柳州市鱼峰区艾滋病流行现状与流行趋势分析

Analysis on epidemic situation and trend of HIV/AIDS in Yufeng District of Liuzhou City

目的分析1997-2019年柳州市鱼峰区艾滋病流行病学特征和趋势,为制定艾滋病防治策略和措施提供科学依据。方法通过国家艾滋病综合防治信息系统收集1997-2019年柳州市鱼峰区艾滋病疫情报告和流行病学调查资料,用描述流行病学方法对病例的人口学特征、感染途径及检测发现途径等进行分析。结果柳州市鱼峰区累计报告艾滋病病毒感染者和艾滋病患者1582例,其中艾滋病病毒感染者591例,艾滋病患者991例,死亡545例,男∶女=2.38∶1,全人群感染率为189.20/10万。20~<50岁年龄段病例占总病例数的68.64%,≥50岁的老年人病例占全部病例的29.33%。异性和同性性行为传播、静脉吸毒传播、输血传播、母婴垂直传播等多种传播途径共存,传播方式由以静脉注射吸毒传播为主,逐渐转变为以性传播为主。近10年来新发感染病例增长减缓。结论柳州市鱼峰区艾滋病流行发展迅速,已经由高危人群向普通人群扩散,新发病例的快速增长已得到有效遏制,但仍须采取更积极有效的措施来遏制其蔓延。

Objective To analyze the epidemiological characteristics and epidemic trend of HIV/AIDS in Yufeng District of Liuzhou City from 1997-2019,provide scientific basis for the formulation of HIV/AIDS prevention and control strategies and measures.Methods The epidemic report and epidemiological survey data of HIV/AIDS in Yufeng District of Liuzhou City from 1997-2019 were collected from the national HIV/AIDS prevention and control information system.The descriptive epidemiological method was used to analyze the demography characteristics,infection ways and detection ways of the cases.Results Totally 1582 people living with HIV and AIDS were reported in Yufeng District of Liuzhou City,including 591 cases of HIV infections and 991 cases of AIDS patients,and there were 545 cases died.The ratio of male to female was 2.38∶1.The infection rate of the whole population was 189.20/lakh.The cases in 20-<50 year-old group accounted for 68.64%of total cases,and the cases of the elderly≥50 years old accounted for 29.33%of the total cases.Multiple transmission channels coexisted,included heterosexual and homosexual sexual behavior transmission,intravenous drug use transmission,blood transfusion transmission,mother to infant vertical transmission.The mode of transmission changed from intravenous drug use to sexual transmission.The growth of new infectious cases slowed down in the past 10 years.Conclusion The HIV/AIDS epidemic situation develops rapidly in Yufeng District of Liuzhou City,and it has spread from high-risk groups to the general population.The rapid growth of new HIV/AIDS cases has been effectively curbed,but more active and effective measures should be taken to control its spread.