深圳市福田区1994—2015年艾滋病流行特征  

Epidemiological characteristics of HIV/AIDS in Futian District, Shenzhen, 1994 to 2015

作　　者：石向辉[1] 赵凌国[1] 周洁[1] 范苏云[1] 陈建忠[1] 牛姬飞[1] 周海涛[1] SHI Xianghu ZHAO Lingguo ZHOU Jie FAN Suyun CHEN Jianzhong NIU Jifei ZHOU Haitao(Center for Disease Control and Prevention of Futian District Shenzhen , Guangdong 518040, China)

机构地区：[1]深圳市福田区疾病预防控制中心,广东深圳518040

出　　处：《中国热带医学》2017年第5期499-502,共4页China Tropical Medicine

摘　　要：目的分析深圳市福田区1994—2015年艾滋病监测资料,探讨该区艾滋病流行现状、特征和影响因素,为制定有针对性的防治策略提供科学依据。方法收集福田区1994—2015年HIV/AIDS监测资料,建立数据库,采用Origin 8.0软件和描述流行病学方法进行统计学分析。结果深圳市福田区1994—2015年累计报告HIV/AIDS病例1 652例,死亡30例。其中男性1 431例,女性221例。该区艾滋病流行有以下特征:(1)自2010年起,福田区艾滋病流行已进入快速增长期,2015年新报告HIV/AIDS病例为2010年新报告数量的2.41倍。男性病例数呈逐年递增趋势,所占比例已超过90%。(2)20~30岁年龄组病例数占总数的45.5%,近5年年均增长26.9%。(3)79%的病例传播途径为经性接触传播,其中男男性行为传播途径所占比例快速攀升至65.5%,是比重最大,增长最快的传播方式。(4)流动人口病例所占比例重大,增长速度快,深圳户籍病例仅占总数17.3%。结论近年来,福田区艾滋病流行呈快速上升趋势,形势严峻。在20~30岁男性同性恋流动人群中呈现高流行态势,男男性接触是福田区艾滋病传播的主要方式,迫切需要采取适当的行为干预措施,改变其高危行为,控制AIDS的流行。Objective To explore the current epidemic status, characteristics, and related factors of HIV/AIDS, so as to provide the evidence for the formulation of appropriate prevention and control strategies in Futian District. Methods The surveillance data of HIV/ AIDS were collected and analyzed with the descriptive analysis method in Futian District from 1994 to 2015. Results There were 1 652 HIV/AIDS cases in Futian District from 1994 to 2015 with 30 deaths, including 1 431 male and 221 female cases. The spread of HIV/AIDS had the following characteristics： （1） HIV/AIDS epidemic entered a period of rapid growth. The new HIV/A/DS cases in 2015 were 2.41 times as more as that in 2010. The male cases increased rapidly and reached more than 90% of the total cases. （2） The 20-30 years old group occupied 45.5% of the total cases and had an average annual increase rate of 26.9% in the recent five years. （3） Totally 79% of the cases were infected through sexual transmission, and the proportion of homosexual males cases inflated up to 65.5% in 2015, and it is the main route of HIV/AIDS transmission with high growth rate. （4） The cases with local household registration occupied only 17.3%. Migrating population cases were the major component of HIV/AIDS, and it increased rapidly. Conclusions The overall prevalence of HIV/AIDS in Futian District shows a rapid upward trend and the situation of HIV/AIDS epidemic is grim. The high prevalence of HIV/AIDS among the mobile men who have sex with men （MSM） population at the age of 20-30 years is obvious. The male homosexual behavior is the main route of HIV/AIDS transmission. The appropriate HIV/AIDS-related high-risk behavior interventions among MSM are needed urgently for the prevention and control of HIV/AIDS.

关 键 词：艾滋病 监测 男男性行为 流动人口 

分 类 号：R512.91[医药卫生—内科学]