摘要
目的 摸清云南省HIV感染的流行势态。方法 哨点监测、现患凋查、常规监测和献血员筛查结果的综合分析。结果（1）新报告感染州1个、县8个,至今全省16个地州、市,111个县、市均报告感染,感染以静脉吸毒、男性、汉族、农民和无业为主,15～49岁占98.5％。（2）首次检出1例男性同性恋感染者。（3）全省哨点监测各类人群的HIV感染率分别为:静脉吸毒波动于2.6％～75.0％之间,全省平均感染率为27.8％（335/1204）,比1998年的24.4％上升了13.9％,潞西为47.1％,比1998年上升了125.4％;卖淫人群的平均感染率为2.2％（19/847）,男性性病病人为1.8％（53/2 951）,孕产妇为0.2％（14/6 417）,与1998年比均无显著性差异,但昆明市皮防院哨点嫖娼人群为1.1％（1/95）,比 1998年的0.3％（1/325）上升了 266.7％.保山性病哨点的男性性病病人感染率为4.1％,比1998年的1.0％上升了 310％;瑞丽无关联人群的 HIV感染率为 14％（11/800）,比 1998年上升了 1300％,比历史最高的 1995年（0.8％）上升了75％。（4）献血员检出率为0.01％。结论 HIV感染已在我省普遍播散,静脉吸毒仍为我省主要流行因素,且平均感染率仍呈上升趋势,性传播以及孕产妇的HIV平均感染率与1998年比无显著性差异,但值得注意的是HIV感染在静脉吸毒高流行区瑞?
Objective: To monitor the epidemic trend of HIV infections in Yunnan province. Methods: The Results of sentinel surveillance, prevalence investigation, routine surveillance and blood- donor screening tests were analysed. Results: 1) New cases of HIV infections were reported in 1 prefecture and and 8 counties, and as a result, up to now HIV infections have been reported in 16 prefectures and 111 counties, Most of HIV infections were detected in intravenous drug users (IDUs), who were males of Han nationality, peasants or unemployed people, and the people aged 15 - 49 years accounted for 98.5% of the total infected persons. 2) One homosexual HIV positive man was confirmed for the first time. 3) The prevalence rates in different population groups under sentinel surveillance were as follows: the prevalence rate among IDUs ranged from 2.6% to 75 % , and it was 47.1 % in Luxi county, an increase by 125.4 % , compared with 20. 9 % in 1998; the average prevalence rate among IDUs were 27. 8 % , an increase by 13.9%, compared with 24.4 % in 1998; 2.2% (19/ 847) among prostitutes, 1.8% (53/2 951) among male STD patients, 0.2% (14/6 417) among pregnant women, which were not significantly different from those in 1998, but the prevalence rate among sex clients was 1.1 % (1/95), an increase by 266.7%, compared with 0.3% (1/325) in 1998, and 4. 1% among male STD patients in Baoshan, an increase by 310% compared with 1.0% in 1998. The infection rate among non - related people was 1.4% in Ruili city, an increase by 1300%, compared with that in 1998 and by 75%, compared with that in 1995(the historical peak year-0.8%). 4) The positive rate among blood donors was 0.01% . Conclusion: HIV infections have spread in the whole province. IDUs remain the main risk factor, and the infection rates are in a rising trend. The average infection rates among prostitutes, sex clients, STD patients and pregnant women are not significantly different from those in 1998. It should be noted that in Ruili city with high prevalence among IDUs, the HIV infection rate among non - related people exceeds 1 %, and the infection rate among male STD patients in Baoshan and sex clients in Kunming city has increased significantly, compared with that in 1998.
出处
《中国性病艾滋病防治》
2001年第2期74-76,共3页
Chinese Journal of Std & Aids Prevention and Control
