昆明市HIV/AIDS监测结果分析

Analysis of the results of HIV/AIDS surveillance in Kunming in 2001

目的 及时掌握昆明市艾滋病病毒 (HIV)的流行动态 ,特别是对一般人群的传播范围。方法 对监测人群的血清流行病学资料进行分析。结果 2 0 0 1年共检测血清标本 3 52 8份 ,检出 55例HIV感染者 ,检出率为1 56 %。其中哨点监测 1 738人 ,检出 36名HIV感染者 ;面上扩大监测 1 590人 ,检出 6名HIV感染者 ;匿名检测2 0 0人 ,检出 1 3名HIV感染者 ;检出率分别为 2 0 7%、0 38%、6 50 %。HIV感染者本市占 74 55 % ,外地占2 5 45 %。男性多于女性 ,其比例为 2 0 5∶1。年龄在 1 6～ 39岁的占 96 36 % ;职业以无业、农民为主。 56 36 %是通过静脉吸毒感染 ,43 64 %通过性途径感染。结论 HIV进入一般人群的危险性增大 ;性传播有明显上升趋势 ,构成比为 43 64 % ,与 2 0 0 0年 (2 8 1 7% )相比差异有非常显著的统计学意义 (P <0 0 1 )。控制吸毒特别是性途径造成的HIV传播 ,提高重点人群和一般人群的自我防范意识 。

Objective To understand HIV prevalence in high risk groups as well as in the general population Methods Data of sero-epidemiological surveillance collected from the target population groups were anslyzed Results A total of 3528 serum samples were tested in 2001,of which 55 HIV infected people were detected The detection rate was 1 56% Of these serum samples,1738 were from sentinel surveillance points,1590 were from expanded surveillance points,and 200 were from anonymous tests In these three groups,36,6 and 13 HIV infected people were identified respectively,and their respective detection rates were 2 07%,0 38% and 6 50% Of the 55 HIV infected people,74 55% were from Kunming,and 25 45% were from other places The ratio of male to female was 2 05:1 The majority of them were from 16 to 39 years old,accounting for 96 36% Most of them were jobless people and peasants Conclusion Of all the HIV infected people,56 36% were IUDS and 43 64% were infected by sexual transmission,indicating increasing risk of HIV infection in the general population,especially via sexual transmission The HIV/AIDS cases through sex activities were much higher in 2001 than in 2000(P<0 01)