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目的分析沧州市艾滋病(AIDS)流行现状和特征,评估目前防治对策,明确今后防治工作重点,为决策者提供科学依据。方法收集和整理沧州市334例HIV/AIDS病例报告资料和个案流调资料进行统计分析。结果沧州市2003至2013年累计报告HIV/AIDS 334例,死亡69例,疫情呈快速增长势头,10~24岁年龄组病例各年度构成比较,差异具有统计学意义(P<0.05)。病例以青壮年男性为主,地区分布广泛,性接触、母婴、血液三种传播途径均有病例报告,但以性途径传播为为主占91.91%(307/334),其中男男性接触途径传播47.90%(160/334),2013年新报告的96例HIV/AIDS全部为性接触传播。来源于医疗机构的病例占42.52%(142/334),且发现时或1年内死亡病例占11.98%(40/334)。10~24岁青少年、未婚病例所占比率分别达到了23.05%(77/334)和29.64%(99/334),无偿献血人群HIV阳性病例也达到了11.08%(37/334)。结论沧州市属艾滋病低流行地区,但近年来疫情呈快速增长,青少年病例上升势头显著,控制性接触传播特别是男男同性接触传播病例的发生是当前和今后,沧州市艾滋病防治工作的重中之重。
Objective To analyze the current status and characteristics of AIDS epidemic in Cangzhou City, evaluate the current prevention and treatment measures, clarify the key points of prevention and treatment in future, and provide scientific basis for decision makers. Methods To collect and collate 334 cases of HIV / AIDS cases in Cangzhou City, reporting data and case flow data for statistical analysis. Results A total of 334 cases of HIV / AIDS and 69 deaths were reported in Cangzhou City from 2003 to 2013. The epidemic situation showed a rapid growth trend. There was a statistically significant difference between the ages of 10 and 24 years (P <0.05). The cases were mainly young and middle-aged males. There were many cases of sexual contact, maternal and infant and blood transmission. However, 91.91% (307/334) of them were mainly transmitted by sexual way, of which MSM Dissemination 47. 90% (160/334) of the 96 newly reported HIV / AIDS cases in 2013 were all transmitted by sexual contact. 42.52% (142/334) of them came from medical institutions, and 11.98% (40/334) died within one year or within one year. The proportion of teenagers and unmarried children aged 10-24 years old reached 23.05% (77/334) and 29.64% (99/334), respectively. The number of HIV positive cases in unpaid blood donors reached 11.08% (37/334). Conclusions Cangzhou City is endemic to HIV / AIDS. However, the outbreaks have been rapidly increasing in recent years. The incidence of adolescent cases has been on the rise. The incidence of controlled contact transmission, especially of MSM, is the current and future priority of AIDS prevention and control in Cangzhou City The weight.