【摘要】 目的分析1997～2004年合肥市艾滋病感染者/艾滋病病人(HIV/AIDS)流行现状、特征、影响因素及趋势,为制定艾滋病防治策略提供依据。方法对1997～2004年在全市暗娼、吸毒者及性病门诊哨点监测、医疗机构常规监测和自愿咨询检测(VCT)等发现并经确认实验室确认的HIV∕AIDS流行病学调查资料进行分析。结果自1997年发现首例AIDS病人至2004年底,累计报告发现HIV抗体阳性者131例,其中AIDS病人69例。HIV/AIDS传播的主要途径是采供血感染及输入血液/血制品,异性性传播比例逐年增高,并已出现母婴传播的病例。感染者主要为皖北地区有偿采供血者和输注血液者以及感染者的配偶,本地户籍病例较少。结论合肥市HIV/AIDS疫情仍处于低流行状态,但流行速度明显加快,流行趋势正从高危人群向一般人群蔓延,应采取加强监测、开展健康教育和行为干预等措施,遏制艾滋病传播和蔓延的趋势。更多还原

【Abstract】 Objective The present study was designed to analyze the current status, features, affecting factors and trends of HIV/AIDS epidemic in Hefei City from 1997 to 2004 and provide information for the formulation of strategies for epidemic prevention and control. Methods Analysis was made on the epidemiological data of HIV/AIDS, collected in the city from 1997 to 2004 in unlicensed prostitutes, drug abusers and through the sentinel surveillance in STD clinics and routine surveillance of medical facilities and voluntary counselling test(VCT), and confirmed by lab studies. Results An accumulative total of 131 HIV antibody positive cases, of whom 69 cases developed AIDS, were reported from 1997, when the first case of AIDS was found, to the end of 2004. It was found that the main transmission route of HIV/AIDS include infection from blood collection and donation and blood /blood product transfusion with an increasing proportion in heterosexual transmission and appearance of mother-to-baby transmission; Paid blood donors, blood recipients and spouses of the infected in the northern Anhui are predominantly affected with natives less affected. Conclusion HIV/AIDS epidemic in the city of Hefei is in a low prevalence but the epidemic spreads faster than ever before. An epidemic trend of its spreading from high risk population to general population is observed. Epidemic surveillance, heath education development and behavior interferences should be reinforced to hold back the trends of AIDS transmission and AIDS spreading.更多还原