西宁市1998-2011年艾滋病疫情特征及防治对策探讨

目的了解西宁市艾滋病疫情特征,为进一步扩展防控工作提供科学依据。方法对西宁市1998-2011年所有监测、报告数据进行统计分析。结果西宁市1998-2011年共监测发现现住址艾滋病感染者及病人264例,男性212例、女性52例,男女性别比为4.07∶1,其中艾滋病病人76例,累计死亡13例(男性死亡10例)。年龄最小3岁,最大75岁,21～40岁年龄段占71.02%。2004年以前主要通过静脉吸毒传播占77.78%,2005年性传播比例逐渐增加,2006年性传播比例上升为40%以上,2010年性传播比例上升为86%以上。结论我市艾滋病呈低流行水平,但新发感染者有逐年升高趋势,进一步加强对高危人群监测、落实干预措施、开展自愿咨询检测是我市今后艾滋病防控重点工作。

Discussion on epidemic characteristics and control measures of AIDS in Xining City from 1998 to 2011

Objective To understand the epidemic characteristics of AIDS in Xining City,and provide scientific basis for further expansion of control work.Method Do statistical analysis on all the monitored and reported data in Xining City from 1998 to 2011.Results According to the monitored data,there were 264 HIV infectors and AIDS patients in Xining City from 1998 to 2011,including 212 men and 52 women,with the sex ratio of 4.07∶ 1.Of all the cases,76 were AIDS patients and a total of 13 deaths(including 10 men).The youngest patient was 3 years old and the oldest was 75 years old,and patients between 21 and 40 years old accounted for 71.02%.Intravenous drug abuse was the main transmission way prior to 2004,which accounted for 77.78%.Since 2005,the proportion of sexual transmission gradually increased and reached up to more than 40% in 2006.In 2010,the proportion of sexual transmission rose to more than 86%.Conclusions The epidemic of AIDS in our city was at a low level,but the number of new infectors increased year after year.Further strengthening the monitoring of high-risk groups,implementing intervention policy,and carrying out voluntary counseling and testing were keys to AIDS prevention and control in the future.