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目的分析遵义市HIV/AIDS的流行趋势,为制定有针对性的综合防控策略和措施提供参考依据。方法采用描述性流行病学,分析遵义市2007-2014年HIV/AIDS疫情资料。结果 2007-2014年累计报告HIV/AIDS 2319例,其中死亡507例,平均病死率为21.86%,近8年报告数呈逐年上升趋势,但2012-2014年增幅较明显,报告病例共1 509例,占总病例数的65.07%;病例数居前5位的地区分别是:红花岗区、遵义县、汇川区、正安县和赤水市,男女性别比为2.48∶1,20~49岁主要感染人群,累计报告1 628例(70.20%),50岁及以上年龄组病例数呈逐年上升趋势,共570例(24.58%);3种传播途径并存,但以性传播为主(87.32%),其中异性传播的构成比增幅较明显,2007年的28.95%上升至2014年的83.82%。结论遵义市HIV/AIDS防控形势严峻,病例分布存在地区聚集性,异性传播以及50岁及以上年龄组病例增加明显。
Objective To analyze the epidemic trend of HIV / AIDS in Zunyi city and provide reference for formulating targeted comprehensive prevention and control strategies and measures. Methods Descriptive epidemiology was used to analyze the epidemic situation of HIV / AIDS from 2007-2014 in Zunyi. Results A total of 2319 cases of HIV / AIDS were reported in 2007-2014, of which 507 were dead with an average mortality rate of 21.86%. The number of reported cases in recent 8 years showed an increasing trend year by year, but the increase was more noticeable in 2012-2014. A total of 1,509 cases were reported , Accounting for 65.07% of the total number of cases; the top five cases were Honghuagang District, Zunyi County, Huichuan District, Zheng’an County and Chishui City, with a sex ratio of 2.48:1 and 20-49 A total of 1 628 cases (70.20%) were reported to be infected with the disease. The number of cases aged 50 years and over increased year by year with a total of 570 cases (24.58%). The three modes of transmission coexisted but mainly sexual transmission (87.32% ), Of which the proportion of heterosexual transmission increased more obviously, from 28.95% in 2007 to 83.82% in 2014. Conclusion The prevention and control of HIV / AIDS in Zunyi City is in a serious situation. The distribution of cases has regional agglomeration, heterosexual transmission and obvious increase in cases of patients aged 50 and over.