2005—2015年德宏州芒市艾滋病疫情分析

An analysis on HIV/AIDS Epidemic in Mangshi County Dehong from 2005 to 2015

目的分析芒市2005—2015年艾滋病流行特征及趋势,了解德宏州三轮防艾人民战争对芒市艾滋病疫情的影响,总结有效措问题,为下一步制定芒市艾滋病防治策略提供科学依据。方法 2016年1月下载《中国疾病预防控制信息系统艾滋病综合防治信息系统》中2005—2015年新报告的HIV/AIDS病例,采用描述性方法分析检测及病例报告、晚发现、治疗和死亡情况。结果 2005—2015年累计报告HIV/AIDS 4 388例,其中本县区有2 049例,外县有1 369例,外籍有970例,外籍病例构成比从2008年的17.65%上升到2015年的41.96%;累计报告病例性传播占74.07%,每年新报告性传播比例从2005年的55.60%上升到2015年的77.33%,40岁以上中老年人从2005年的19.30%上升到2015年39.91%;男性、已婚、大年龄,服务业、干部职员相对其他类别人群晚发现率高;抗病毒治疗者死亡率较未治疗者低。结论通过三轮防艾人民战争的开展,芒市迅速上升的艾滋病疫情形式有所控制,但性传播、边境防控和中老年人健康教育都成为新的挑战,疫情形势依然不容乐观,需要进一步探索更有针对性的防治措施。

OBJECTIVE To analysis the epidemiological characteristics and trend of HIV/AIDS in Mang City, Dehong Prefecture.METHODS New report cases of HIV/AIDS from 2005 to 2015 were downloaded from the China CDC Information System of AIDS Disease Prevention and Control in January 2016. Descriptive epidemiology has been used to analyze the information of case detection and report, later found, treatment, and death. Later found cases were defined as the new report cases who were diagnosed with AIDS patients（CD4200 mm3 or clinical diagnosis of AIDS patients）, and cases who transformed quickly into AIDS during 1 year after reporting. AIDS related deaths including HIV/AIDS related deaths and suspected AIDS death. RESULTS In 2005—2015, the cumulative report of 4388 cases of HIV/AIDS, 2049 cases（46.70%） in county, 1 369 cases（31.20%） among Chinese, 970 cases（22.11%）among foreigners, and the proportion of foreign cases was higher than that the 17.65% in 2008, increased to 41.96% in 2015; cumulative reported cases of sexual transmission accounted for 74.07%, the annual report of the proportion of new sex spread from 55.60% in 2005 raised to 77.33% in 2015, 40 years of age in the elderly from 77.78% in 2005 to 25.39% in 2015. The number of male founders in the same period was higher than that in 2015. The number of founders was 34.13%（399/1 169）, Married, older age, service industry, cadres and staff compared to other categories of people found a high rate of late; antiviral treatment of mortality than those who are not treated low. CONCLUSION Through three times the AIDS war, the rapid rise in the AIDS epidemic situation has been controlled, but the sexually transmitted, border prevention and control, health education in the elderly had become new challenges, the epidemic situation was still not optimistic, which needed to further explore more targeted sexual control measures.