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目的分析张家港市流动人口艾滋病流行特征,为国家科技重大专项江苏省传染病防治示范区艾滋病防控工作提供策略依据。方法收集2002—2012年间报告的流动人口人类免疫缺陷病毒感染者/艾滋病患者(HIV/AIDS)病例个案和疫情监测资料,进行描述流行病学分析。结果自2002年首次发现HIV感染者以来,至2012年底累计发现流动人口HIV/AIDS 125例,其中AIDS 12例。男女性别比为3.31,以20~40岁、初中及以下文化程度的民工和无业人员居多。以性传播途径为主,占75.20%;男男性途径感染占24.80%。在感染者的发现上,医疗卫生机构的常规筛查、主动开展HIV咨询和检测(PITC)和自愿咨询和检测(VCT)工作起到了重要作用。结论 2002—2011年张家港市流动人口艾滋病疫情上升明显,2012年有所下降,性接触为主要传播途径,需进一步强化示范区各项防控工作,保持遏制艾滋病传播和流行的势头。
Objective To analyze the epidemiological characteristics of AIDS among the floating population in Zhangjiagang City and provide the strategic basis for AIDS prevention and control in the national infectious disease prevention and control demonstration area in Jiangsu Province. Methods The data of cases and outbreaks of HIV / AIDS among floating population reported from 2002 to 2012 were collected to describe the epidemiological analysis. Results Since the first HIV infection was detected in 2002, 125 cases of HIV / AIDS in floating population were found by the end of 2012, of which 12 cases were AIDS. The sex ratio of males to females is 3.31, with the majority of migrant workers and unemployed persons aged from 20 to 40 with junior high school education and below. The main route of sexual transmission, accounting for 75.20%; men’s infections accounted for 24.80%. On the findings of PLHIV, routine screening by medical and health institutions, active HIV counseling and testing (PITC) and voluntary counseling and testing (VCT) have played an important role. Conclusion From 2002 to 2011, the epidemic situation of AIDS in floating population increased significantly in Zhangjiagang City. In 2012, sexual contact was the main route of transmission. It is necessary to further strengthen various prevention and control work in the demonstration area and maintain the momentum to curb the spread and spread of AIDS.