北京市东城区HIV/AIDS病例特征分析

Analysis of HIV/AIDS epidemic characteristics in Dongcheng district of Beijing

目的分析北京市东城区艾滋病的流行病学特征,为东城区制定艾滋病综合防控措施提供依据。方法运用SAS 9.3软件,对全国艾滋病综合防治管理信息系统中,截止到2017年8月31日现住址为北京市东城区且存活可随访的艾滋病病毒（HIV）感染者/艾滋病（AIDS）病人（简称HIV/AIDS病人）进行统计分析。结果可随访HIV/AIDS病例为844例,其中HIV感染者为628例,AIDS病人为216例。男性感染者占96.80%（817例）;20～50岁性活跃人群占83.29%（703例）;非本区户籍病例占75.24%（635例）;经性传播占97.63%（824例）,其中同性性传播占79.03%（667例）,异性性传播占18.60%（157例）;病例来源于检测咨询占38.27%（323例）,性病门诊占18.72%（158例）。结论东城区HIV/AIDS病人传播途径以男男性行为传播为主,病例主要来源于检测咨询和性病门诊。今后应重点加强男男性行为者及其配偶和医疗机构重点科室宣传干预和动员检测力度。

Objective To investigate the epidemic situation of HIV/AIDS in Dongcheng district of Beijing,and provide reference for AIDS prevention and control.Methods SAS 9.3 software was applied for the analysis of the reported HIV/AIDS cases in the district by August 31,2017.Results A total of 844 HIV/AIDS cases was reported and could be followed up including 628 HIV and 216 AIDS cases.96.80%（817 cases）were male.83.29%（703 cases）were aged between 20-50 years.75.24%cases（635/844）had non local household registration in the district.97.63% cases（824/844）were infected through sexual transmission,among which homosexual transmission accounted for 79.03%（667/844）.38.27%（323/844）were detected by voluntary counseling and testing（VCT）clinics.Conclusion The homosexual transmission is the main route of HIV/AIDS infection in Dongcheng district.VCT and STD clinics play the major roles in the case detection.In the future,CDC should expand HIV testing coverage for MSM and their sexual partners.