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目的了解咸安区2004—2013年AIDS疫情特点及流行趋势,为制定防控措施提供依据。方法用描述流行病学方法对咸安区2004—2013年AIDS流行特征进行分析。结果咸安区2004—2013年共报告HIV/AIDS 53例,死亡14例(26.4%),疫情呈低流行态势;2011—2013年疫情增长迅速,报告34例(64.2%),呈大幅上升;感染主要分布在温泉、永安及大幕乡,呈地域聚集性;感染者流动性较强,多有外出打工、吸毒、卖淫或嫖娼史。HIV/AIDS性别比3.42∶1;年龄18~72岁,其中20~49岁占77.4%;农民和民工占52.8%;以小学和初中文化为主;经性途径传播占90.6%。近3年男男同性传播感染数增幅较高。结论应加强农村AIDS防治工作,强化男男性行为的干预与监测,加大对春节返乡农民工的相关知识宣传力度,将防治关口前移,最大限度发现HIV/AIDS,防止传播。
Objective To understand the characteristics and epidemic trends of AIDS epidemic in Haman district from 2004 to 2013, and to provide the basis for making prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the epidemiological characteristics of AIDS in Xianan District from 2004 to 2013. Results A total of 53 cases of HIV / AIDS and 14 deaths (26.4%) were reported in Xianan District from 2004 to 2013. The epidemic situation was low prevalence. The epidemic situation increased rapidly from 2011 to 2013, with a significant increase in 34 cases (64.2%). Infections were mainly distributed in hot springs, Yongan and Daimyeong townships, showing geographical agglomeration. Infected persons were more mobile and were more likely to go out to work, drug abuse, prostitution or prostitution. The sex ratio of HIV / AIDS was 3.42:1. The age ranged from 18 to 72 years, of which 77.4% were from 20 to 49 years old. Peasants and migrant workers accounted for 52.8%. Primary and junior middle school cultures accounted for 90.6% of the total. In the recent three years, the number of MSM infections increased more. Conclusion Prevention and treatment of AIDS in rural areas should be strengthened to strengthen the intervention and monitoring of men who have sex with men, increase the publicity of relevant knowledge about migrant workers returning home during the Spring Festival, move the prevention and treatment gateway forward, maximize the detection of HIV / AIDS and prevent the spread of AIDS.