马山县2000—2013年HIV/AIDS流行特征

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目的了解马山县HIV/AIDS病例流行特征,为制定防控措施提供依据。方法用描述流行病学方法对马山县2000—2013年报告的HIV/AIDS资料进行分析。结果马山县自2000年发现首例感染者以来,报告数逐年上升。累计报告HIV/AIDS共601例(感染者346例,病人255例),报告死亡148例。存活453例中,男女之比为1.42∶1;20~49岁青壮年占71.2%,农民和民工占80.9%;经性传播占89.4%;已婚有配偶者占63.1%;初中及以下文化占91.2%;CD4<350个/μL病例抗病毒治疗率为53.7%(存活病例治疗率65.2%,死亡病例治疗率13.7%)。存活病例治疗率较高。结论文化较低的已婚青壮年农民工应做为干预的重点人群。抗病毒治疗是延长患者寿命的有效措施,应制定合适的医疗保障和社会救助措施,提高患者的寿命和生存质量。 Objective To understand the epidemiological characteristics of HIV / AIDS cases in Mashan County and provide evidence for the development of prevention and control measures. Methods Epidemiological methods were used to analyze HIV / AIDS data reported in Mashan County from 2000 to 2013. Results Since the first case of infection was discovered in Mashan County in 2000, the number of reported cases has been increasing year by year. A total of 601 cases of HIV / AIDS were reported (346 cases of infection and 255 cases of patients), and 148 cases were reported dead. Among 453 surviving patients, the ratio of men to women was 1.42:1; young adults aged 20-49 accounted for 71.2%; peasants and migrant workers accounted for 80.9%; sexual transmission accounted for 89.4%; married couples accounted for 63.1%; junior high school and below Accounting for 91.2%. The antiviral treatment rate was 53.7% (survival rate of 65.2% and death rate of 13.7%) in CD4 <350 cells / μL. Survival rate of cases higher. Conclusion Married young migrant workers with low culture should be the key population for intervention. Antiviral therapy is an effective measure to prolong the life of patients. Appropriate medical insurance and social assistance measures should be formulated to improve patients’ life expectancy and quality of life.
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