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目的 了解东兴市2011-2015年艾滋病流行特点与变化趋势,找出艾滋病防治的重点人群,为东兴市防治艾滋病第二个五年“攻坚工程”及第三轮全国艾滋病综合防治示范区制定防治策略提供科学依据.方法 数据来源于国家艾滋病综合防治信息系统,按现住址、审核时间、定时统计获取疫情数据.结果 东兴市2011-2015年5年间共报告艾滋病病例326例,其中常驻人口病例257例,流动人口病例69例.所有新发现报告病例中男女性别比为2.29∶1;年龄以20 ～49岁青壮年为主;职业以农民为主,占46.79％;初中及以下低学历人群占90.52％;已婚有配偶者占67.28％;异性性传播占96.01％.报告的病例呈现地区不均衡分布现象,疫情以沿边边贸活跃乡镇为主;病例发现途径以其他就诊者检测为主,占50.76％;病例晚发现率每年均在50％左右,远远高于全国35.50％的水平.结论 东兴市HIV/AIDS疫情呈逐年下降趋势,艾滋病经性途径传播的构成比日益凸显.新报告病例以低学历、农民和50岁以上人群为主.存在病例发现晚的问题,应加大对这些重点地区重点人群的监测、检测和干预力度,进一步遏制疫情的蔓延.“,”Objective To understand the characteristics and trends of AIDS epidemic in Dongxing City from 2011 to 2015 and identify those people who need to focus on the prevention of HIV,so as to provide scientific basis for Dongxing AIDS prevention and control strategy,and also for the second five years “crucial project” and the third round of “National AIDS comprehensive prevention and control demonstration area”.Methods The data is come from the national AIDS comprehensive control information system,obtaining the epidemic data is based on the current address,the time of the audit,the timing statistics.Results A total of 326 cases of AIDS cases were reported in Dongxing City in 5 years,of which,there are 257 permanent population,69 cases of floating population,the sex ratio was 2.29∶1 for all newly reported cases,these cases are mainly young adults aged 20 ～ 49 years old.Most of the cases were farmers (accounting for 46.79％),junior high school and below (90.52％),married (67.28 ％),heterosexual transmission (96.01％).The reported cases showed uneven distribution of the epidemic situation,the AIDS cases were mainly distributed to the border along the active tourism town;most cases were found while they go to the hospital to see the doctor(50.76％);the late discovery rate of AIDS is about 50％ per year,it is far higher than the national (35.50％).Conclusion The HIV/AIDS epidemic in Dongxing City is declining year by year,more and more AIDS is sexually transmitted,the mainly newly reported cases were those people who were low education,farmers and people over the age of 50.There are cases found late problems,we should strengthen the monitoring,detection and intervention of these key areas and key groups,and further curb the spread of the epidemic.