文章摘要
1996—2017年丹东市AIDS流行特征分析
Epidemiological characteristics of AIDS from 1996 to 2017 in Dandong City
  
DOI:10.3969/j.issn.1007-8134.2020.03.014
中文关键词: 艾滋病  流行性特征  控制措施
英文关键词: AIDS  epidemic characteristic  control measure
基金项目:
作者单位
周京明 丹东市疾病预防控制中心性病艾滋病科 
杨正权 丹东市疾病预防控制中心性病艾滋病科 
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中文摘要:
      目的 分析丹东市1996—2017年AIDS流行特征,为制定预防和控制策略提供科学依据。方法 从中国疾病预防控制中心艾滋病综合防治信息系统下载病例报告历史卡片,建立数据库并进行统计学分析。结果 1996—2017年,丹东市累计报告HIV/AIDS患者751例,其中HIV感染者546例,AIDS患者205例,累计死亡175例。2007—2017年HIV感染者的AIDS转化率从20.00%降至6.04%。HIV/AIDS报告病例中20~55岁青壮年占86.58%, 2013年后,18~34岁青年报告感染率最高;男性病例占86.42%;初中以下文化者占67.11%;单身(未婚/离异/丧偶)人群占83.22%;性传播感染占73.50%,其中同性性传播报告病例占当年报告病例的比例由2007年的16.67%升至2017年的52.94%。通过自愿咨询检测发现的病例占所有报告病例的36.88%(277/751),来自其他疾病就诊者检测发现的病例比例近年有上升趋势。结论 HIV感染者AIDS转化率呈现下降趋势,单身、青年、男性,家庭式作业及服务行业人员为开展AIDS防控的重点人群。应在继续加强对男男性接触者等高危人群行为干预的基础上,扩大检测范围,同时加强初中学校AIDS防控健康教育。
英文摘要:
      Objective To analyze the epidemiological characteristics of AIDS from 1996 to 2017 in Dandong City and provide scientific basis for the formulation of prevention and control strategies. Methods Data concerning HIV/AIDS case report cards were downloaded from the Comprehensive HIV/AIDS Prevention and Control Information System in China Information System for Disease Control and Prevention, and a database was built and statistical analysis was performed. Results From 1996 to 2017, the cumulative number of HIV/AIDS cases reported in Dandong City was 751, including 546 HIV-infected cases and 205 AIDS cases, and a total of 175 deaths were reported. The conversion rate of AIDS in HIV infected cases decreased from 20.00% to 6.04% from 2007 to 2017. Among the cases reported 86.58% were young adults aged 20-55 years, and the infection rate reached the peak in the young population aged 18-34 years. Males accounted for 86.42%. Cases who education level was below junior middle school accounted for 67.11%. Single (unmarried/divorced/widowed) population accounted for 83.22%. In the cases, 73.50% were infected by sexual transmission and the proportion of cases infected by homosexual transmission to the total number of cases reported annually increased rapidly from 16.67% in 2007 to 52.94% in 2017. The cases reported were mainly detected by voluntary counseling and testing, accounting for 36.88% (277/751) of all cases. The proportion of detected cases from other patients was increasing in recent years. Conclusions The conversion rate of AIDS in HIV-infected patients shows a downward trend. Single, young, male, home-based work and service professionals are the targeted groups to carry out AIDS prevention and control. Behavioral intervention for high-risk population such as men who have sex with men and the scope of testing and health education concerning AIDS prevention and control in junior middle schools should be strengthened and expanded.
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