2004～2007年湛江市艾滋病检测与艾滋病病毒感染者情况分析

[目的]了解湛江市艾滋病病毒（HIV）抗体检测和艾滋病流行现状,为预防控制艾滋病提供科学依据和对策。[方法]对2004～2007年湛江市疾病预防控制中心抗-HIV抗体检测情况与HIV感染者资料进行分析。[结果]2004～2007年合计检测各类标本147 387份,检出抗-HIV抗体阳性的316例,阳性率为0.21%,其中艾滋病病人72例,死亡15例。抗-HIV抗体阳性率,2004年为2.72%,2005年为2.70%,2006年为0.16%,2007年为0.11% 哨点监测为1.29%,自愿免费咨询检测为12.17%,美沙酮维持治疗门诊监测为4.59%,血站、医疗机构等样品为0.12%。316例HIV感染者中,湛江市籍人员占84.81%,市外流动人员占15.19% 男性占87.34%,女性占12.66% 20～39岁占65.82% 无业和农民占61.39% 已婚占42.09%,未婚占38.92%,离异占2.53%,未婚同居占0.63%,不详占15.82% 静脉吸毒感染占60.13%,性接触传播占25.95%,母婴传播占0.31%,不详占13.61%。[结论]近四年来湛江市HIV感染者进入快速增长阶段,主要从重点人群检测中发现,以20～39岁、无业和农民、静脉吸毒感染为主。

Analysis of HIV Detection and the Prevalence of AIDS in Zhanjiang City from 2004 to 2007

[Objective]To understand HIV detection and the prevalence of AIDS in ZhanJiang,provide scientific basis for making strategies of AIDS prevention and control. [Methods]Data of HIV test and the prevalence of AIDS in Zhanjiang CDC were analyzed. [Results]Of the 147 387 samples tested, 316 of them were positive for anti -H IV antibody, accounting for 0.21%. Of the 72 AIDS patients, 15 died. The positive rate of Anti-HIV antibody was 2.72%, 2. 70%,0.16% and 0. 11% in 2004,2005,2006,and 2007 respectively. It was 1.29% ,12. 17% and 4. 59% during sentinel point monitoring, voluntary free advisory and test,as well as monitoring for methadone maintenance treatment. The positive rate of samples from blood station and medical institutes was 0.12% . Of the 312 HIV infectors,the local people accounted for 84.81%, while floating people accounted for 15.19% .87.34% of them were male,and 12.66% of them were female. 65. 82% of the people were at the age from 20 to 39.61. 39% of them were peasants and were unemployed. Married accounted for 42.09% and unmarried accounted for 38.92%. Divorced accounted for 2.53%. Unmarried cohabitation accounted for 0.63 %. 15.82 % were unknown. The transmission route of through intravenous drug accounted for 60.13 %, sexual con- tact accounted for 25.95 %mother-to-child transmission accounted for 0.31 % and 13.61% were unknown. [Conclusion] The prevalence of AIDS was going up in Zhanjiang city. The main risk population were people aged from 20 to 39, peasants and unemployed people as well as intravenous drug users.