【摘要】 目的分析1995—2015年宜昌市艾滋病疫情资料,掌握全市流行特征和变化趋势,为科学制定防控措施提供依据。方法利用艾滋病自愿咨询检测、主动监测、哨点监测、孕妇筛查、专题调查和国家"艾滋病综合防治数据信息管理系统"监测数据,对1995—2015年宜昌市艾滋病疫情资料进行统计分析。结果 1995—2015年全市累计报告HIV/AIDS共720例,近6年病例数占21年总数的68.47%,HIV/AIDS疫情呈低流行、高增长趋势。以15~49岁青壮年为主,占82.64%,<14岁、15~24岁感染者比例分别呈逐年下降、逐年增加趋势。男性HIV/AIDS的比例呈逐年上升趋势。感染者职业从以农民为主逐渐扩散到各行各业。以"已婚有配偶"最多,"未婚"、"离异或丧偶"、"大专及以上"病例逐年增长。病例分布有一定的地区聚集性。感染途径以性传播为主,同性性传播比例呈增长趋势(2011—2015年年平均增长率为22.78%)。结论宜昌市市城区、秭归县、当阳市、夷陵区等重点地区要重点加强艾滋病防治工作。全市应加大监测力度,采取积极有效的预防控制措施,以控制艾滋病传播与流行。更多还原

【Abstract】 Objective Epidemic data of AIDS in Yichang City from 1995 to 2015 were analyzed to understand the epidemiological features and trend,so as to provide evidence for establishing control measures.Methods Voluntary counseling and testing,active surveillance,sentinel surveillance,pregnant women screening,special surveys,and the AIDS data(from the " National AIDS prevention and control information systems") were utilized to analyze AIDS epidemic in Yichang City from 1995-2015.Results From 1995 to 2015,720 HIV/AIDS cases were reported.The number of cases in the past 6 years accounted for 68.47% of the total cases in the past 21 years.HIV/AIDS epidemic showed a low popularity and high-growth trend.The victims were mainly from 15 to 49 years old(82.64%),cases under 14 years showed a downward trend yearly,the proportion of people infected with 15 to 24 yearoldshowed a increasing trend year by year.The proportion of male HIV/AIDS victims showed an upward trend.The distribution of profession were mainly farmers at first,thereafter spread to all walks of life.The number of married/with spouses were the majority,the unmarried,divorced/widowed and those with college/and higher education level increased yearly.The distribution of victims showed certain district clustering.Sex transmitted was the main infection way,and the proportion of homosexual transmission showed an increasing trend.The annual average growth rate was 22.78% from 2011 to 2015.Conclusion AIDS control in Yichang urban area,Zigui County,Dangyang City,Yiling District and some other priority regions should be strengthened.Surveillance in the whole city should be greatly stressed,active and effective measures should be taken to control the epidemic transmission.更多还原