2000—2015年菏泽市艾滋病流行特征分析

Epidemiological characteristics of HIV/AIDS from 2000 to 2015 in Heze

目的分析菏泽市2000—2015年艾滋病流行特征,为制定预防和控制策略提供科学依据。方法从中国疾病预防控制中心艾滋病综合防治信息系统下载病例报告历史卡片,建立数据库并进行统计学分析。结果2000—2015年底,菏泽市累计报告艾滋病病毒（HIV）感染者/艾滋病（AIDS）病人823例,其中HIV感染者383例,艾滋病病人440例,累计死亡225例。报告病例20-49岁青壮年占80.92%,15-29岁年龄组在报告病例中的构成比由2000—2005年的9.55%上升至2011—2015年的29.84%;性传播感染占60.02%,其中同性性传播报告病例占当年报告病例的比例由2008年的8.16%上升至2015年的38.46%。通过医疗机构检测发现的占所有报告病例的36.82%（303/823）。结论菏泽市艾滋病疫情呈上升趋势,应加强对男男性接触者等高危人群的行为干预,扩大检测,加强对一般人群的筛查。

Objective To analyze the epidemiological characteristics of HIV/AIDS from 2000 to 2015 in Heze city and to provide scientific basis to improve prevention and control strategies.Methods Data of the cases was collected from the national AIDS comprehensive information system,and comprehensive analysis was performed accordingly.Results By the end of 2015,there were cumulative numbers of reported 383 HIV cases,and 444 AIDS cases.80.92% of the patients were young and middle-aged between 20-49 years old,and the age group between15-29 years got rising from 9.55% during 2000-2005 to 29.84% during 2011-2015.The sexual transmission accounted for 60.02%,which was the primary transmission of HIV/AIDS,and the proportion of homosexual transmission increased rapidly from 8.16%in 2008 to 38.46%in 2015.The cases reported were mainly detected by medical institutions,accounting for 36.82% of all cases.Conclusion HIV/AIDS epidemic in Heze shows an upward trend.It is necessary to enhance the intervention measures among the high risk groups,esp.men who have sex with men,and to scale up testing for HIV detection.