2003—2020年兰溪市艾滋病疫情分析

Analysis of AIDS Epidemic in Lanxi from 2003 to 2020

目的:通过对浙江省兰溪市HIV/AIDS流行病学特征进行分析,结合当地实际情况,提出有针对性的艾滋病疫情防控策略。方法:运用描述性流行病学的方法对2003—2020年兰溪市艾滋病疫情资料进行分析。结果:2003—2020年兰溪市累计报告HIV/AIDS 249例,其中HIV感染者126例,AIDS病例123例,死亡29例。报告病例男女比例为3.08∶1,年龄以20~59岁为主(83.14%),职业以农民为主(41.78%),已婚居多,文化程度以初中为主(34.54%)。全市16个乡镇/街道均有病例分布,以兰江街道最多(26.91%)。感染途径经性传播为主(96.80%),其中异性传播(67.48%)高于同性传播(29.32%)。发现途径以自愿检测咨询和术前检测为主(各25.31%)。结论:兰溪市艾滋病疫情呈逐年上升趋势,性接触为主要传播途径,历年报告的病例中男性性接触人群和老年人群比例在不断上升,提示应对不同高危人群采取有针对性的干预措施,加强健康宣教,扩大HIV检测咨询覆盖面。

OBJECTIVE To provide targeted prevention and control strategy for AIDS epidemic through the analysis of HIV/AIDS epidemiological characteristics in Lanxi and the local situation. METHODS Descriptive epidemiological methods were used to analyze the characteristic of AIDS epidemic in Lanxi from 2003 to 2020. RESULTS 249 cases of HIV/AIDS were reported in Lanxi between 2003 and 2020, among which 126 cases were infected with HIV, 123 cases were infected with AIDS, and 29 cases died.The ratio of male to female was 3.08∶1. 83.14% of the cases were less than 60 and above 20 years old. The occupation was mainly farmers(41.78%). Marriage was mostly married. The education level was mainly in junior high school(34.54%). The cases were distributed in 16 towns/districts of the city, and cases in Lanjiang district was more than others(26.91%). The main route of infection was sexual transmission(96.80%), and proportion of heterosexual transmission(67.48%) was higher than homosexual transmission(29.32%). Voluntary testing consultation and preoperative testing were the main ways of the investigation(each accounting for25.31%). CONCLUSION The morbidity of HIV in Lanxi was increasing by years, and sexual contact was the main transmission route. Notably, the proportion of MSM and elderly population in the reported cases was increasing continuously, implying that targeted intervention measures should be taken for different high-risk groups, including strengthening health education and expanding the coverage of HIV testing and consultation.