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目的分析唐山市艾滋病(AIDS)流行现状和特征,评价目前防治对策,明确今后防治工作的重点,为决策者提供科学依据。方法对唐山市人类免疫缺陷病毒感染者/艾滋病病例(HIV/AIDS)报告资料和个案流调资料进行描述性统计分析。结果唐山市2009-2015年累计报告HIV/AIDS 763例,死亡76例。HIV/AIDS以青壮年男性为主;文化程度发病最高的是初中,占33.16%;职业以农民、家务及待业和工人为主。性接触、血液传播途径均有病例报告,但以性途径传播为主,占94.36%,其中男男性接触途径传播占60.81%。28.96%的病例主要来源于自愿咨询检测(VCT)。发病人群城市高于农村,无明显的季节性。结论唐山市属于AIDS低流行地区,但近年来疫情呈快速增长势头,青少年发病上升趋势显著,控制性接触传播特别是男男同性接触传播病例的发生是目前和今后唐山市AIDS防治工作的重中之重。
Objective To analyze the status quo and characteristics of AIDS epidemic in Tangshan and to evaluate the current prevention and treatment measures so as to clarify the focus of prevention and treatment in future so as to provide scientific basis for decision makers. Methods A descriptive statistical analysis was carried out on the reported data and individual cases of HIV / AIDS in Tangshan City. Results A total of 763 cases of HIV / AIDS and 76 deaths were reported from 2009 to 2015 in Tangshan City. HIV / AIDS is dominated by young and middle-aged males; the highest level of education is junior high school, accounting for 33.16% of the total; HIV / AIDS is dominated by peasants, housework, unemployed and workers. Sexual contact and blood transmission were reported in all cases, but mainly by sexual transmission, accounting for 94.36%, of which 60.81% were transmitted by MSM. 28.96% of cases mainly come from voluntary counseling and testing (VCT). The incidence of urban population than in rural areas, no obvious seasonal. Conclusion Tangshan City is endemic to AIDS-related endemic areas. However, the outbreaks have been rapidly increasing in recent years and the incidence of adolescents has been on the rise. The incidence of controlled contact transmission, especially that of MSM, is the focus of AIDS prevention and treatment in Tangshan City at present and in the future The weight.