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目的分析湖北省艾滋病主要传播模式的变化情况,为调整艾滋病防治策略提供依据。方法收集、整理、分析1988-2008年湖北省艾滋病病例报告,国家血清学哨点及综合监测点资料、全省主动监测资料等。结果1988-2008年,湖北省新发现的艾滋病病毒(HIV)感染人数明显上升,最近5年保持在600~800之间。从2002年开始感染途径构成发生明显改变,经性途径感染逐年上升,由2002年9.24%升至2008年63.67%,而同期经血途径感染由79.62%下降为22.41%,每年发现的静脉吸毒感染者数及该人群HIV感染率变化不大。HIV感染者主要聚集在该省西北部和东部经济不发达地区以及人口流动性大的地区。结论湖北省艾滋病经血传播逐渐下降,经性传播已经成为主导模式,异性性途径感染和同性性途径感染同时增加。
Objective To analyze the changes of the main modes of transmission of AIDS in Hubei Province and provide the basis for the adjustment of AIDS prevention and control strategies. Methods Collect, collate and analyze the HIV / AIDS cases in Hubei Province from 1988 to 2008, the national serological sentinel sites and comprehensive monitoring sites, and the active monitoring data of the province. Results From 1988 to 2008, the number of newly discovered HIV infections in Hubei province increased significantly, and remained between 600 and 800 in the recent five years. Since 2002, the pathogeny of infection changed significantly. The infection rate of sexual route increased year by year from 9.24% in 2002 to 63.67% in 2008, while the infection rate of menstrual route decreased from 79.62% to 22.41% in the same period. The number of intravenous drug users The number of HIV infection in this population changed little. HIV-infected persons are mainly concentrated in economically underdeveloped areas in the northwestern and eastern parts of the province and in regions where the population is highly mobile. Conclusions The blood transmission of HIV / AIDS in Hubei Province has been gradually decreased. Sexual transmission has become the dominant mode. Infection of heterosexual pathways and infection of homosexuality have also increased at the same time.