中越边境地区广西宁明县1997-2014年艾滋病流行状况分析

Epidemiological Study of AIDS from 1997 to 2014 in China-Vietnam Cross-Border Ningming County of Guangxi

目的分析宁明县1997-2014年艾滋病流行状况,为边境地区艾滋病防控提供科学依据。方法从中国疾病预防控制信息系统艾滋病综合防治信息系统获取疫情资料,应用Epi Data 3.0建立数据库,并使用SPSS 17.0进行数据处理和统计分析。结果宁明县1997-2014年累计发现HIV感染者1 609例,其中艾滋病患者(AIDS)1 016例,死亡722例。HIV感染者占总人口数的0.365%,是全国的11.06倍。HIV感染者以20~49岁组青壮年为主(74.39%);职业多为农民(64.39%);以男性为主(77.38%);主要通过异性接触途径感染(75.33%);越南籍媳妇累计报告发病率明显高于本地人群,差异有统计学意义(χ2=5.694,P<0.05)。结论宁明县艾滋病疫情严重,进入高发病期与死亡高峰期。应重点加强对青壮年、农民、暗娼人群与越南籍媳妇的行为干预,做好艾滋病病例的治疗管理。

Objective To provide strategies for prevention and control of HIV in the border region through analyzing the epidem- ic situation of HIV in Ningming County from 1997 to 2014. Methods Data of the HIV epidemic information in Ningming County were obtained from the National HIV Comprehensive Control and Prevention Information System. Adopted EpiData 3.0 to establish database, and analyzed the data with SPSS 17.0. Results A total of 1 609 cases of HIV, including 1 016 cases of AIDS, have been found from 1997 to 2014 in Ningming County. The number of HIV cases accounted for 0. 365% of the total population, 11.06 times as the national average. There are some main distribution characteristics of cases. Their age range from 20 to 49 ; the majority of HIV are farmers（64. 39% ） ; the majority of HIV are males（77. 38% ） ; heterosexual contact is the main transmitting type（75.33% ） ; cumulative report incidence of Vietnamese wives is conspicuously higher than local people, the difference was statistically significant （χ^2 = 5. 694, P 〈 0.05 ）. Conclusion Epidemic situation of Ningming County is serious, and it turns in- to high -incidence seasons and death peak period. ItS necessary to strengthen the behavioral intervention of young adults, farm- er, female sex workers and Vietnamese wives, and gets the treatment management of AIDS work.