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目的:分析米易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1999~2015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:368例HIV/AIDS病例中,市内报告病例315例(85.6%),市外报告病例53例(14.4%);感染者主要是20~50岁青壮年,主要为农民;异性接触与注射毒品传播分别占73.37%和25%;民族以汉族(63.04%)和彝族(35.33%)为主;吸毒人群HIV抗体阳性检出率8.18%;女性阳性子女HIV抗体阳性检出率14.81%;配偶及性伴HIV抗体阳性检出率4.76%。结论:米易县艾滋病疫情分布于全县12个乡镇,危险因素广泛存在,3种传播途径并存。HIV/AIDS病例报告逐年上升,存在高危人群向一般人群蔓延趋势。应加强大众健康教育,做好暗娼、吸毒人员等高危人群的综合干预工作,有效遏制艾滋病疫情蔓延。
Objective: To analyze the AIDS epidemic status and risk factors in Miyi County and provide a scientific basis for AIDS prevention and control. Methods: Collect AIDS epidemic data from 1999 to 2015 through AIDS comprehensive prevention and control information system, sort out the data of monitoring and monitoring over the years, and describe the epidemiological analysis. Results: Of the 368 HIV / AIDS cases, 315 (85.6%) were reported in the city and 53 (14.4%) were reported outside the city. The infected persons were mainly young adults aged 20 to 50 years, mainly farmers. Heterosexual contact (73.04%) and Yi (35.33%). HIV positive rate was 8.18% in drug users and 14.81% in HIV positive women; Spouse and sexual partner HIV antibody positive rate of 4.76%. Conclusion: The epidemic situation of AIDS in Miyi County is distributed in 12 villages and towns throughout the county. There are many risk factors and three kinds of transmission ways coexist. HIV / AIDS case reports increased year by year, there is the trend of spread of high-risk groups to the general population. We should step up public health education and do a good job in comprehensive interventions for high-risk groups such as sex workers and drug abusers to effectively stop the spread of the AIDS epidemic.