南京市报告的青年学生病例数增长较快,同性性行为是主要危险行为,应加强对该人群的宣传干预工作,提高高危人群的主动检测意识。

Objective To understand the Human immunodeficiency virus（HIV）epidemic among young students and to provide reference for HIV/Acquired immunodeficiency syndrome（AIDS）related health education.MethodsHIV comprehensive prevention and control of information system were used for analysis of HIV epidemic among young students during 2002-2014 with SPSS 18.0.Results A total of 183 HIV/AIDS cases were reported among the young students and the number were increasing during 2002-2014.In all the reported cases,young students accounted for 3.7%,4.8%,6.3%,6.9%,8.0% in 2010,2011,2012,2013,and 2014,respectively.The 20-24 age group accounted for 75.4%.Homosexual transmission（90.2%）was the main route of transmission.The risk factor for HIV infection was transfusion of blood products before 2004 and male homosexual transmission had been the most important risk factor for HIV infection since 2008.The cases found from the voluntary counseling and testing accounted for 38.89% and the cases found from the voluntary blood donation accounted for 14.2%.Conclusion The number of young students with HIV infection has been increasing in recent years,with the homosexual being the main route.More HIV related education,intervention and tests should be taken to prevent HIV transmission among young students.