浙江省苍南县2001-2012年HIV感染／艾滋病疫情分析  

Epidemic analysis of HIV/AIDS from 2001 to 2012 in Cangnan County, Zhejiang

作　　者：陈廷瑞[1] 朱善冰[2] 李前梁[2] 

机构地区：[1]浙江省苍南县疾病预防控制中心,325800 [2]浙江省苍南县疾病预防控制中心疾病控制科,325800

出　　处：《国际流行病学传染病学杂志》2013年第4期247-250,共4页International Journal of Epidemiology and Infectious Disease

摘　　要：目的分析苍南县H1V／AIDS患者流行特征，为科学决策提供合理建议。方法对2001-2012年网络报告的HIV／AIDS个案进行统计分析，包括年发病率、患者年龄、职业、婚姻状况、地区分布、感染途径及发现方式等。结果2001--2012年，苍南县累计报告HIV／AIDS患者157例，平均发病年龄（36．7±11．9）岁，年发病率呈逐年上升趋势，且2007--2012年累计发病率明显高于2001--2006年，差异有统计学意义（10．10／10万：1．94／10万，y0=69．16，P〈0．05）。男女性别比为2．83：1。男性116例，25～44岁组占56．03％（65／116），以商业服务人员和农民为主；女性41例25～34岁组占56．10％（23／41），以家政、家务和待业为主。性传播146例（92．99％），其中同性传播27例（44．44％的患者年龄15。2，4岁）。女性通过配偶或固定性伴传播的构成比明显高于男性，差异有统计学意义（x2=11．65，P〈0．05）。49例（31．21％）患者是因其他疾病就诊检测时发现。结论2007--2012年苍南县的H1V／AIDS增长的速度明显加快，男性发病数高于女性，性传播是最主要的感染途径，25～34岁组为高危人群。要进一步加大主动监测的力度，及时发现并有效地控制疫情。Objective To provide a reasonable proposal for science decision-making by analysis of HIV/AIDS epidemic characteristics in Cangnan County, Zhejiang. Methods The reported H1V/AIDS cases in network during 2001 to 2012 were statistically analyzed, including annual incidence rate and age, occupation, marital status, region distribution, infection route and detection route of patients. Results A total of 157 HIV/AIDS patients were reported in Cang- nan County during 2001 to 2012, with an average age of （36.7 ± 11.9） years old, the incidence rate was rising year by year and the cumulative incidence of 2007-2012 was significantly higher than that of 2000-2006 （ 10.10/0.1 million ： 1.94/0.1 million, Z2=69.16, P 〈0.05）. The male to female ratio was 2.83：1, 56.03% of the 116 male patients were 25-44 years old and most of the male patients were commercial service workers and farmers, 56.10% of the 41 female patients were 25-34 years old and most of the female patients were housekeeping, housework and unemployed people. A total of 146 cases （92.99%） were infected through sexual transmission, including 27 cases of homosexual transmission （44.44% of them aged 15-24 years old）. The constituent ratio of female patients who infected from spouses or regular sexual partners was significantly higher than that of male patients （Z2 = 11.65, P 〈 0.05）. Forty nine patients （31.21% ） were detected due to the treatment of other diseases. Conclusions The increase rate of HIV/AIDS is obviously high during 2007 to 2012. The incidence of male patients is higher than that of female patients. The main infection route is sexual transmission. People of 25-34 years old is high risk group. The surveillance should be strengthened so as to promptly detect and effectively control the epidemic.

关 键 词：HIV AIDS 流行特征 疫情分析 

分 类 号：R181.8[医药卫生—流行病学]