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目的分析兰州市1993-2009年HIV/AIDS的流行病学特点和流行趋势,为制定HIV/AIDS预防和控制策略提供科学依据。方法对1993-2009年网络直报系统中兰州市HIV/AIDS病例资料进行统计分析。结果 1993-2009年底,兰州市累计发现HIV感染者364例,其中AIDS患者62例,死亡24例;1993-2004年,兰州市HIV感染者报告数的年平均递增54.49%;出现较多的AIDS患者和死亡病例,出现发病和死亡高峰;流行地区范围广,分布不均匀,有明显的地区聚集性;HIV的传播途径均已发现,既往以静脉注射吸毒为主,近年来以经性途径传播为主,尤其是经同性传播。结论兰州市HIV/AIDS报告数呈现快速增长趋势,AIDS预防工作的重点在于加大对娱乐场所低档次商业性女性性服务者(FSW)和男男性行为者(MSM)人群的主动监测力度,严格控制性传播,打击卖淫嫖娼现象,尤其是同性恋人群中AIDS传播应给予高度重视,特别要做好高危人群的宣传教育和行为干预工作。
Objective To analyze the epidemiological characteristics and epidemiological trends of HIV / AIDS in Lanzhou City from 1993 to 2009, and provide a scientific basis for the development of HIV / AIDS prevention and control strategies. Methods The data of HIV / AIDS cases in Lanzhou from 1993 to 2009 were analyzed statistically. Results In the period from 1993 to the end of 2009, 364 HIV-infected patients were found in Lanzhou City, including 62 AIDS patients and 24 deaths. From 1993 to 2004, the average number of HIV-infected persons in Lanzhou increased by 54.49% Patients and deaths, the incidence and mortality peak; prevalence of a wide range of areas, uneven distribution, there are obvious regional agglomeration; HIV transmission have been found in the past to intravenous drug abuse-based, in recent years by sexual transmission Mainly, especially through homosexual transmission. Conclusions The number of HIV / AIDS reports in Lanzhou shows a rapid growth trend. The focus of AIDS prevention is to increase the proactive monitoring of the low-grade commercial female sex workers (FSW) and MSM population in entertainment venues and strictly control Sexual transmission and combating prostitution and prostitution, especially AIDS transmission among homosexuals, should be given high priority. In particular, publicity, education and behavior intervention at high risk should be done.