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目的分析2004─2015年新疆艾滋病疫情的监测数据和流行现状,为政府制定艾滋病防控策略提供科学依据。方法通过中国疾病预防控制信息系统,收集2004─2015年新疆艾滋病疫情监测数据,采用描述流行病学方法进行分析。结果 2004─2015年新疆累计报告艾滋病患者14 696例,死亡3 830例;病例数从2004年的20例增加到2015年的1 868例,年均增长率28.74%,死亡数从2004年的5例增加到2015年的680例,年均增长率53.73%;14 696例艾滋病患者中,男性占61.44%、女性占38.56%,男女性别比为1.59∶1(9 027/5 667),以20~49岁为主(12 951例、占88.13%),家务及待业人员和农民为主要发病人群,分别占37.70%和25.99%;死亡患者3 830例,男性占72.82%、女性占27.18%,发病集中在20~54岁年龄组、占91.04%,以家务及待业人员和农民为主,分别占38.15%和26.24%;伊犁哈萨克自治州、乌鲁木齐市、阿克苏地区和喀什地区疫情较为集中,占病例报告总数的81.24%。结论 2004─2015年新疆艾滋病疫情总体呈上升趋势,既往感染者集中进入发病期,艾滋病患者数逐年增加,北疆地区疫情逐渐放缓,南疆地区持续增长,应采取针对性的、切实可行的防控措施,开展艾滋病防控工作。
Objective To analyze the surveillance data and prevalence status of AIDS in Xinjiang from 2004 to 2015 and provide a scientific basis for the government to develop AIDS prevention and control strategies. Methods Through the China Disease Prevention and Control Information System, the monitoring data of AIDS epidemic in Xinjiang from 2004 to 2015 were collected and analyzed by descriptive epidemiological method. Results A total of 14,696 AIDS patients were reported in Xinjiang from 2004 to 2015, with 3 830 deaths. The number of cases increased from 20 in 2004 to 1868 in 2015, with an average annual growth rate of 28.74%. The death toll increased from 5 Cases increased to 2015, an average annual growth rate of 53.73%; 14,696 cases of AIDS patients, male accounted for 61.44%, female 38.56%, male to female ratio was 1.59: 1 (9 027/5 667), with 20 ~ 49 years old (12,951 cases, accounting for 88.13%), housework and unemployed persons and peasants were the main disease groups, accounting for 37.70% and 25.99% respectively; 3 830 deaths, 72.82% for males and 27.18% for females, The incidence was mainly in the age group of 20-54, accounting for 91.04%, mainly household workers and unemployed persons and peasants, accounting for 38.15% and 26.24% respectively. The epidemic situation in Yili Kazakh Autonomous Prefecture, Urumqi, Aksu Prefecture and Kashi Prefecture was more concentrated, 81.24% of the total number of reports. Conclusion The epidemic situation of AIDS in Xinjiang showed an overall upward trend from 2004 to 2015. Previously infected persons concentrated in the period of onset, the number of AIDS patients increased year by year, the epidemic in northern Xinjiang gradually slowed down, the area in southern Xinjiang continued to grow, and should be targeted and feasible Prevention and control measures to carry out AIDS prevention and control work.