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目的分析温州市15~24岁艾滋病病毒感染者/艾滋病病人(HIV/AIDS)流行特征,为有针对性地制定艾滋病防控措施提供科学依据。方法从中国疾病预防控制信息系统的艾滋病综合防治信息系统中获取艾滋病网络直报数据,筛选温州市1988—2015年报告的15~24岁年龄组HIV/AIDS病例,对人口学特征、感染途径、病例来源等信息进行描述性分析。结果 1988—2015年温州市累计报告15~24岁年龄组HIV/AIDS病例524例,其中AIDS患者142例,死亡40例,各年度报告的病例数呈现逐年增加的趋势。疫情波及全市各个县(市、区),本地户籍占51.53%,男女比为2.91∶1。男男同性传播占47.14%,构成比呈逐年增加趋势(χ~2=51.73,P<0.01)。在检测咨询和无偿献血人群中发现的病例分别占23.66%和8.40%,15~24岁HIV/AIDS患者中新发现为AIDS的比例占14.12%(74名)。结论温州市15~24岁人群艾滋病疫情形势严峻,特别要重视对学生群体和男男同性恋人群的艾滋病防控。
Objective To analyze the epidemiological characteristics of HIV / AIDS patients aged 15-24 years old in Wenzhou City, and to provide a scientific basis for the targeted prevention and control measures. Methods Obtaining AIDS direct reporting data from AIDS prevention and control information system in China, screening HIV / AIDS cases of 15 ~ 24 age group reported in Wenzhou City from 1988 to 2015, analyzing demographic characteristics, ways of infection, Case source and other information descriptive analysis. Results From 1988 to 2015, Wenzhou City reported a total of 524 cases of HIV / AIDS in the 15-24 age group, including 142 AIDS patients and 40 deaths. The annual number of reported cases showed a trend of increasing year by year. Outbreaks spread to all counties (cities and districts) in the city, accounting for 51.53% of the total. The ratio of men to women was 2.91: 1. Male and female sex transmission accounted for 47.14%, the composition ratio showed an increasing trend (χ ~ 2 = 51.73, P <0.01). 23.66% and 8.40% of the cases were found in testing counseling and non-relying blood donors, respectively, and 14.12% (74) newly found HIV-AIDS patients aged 15-24 years old. Conclusion The epidemic situation of HIV / AIDS among 15-24-year-olds in Wenzhou City is very serious. In particular, AIDS prevention and control should be emphasized for both student groups and gay men.