无锡市艾滋病疫情流行病学分析  

Epidemiological Analysis of AIDS in Wuxi

作　　者：张轩[1] 成浩[1] 缪小兰[1] 须凡帆[1] 陈善辉[1] 

机构地区：[1]江苏省无锡市疾病预防控制中心,无锡214023

出　　处：《江苏预防医学》2013年第5期11-12,共2页Jiangsu Journal of Preventive Medicine

基　　金：无锡市科技支撑计划(社会发展)项目(CSE01N1232);无锡市卫生局重大项目(G201201)

摘　　要：目的了解无锡市艾滋病流行现状和防治效果,为更有针对性地开展防治工作提供依据。方法利用国家"艾滋病综合防治信息系统"中无锡市报告数据及哨点监测数据,对无锡市艾滋病疫情进行描述性流行病学分析。结果 1996-2012年无锡市累计报告艾滋病感染者和病人1 145例,年均报告率为3.04/10万,其中2009-2012年报告数占78.25%(896例)。报告病例男女比5.03∶1,发病平均年龄呈上升趋势;传播途径性传播占96.34%,其中同性占51.76%,异性占44.58%;职业分布居前4位的是工人(228例,占19.91%)、家政家务及待业人员(150例,占13.10%)、农民(137例,占11.97%)、商业服务人员(124例,占10.83%)。2010-2012年艾滋病哨点监测人群HIV阳性检出率分别为12.5%、3.5%、0.25%,其中男男性行为、男性性病求诊者、注射吸毒人群中均有检出,暗娼、孕产妇人群中未检出。结论应重点开展男男性行为人群和老年人群的干预研究,实施更加有效的干预措施,遏制HIV进一步蔓延的势头。Objective To understand the current epidemiological situation of AIDS in Wuxi and evaluate the effects of AIDS prevention and control work, and to provide basis for government to make more targeted policies. Methods Data from the comprehensive surveillance system of AIDS was collected and subjected to descriptive epidemiological analysis. Results A total of 1 145 cases of HIV/AIDS had been reported in Wuxi from 1996 to 2012, in which 78.25% （896 cases）of HIV/AIDS cases were reported during the period of 2009--2012. The average annual reporting rate was 3.04/100 000. Male to female ratio was 5.03 ： 1. Average age of newly reported HIV/AIDS cases showed an ascending trend. Sexual transmission was the main route of disease transmission, accounting for 96.34%, in which homosexual transmission accounted for 51. 76% and heterosexual transmission accounted for 44. 58%. The top 4 occupations of the HIV/AIDS cases were worker （228 cases, 19. 91%）, housekeeping or the unemployed （150 cases, 13.10%）, farmer （137 cases, accounting for 11.97%）, business service person nel （124 cases, 10. 83%）. The HIV-positive rate of national HIV sentinel surveillance in Wuxi during 2010- 2012 was 12.5%, 3.5% and 0.25% respectively. HIV positive cases were identified in the populations of MSM, male STD patients and injecting drug users, but not in female sex workers or pregnant women. Conclusion In order to prevent the further spread of HIV,more research should be carried out on interventions to MSM or seniors and more effective interventions should be imple- mented.

关 键 词：艾滋病 疫情 流行特征 哨点监测 

分 类 号：R521.91[医药卫生—内科学]