2004-2009年滦南县HIV/STD感染情况分析  

Trend of HIV/STD infection in Luannan County,2004-2009

作　　者：王春波[1,2] 刘志杰 姜丽 马文娟[2] 

机构地区：[1]滦南县疾病预防控制中心,河北唐山063500 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206

出　　处：《中华疾病控制杂志》2011年第8期681-684,共4页Chinese Journal of Disease Control & Prevention

基　　金：第三轮中国全球基金艾滋病项目(CHN-304-G03-H)

摘　　要：目的了解2004-2009年滦南县艾滋病性病(human immunodeficiency virus/sexually transmitted dis-ease,HIV/STD)感染情况的变化趋势及主要患病人群特征,评价滦南县艾滋病性病预防控制工作的效果,为制定下一步预防控制策略提供科学依据。方法分析2004-2009年滦南县HIV/STD传染病报告数据,比较各年份报告HIV/STD的构成变化和感染者人口学特征。结果 2004-2008年,滦南县HIV/STD报告感染总数由87例降低到15例以下,2009年报告感染总数回升至34例。2007-2009年连续3年HIV感染报告例数为0例,报告感染数最多的性病为尖锐湿疣、非淋菌性尿道炎和淋病。感染者中男性多于女性,并且2004-2007年男性比例呈上升趋势,2008-2009年有所降低;感染者年龄分布以30岁以下为主,20岁以下感染者比例由2004年的27.5%增至2009年的55.9%;学历以中学为主;职业以农民、工人和待业者为主,2008-2009年农民比例降低至30.0%,工人和待业者升高至50.0%;婚姻状况以已婚为主,但未婚者所占比例由20%升高至30%左右;感染途径以非婚性行为和传播途径不详为主,经配偶传播的比例呈上升趋势。结论滦南县HIV/STD预防控制工作取得一定成果,但2009年疫情略有上升。未来工作的重点对象为进城农民工和有婚外性行为者,应大力开展安全性行为教育,强化性病门诊和自愿咨询检测(voluntary counseling test,VCT)服务,并有必要开展相关的专项调查。Objective To understand the trend of human immunodeficiency virus/sexually transmitted disease（HIV/STD） infection and characteristic of infected patients in Luannan County from 2004 to 2009,so as to evaluate the five-year prevention and provide information for the future strategy of disease control and prevention.Methods According to the HIV/STD reports of Luannan County,the difference of report number and characteristic each year were compared.Results From 2004 to 2008,the total number of HIV/STD reported was declined from 87 to below 15,but in 2009 the number was raised to 34.From 2007 to 2009,no new case of HIV was reported,the most STD reported was condyloma accuminatum（CA）,nongonococcal urethritis（NGU） and gonorrhea.There was more male patients reported than female,in 2004-2007 the proportion of male patients was increasing,but in 2008-2009 the proportion was declined;most patients reported were under 30-year-old,and the proportion of under 20-year-old group increased from 2004（27.5%） to 2009（55.9%）;the education level of most patients was middle school;peasant,worker and the unemployed was the main occupation,and in 2007-2009 the proportion of peasant declined to 30.0%,while worker and the unemployed increased to 50.0%;the main marital status was married,but the proportion of unmarried group increased from 20% to about 30%;the via-non-marital-sex and transmission-route-unclear was the main transmission route,but proportion of via-spouse-transmission group was increasing.Conclusions Our work towards HIV/STD control and prevention has obtained some achievements,but the HIV/STD epidemic in 2009 was slightly increased.Our work in the future should focus on the migrant workers in town and those who have non-marital sexual behavior.Education on safe sexual behavior,STD clinic and voluntary counseling test（VCT） service should be strengthened and it＇s necessary to promote special investigation on HIV/STD.

关 键 词：获得性免疫缺陷综合征 性传播疾病 患病率 

分 类 号：R512.91[医药卫生—内科学]