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目的分析盐源县艾滋病流行现状和危险因素,为开展艾滋病防控工作提供科学依据。方法通过艾滋病综合防治信息系统收集2004-2014年艾滋病疫情资料,整理历年检测监测资料,并进行描述流行病学分析。结果 408例HIV/AIDS病例中,本地报告病例占61.3%(250例),外地报告病例占38.7(158例);感染者主要为20~49岁青壮年,占93.6%(382例);注射毒品与异性接触传播分别占59.3%和34.3%;民族以彝族和汉族为主,分别占83.3%(340例)和14.2%(58例);农民占75.5%,家政或无业者占10%;吸毒人群HIV抗体阳性检出率为7.97%,阳性者配偶及性伴HIV抗体阳性检出率6.9%。结论盐源县艾滋病疫情分布广泛,危险因素广泛存在,3种传播途径并存,部分家庭内出现二代传播和外来媳妇二次传播,性传播病例报告逐年上升,存在高危人群向一般人群蔓延趋势。应继续加强注射吸毒人群等艾滋病高危人群的综合干预工作,提高对HIV/AIDS阳性者的干预效果。
Objective To analyze the status quo and risk factors of AIDS in Yanyuan County and provide a scientific basis for prevention and control of AIDS. Methods The AIDS epidemic data were collected from 2004-2014 through the integrated AIDS prevention and control information system, and the monitoring and monitoring data of the past years were collected and described by epidemiological analysis. Results Of the 408 HIV / AIDS cases, 61.3% (250 cases) were reported locally and 38.7 cases (158 cases) were reported in the field. Infected persons were mainly young adults aged 20-49 (93.6%, 382 cases) Drugs and heterosexual transmission accounted for 59.3% and 34.3% respectively. Ethnic groups were mainly Yi and Han, accounting for 83.3% (340 cases) and 14.2% (58 cases) respectively. Peasants accounted for 75.5% and domestic workers or unemployed accounted for 10% The positive rate of HIV antibody among drug addicts was 7.97%. The positive rate of HIV antibody positive among spouse and sexual partner was 6.9%. Conclusion The epidemic situation of AIDS in Yanyuan County is widespread and the risk factors are widespread. There are three modes of transmission coexisting. Two generations of transmission and second daughter-in-law transmission occur in some families. The number of cases of sexual transmission increases year by year, and the risk of the high-risk population spreads to the general population. HIV / AIDS-positive people should continue to step up their comprehensive intervention work on HIV / AIDS-infected people, including injecting drug users.