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目的分析2008―2014年郁南县艾滋病病毒感染者/患者(HIV/AIDS)的流行特征,为进一步完善郁南县艾滋病防控措施提供依据。方法通过中国疾病预防控制信息系统中的艾滋病综合防治信息系统收集郁南县2008―2014年HIV/AIDS病例资料,采用描述流行病学方法进行分析。结果 2008―2014年郁南县共报告HIV/AIDS病例811例,年均发病率为28.83/10万;报告病例数居前5位的镇分别为都城镇179例、连滩镇103例、桂圩镇101例、建城镇70例、平台镇49例。病例平均年龄51.3岁,以≥60岁年龄组病例居多,共报告306例,占总病例数的37.73%;男性610例,女性201例,男女性别比为3.03∶1;职业以农民为主,共427例,占52.65%;文化程度以小学为主,共367例,占45.3%。感染途径以异性性接触传播为主,共660例,占81.38%。病例发现途径以其他就诊者检测为主,共421例,占51.91%。结论郁南县艾滋病疫情形势严峻,已从高危人群向一般人群扩散,异性性接触传播是主要的传播途径,应进一步加强宣传教育和加大干预力度。
Objective To analyze the epidemiological characteristics of HIV / AIDS from 2008 to 2014 in Yunan County and provide the basis for further improvement of HIV prevention and control measures in Yunan County. Methods The data of HIV / AIDS cases from 2008 to 2014 in Yunan County were collected through the integrated AIDS prevention and control information system in China’s disease prevention and control information system, and the descriptive epidemiological method was used to analyze the data. Results A total of 811 HIV / AIDS cases were reported in Yunan County from 2008 to 2014, with an average annual incidence rate of 28.83 / 100 000. The top 5 cities with reported cases were 179 from Ducheng, 103 from Liantan, 101 cases of Wei town, built town 70 cases, platform town 49 cases. The average age of cases was 51.3 years old, with a majority of cases ≥60 years old. A total of 306 cases were reported, accounting for 37.73% of the total cases; 610 males and 201 females, with a male / female ratio of 3.03:1; A total of 427 cases, accounting for 52.65%; primary school-based education, a total of 367 cases, accounting for 45.3%. Transmission of heterosexual transmission of infection-based approach, a total of 660 cases, accounting for 81.38%. The cases were found to be mainly detected by other doctors, with 421 cases (51.91%). Conclusion The epidemic situation of AIDS in Yunan County is very serious and has spread from the high-risk population to the general population. Heterosexual contact transmission is the main route of transmission. Publicity and education and intensification of intervention efforts should be further strengthened.