【摘要】 目的　了解广州市HIV/AIDS流行情况 ,为艾滋病预防控制工作提供依据。方法　对广州市 1 999～ 2 0 0 1年艾滋病常规监测和哨点监测资料进行流行病学分析。结果　 1 999～ 2 0 0 1年广州市共发现HIV感染者 5 1 0例 ,其中艾滋病病人 5 7例 ,感染人数年均增长速度为 81 %。 5 1 0例HIV感染者中本市户籍占 4 9 80 % ,省内、省外流动人口分别占 1 1 96 %、2 1 1 8% ;感染途径以静脉吸毒为主(86 6 1 % )。哨点监测结果显示 ,1 4 6 1名吸毒者的HIV感染率为 1 3 2 1 % ,有静脉吸毒史的占 79 4 7% ,其中有共用注射器史占 38 5 0 % ;暗娼的HIV感染率由 1 999年的 0 78%上升到 2 0 0 1年的 2 30 % ,且每次性行为使用安全套的比例仅为 1 4 85 % (2 4 2 / 1 6 30 )。结论　广州市艾滋病流行形势十分严峻 ,吸毒人群及缺乏安全防护的性乱人群应是防治工作的重点更多还原

【Abstract】 Objective Analysis the epidemiology of HIV/AIDS in Guangzhou from 1999 to 2001. Methods Descriptive analysis using HIV and AIDS routine and sentinel surveillance data in Guangzhou from 1999 to 2001. Results A total of 510 HIV infected individuals and 57 AIDS patients were identified in Guangzhou in this period. The yearly average increase rate of HIV infected was 81%. Of all identified HIV infections, about 49 80% were Guangzhou residents, 11 96% were from the other cities of Guangdong and 21 18% from the other provinces. Injecting drug use was the dominant route of transmission, accounting for 86 61%. Sentinel surveillance data showed that the HIV prevalence among drug users was 13 21%(193/ 1 461 ), and 79 47% of them are IDUs. Among the IDUs, 38 50% had ever shared needles. The HIV prevalence in sex workers was increased from 0 78% in 1999 to 2 30% in 2001and only 14 85% of them used condoms for every sexual contact. Conclusion The epidemic situation of HIV/AIDS was serious in Guangzhou. The subsequent control programs should focus on the drug users and the sexually active groups who are devoid of health awareness, especially, on those who had multi sexual partners.更多还原