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目的了解三明市2008—2012年HIV/AIDS流行现状,为制定有效的防控策略提供依据。方法对中国疾病预防控制信息系统网络直报的三明市户籍的资料进行分析。结果三明市2008—2012年共报告HIV/AIDS 239例,年均发现率1.83/10万,总体呈上升趋势。感染者年龄以20~49岁的青壮年为主(87.4%),老年人群逐渐增多,职业以农民(20.9%)和家务及待业人员为主(13.0%);经性传播占79.5%,以异性传播为主且持续增高,同性传播呈上升趋势。结论三明市AIDS疫情虽处于低流行态势,但上升速度较快,已从高危人群向一般人群扩散。应加强健康教育,做好HIV/AIDS的管理,加大疫情监测和重点人群行为干预力度,遏制疫情蔓延。
Objective To understand the status quo of HIV / AIDS epidemic in Sanming City from 2008 to 2012, and to provide a basis for making effective prevention and control strategies. Methods The data of Sanming household registration directly reported by China Disease Prevention and Control Information System Network were analyzed. Results A total of 239 HIV / AIDS cases were reported in Sanming City from 2008 to 2012, with an average annual rate of 1.83 / 100 000, showing an overall upward trend. The age of infected persons was mainly aged 20 to 49 years old (87.4%), and the elderly population gradually increased. The majority of the workers were peasants (20.9%) and household and unemployed persons (13.0%), accounting for 79.5% of the total Heterosexual transmission and continued to increase, same-sex transmission is on the rise. Conclusions Although the AIDS epidemic in Sanming City is in a low prevalence situation, its rate of increase has been relatively rapid and has spread from high-risk groups to the general population. Health education should be strengthened, HIV / AIDS management should be well done, epidemic situation monitoring and intervention in key populations should be stepped up, and the spread of the epidemic should be checked.