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目的阐明许昌市HIV/AIDS的流行病学特点和流行趋势,为制定许昌市艾滋病防治策略提供依据。方法研究对象为《艾滋病综合防治信息系统》中1995～2009年期间报告的实验室确认病例,用描述性流行病学方法分析,SPSS13.0进行统计。结果许昌市1995年报告首例HIV感染者,截至2009年底共报告HIV/AIDS 1 090例。8个县(区)均有病例报告,其中禹州市疫情报告数为527例,占全市总报告数的48.35%。男女性别比为1.39:1。以25~54岁青壮年为主,占77.80%。农民887例,占总病例的为81.38%。感染途径2004年前以采供血为主,2005年以后以性传播为主。结论许昌市艾滋病疫情处于HIV/AIDS低流行期与局部地区特定人群集中流行并存的局面,感染途径从采供血为主转变为性传播为主,部分病例到了发病死亡高峰,抗病毒治疗减缓了死亡的发生。
Objective To clarify the epidemiological characteristics and epidemiological trends of HIV / AIDS in Xuchang and provide evidence for the development of AIDS prevention and control strategies in Xuchang. METHODS: The subjects were laboratory confirmed cases reported during the period of 1995-2009 in “AIDS Integrated Prevention and Control Information System”, and were analyzed by descriptive epidemiological method and SPSS13.0. Results Xuchang City in 1995 reported the first case of HIV infection, as of the end of 2009 reported a total of 1 090 cases of HIV / AIDS. Eight counties (districts) have case reports, of which 527 cases of epidemic situation in Yuzhou City, accounting for 48.35% of the total number of the city’s reports. Male to female ratio was 1.39: 1. To 25 to 54-year-old young-based, accounting for 77.80%. 887 farmers, accounting for 81.38% of the total cases. The route of infection was mainly blood collection and blood supply before 2004, and sexually transmitted after 2005. Conclusion The epidemic situation of AIDS in Xuchang City is concentrated in the low-prevalence stage of HIV / AIDS and the epidemic of specific population in some areas. The main route of infection is from blood collection and supply to sexual transmission, and in some cases the peak incidence of death and the death of antiviral therapy are reduced happened.