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目的分析连州市艾滋病流行状况,为探讨有效的防制策略提供科学依据。方法收集2004-2014年连州市艾滋病疫情资料和个案调查表进行描述性流行病学分析。结果2004-2014年连州市累计报告HIV/AIDS病例151例,其中HIV感染者99例,艾滋病病人52例,累计报告死亡病例54例。病例主要集中在30至60岁年龄组,共报告118例,占病例总数的78.15%;50岁以上71例,占47.02%。男性119例,占78.81%;女性32例,占21.19%;男女性别比为3.72:1。职业以农民、家务及待业和工人为主,初中及以下文化程度者占77.83%,已婚占55.63%,异性传播占86.09%。样本来源以其他就诊者检测、术前检测和受血(制品)前检测为主,合计占病例总数的64.91%。结论 2011年后连州市艾滋病发病率明显上升,50岁以上老年人和MSM成为艾滋病防控的重点人群,必须加强对老年男性的艾滋病宣传教育力度,并对MSM开展有针对性的、持续的、有效的干预措施,以遏制艾滋病的扩散和蔓延。
Objective To analyze AIDS prevalence in Lianzhou and provide a scientific basis for exploring effective prevention and control strategies. Methods A retrospective epidemiological analysis of HIV / AIDS epidemic in Lianzhou City during 2004-2014 was collected. Results A total of 151 HIV / AIDS cases were reported in Lianzhou City from 2004 to 2014, of which 99 were HIV-infected, 52 were AIDS and 54 were reported dead. The cases mainly concentrated in the age group of 30 to 60, a total of 118 cases were reported, accounting for 78.15% of the total cases; 71 cases over the age of 50, accounting for 47.02%. There were 119 males, accounting for 78.81%; 32 females, accounting for 21.19%; the sex ratio of males to females was 3.72: 1. Occupation of farmers, housework and unemployed and workers mainly, junior high school education and below accounted for 77.83%, 55.63% married, heterosexual transmission accounted for 86.09%. The source of the sample was detected by other clinicians, preoperatively tested and pre-tested by blood (products), accounting for 64.91% of the total cases. Conclusion The incidence of HIV / AIDS in Lianzhou City increased significantly after 2011, and the elderly over 50 years old and MSM have become the key AIDS prevention and control population. AIDS awareness and education must be strengthened for older men and MSM should be targeted and sustained Effective interventions to curb the spread and spread of AIDS.