凉山州2003～2004年HIV/AIDS的综合监测

目的：了解凉山州各类人群艾滋病病毒感染者／艾滋病(HIV／AIDS)的感染情况及高危行为，和其流行现状和趋势。方法：按照艾滋病行为和血清学监测方案的操作程序及调查方法对全州吸毒者、女性商业性性工作者、孕产妇进行行为及血清学监测。结果：2227例吸毒者艾滋病感染率为15．5％(346人)，吸毒者共用针具率为13．1％；女性商业性性工作者感染率为0．8％(3人)，只有51．1％的CSW(女性性商业工作者)在每次与客人发生性关系时都使用安全套；孕产妇监测中2004年发现首例HIV感染者。结论：我州HIV感染途径主要还是静脉吸毒共用针具及性乱，女性商业性性行为者性行为将在艾滋病向普通人群传播中起重要作用，应当加强综合干预措施等。

A ANALYSIS STUDY ON INTEGRATE SURVEILLANCE OF HIV/AIDS INFECTION FROM 2003 TO 2004 IN LIANGSHAN DISTRICT

Objective:To describe epidemiological characters of HIV/ AIDS infection situation from 2003 to 2004 in Liangshan, and analyze relative high-risk behaviors.Methods:Drug abusers,CSWs,and pregnant women in Liangshan were followed up according to project of integrate surveillance on HIV/AIDS.Results:Among 2 227 Drug abusers,346 objects were tested as HIV positive by ELASA and WB. HIV positive rate was 15.5% and 13.1% shared needles with others.Among 360 CSWs,3 objects were tested as HIV positive by ELASA and WB. HIV positive rate was 0.8%.Only 51.13% of CSWs used condoms every time when having sex with commercial sex partners.In 2004,the first HIV positive infection woman was tested among 224 pregnant women.Conclusion:The HIV infection rate was at high level in IDUs in Liangshan and integrated intervention measures should be strengthened.