河南省宝丰县2000～2013年艾滋病疫情分析

目的了解河南省宝丰县艾滋病流行现状,为制定预防控制措施提供科学依据。方法下载2000~2013年宝丰县各种途径发现并报告的艾滋病病毒感染者和患者(People living with HIV/AIDS,PLWHA)个案及随访资料,建立数据库并进行统计分析。结果宝丰县2000~2013年报告PLWHA 171例,其中艾滋病病人125例,死亡66例,各乡镇均有病例发生。男女之比为1.71:1。20~49岁青壮年占77.2%。农民占80.7%。性传播占55.6%,且从2004年起逐年上升,2010~2013年性传播比例均在70%以上。血液传播占36.8%,2001~2011年血液传播比例呈逐年下降趋势,2012和2013年连续两年无血液传播病例发生。感染途径由以血液传播为主转变为以性接触感染为主。母婴传播占4.7%。通过检测咨询发现病例67人,占39.2%,其他就诊者检测发现病例40例,占23.4%。结论应加强对高危人群的行为干预,落实母婴传播阻断措施。检测咨询和门诊筛查是发现PLWHA的主要途径。

Analysis of HIV/AIDS infection in Baofeng County of Henan Province from 2000 to 2013

Objective To understand the epidemic status of HIV/AIDS in Baofeng county of Henan province so as to provide reference for making preventive and control strategies.Methods The database of HIV/ AIDS cases information and follow- up information from the national online case reporting were downloaded.Comprehensive analysis was performed.Results Totally 171 PLWHA were confirmed and reported including 125 AIDS patients.Sixty-six HIV/AIDS patients died.HIV/AIDS infections were reported in all of the townships;The ratio of males to females was 1.71：1 and 77.2%of them were aged from 20 to 49 years.The number of farmer cases accounted for 80.7%.55.6%were infected through sexual transmission revealing an apparently increasing trend since 2004 accounting for over 70%from 2010 to 2013.Blood transmission occupied36.8%showing a decreasing trend since 2001 and there were no infection was reported through blood transmission in 2012 and2013.The mode of transmission was changed from mainly blood transmission to sexual contact.The proportion of mother to children transmission occupied 4.7%,39.2%of the infections were found through voluntary counseling and testing.23.4%were found via clinical screening.Conclusion Health education and behavior intervention should be strengthened in order to interrupt further transmission of HIV/AIDS.Voluntary counseling and testing and clinicl screening are the major ways for detecting HIV infection.