1996—2015年河南省淅川县艾滋病流行现状及趋势分析

Analysis on epidemic situation and trend of AIDS in Xichuan County from 1996-2015

目的分析1996—2015年淅川县艾滋病（AIDS）流行现状及趋势,为制定防治措施提供科学依据。方法利用中国艾滋病综合防治信息系统,下载1996—2015年淅川县人类免疫缺陷病毒（HIV）感染者和AIDS患者（HIV/AIDS）信息,分析相关数据。结果 1996—2015年淅川县累计报告HIV/AIDS患者683例。疫情呈现上升、下降、缓慢上升3个变化时期。年龄集中在20~49岁。≥60岁病例比例呈上升趋势。采血（浆）、输血/血制品构成比从2005年的71.11%下降到2015的1.96%,呈逐年下降趋势（χ2=74.37,P〈0.01）。异性传播构成比从2005年的24.44%上升到2015年的74.51%,呈逐年上升趋势（χ2趋势=47.7,P〈0.01）。同性传播构成比从2.13%上升到23.53%。结论性传播成为淅川县AIDS传播的主要途径。加强对重点人群的宣传教育、监测和干预等工作。

[Objective]To analyze the epidemic situation and trend of AIDS in Xichuan County from 1996-2015,provide scientific basis for developing the prevention and control measures.[Methods]The data of HIV infections and AIDS patients in Xichuan County from 1996-2015 were collected rom the China AIDS comprehensive prevention and control information system,and were analyzed.[Results]From 1996 to 2015 totally 683 HIV/AIDS cases were reported in Xichuan County. The epidemic situation had three stages of rising,falling and slowly rising. Most of cases were people aged 20-49 years old,and proportion of cases over 60 years old showed a rising trend. The rate of transmission by paid plasma donation and blood transfusion/ blood products decreased from 71.11%in 2005 to 1.96% in 2015,showed a declining trend year by year（χ2=74.37,P〈0.01）. The proportion of heterosexual transmission increased from 24.44% in 2005 to 74.51% in 2015,showed a rising trend year by year（χ2trend=47.7,P〈0.01）. The proportion of homosexual transmission increased from 2.13% to 23.53%.[Conclusion]Sexual transmission has become the main way of the spread of AIDS in Xichuan County. It is necessary to strengthen the education,monitoring and intervention of the key population.