2010-2015年中国艾滋病哨点监测人群HIV、梅毒和HCV感染状况分析

葛琳; 李东民; 李培龙; 郭巍; 崔岩

doi:10.3784/j.issn.1003-9961.2017.02.008

2010-2015年中国艾滋病哨点监测人群HIV、梅毒和HCV感染状况分析

doi: 10.3784/j.issn.1003-9961.2017.02.008

1.
中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206

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出版历程
- 收稿日期: 2016-08-19
- 刊出日期: 2017-02-20

Population specific sentinel surveillance for HIV infection, syphilis and HCV infection in China, during 2010-2015

1.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

摘要

摘要: 目的分析2010-2015年中国艾滋病监测哨点8类人群的艾滋病病毒（HIV）、梅毒和丙型病毒性肝炎（HCV）感染状况和流行趋势，为艾滋病综合防治和科学干预提供信息和依据。方法 2010-2015年，在哨点监测期内以重复横断面调查的方法对吸毒者、暗娼、男男性行为者、性病门诊男性就诊者、男性长途汽车司乘人员、孕产妇、青年学生和男性流动人口8类人群进行监测，通过问卷调查和血样采集收集调查对象社会人口学、行为学和血清学信息。结果 2010-2015年，吸毒者HIV抗体总阳性率从4.48%下降至2.96%，男男性行为者HIV抗体总阳性率从5.73%上升至7.98%，其他人群HIV抗体总阳性率整体水平均低于1.00%；吸毒者梅毒抗体总阳性率稳定在4.00%~5.00%之间，男男性行为者梅毒抗体总阳性率从8.61%下降至5.27%，暗娼梅毒抗体总阳性率稳定在2.00%~3.00%之间,性病门诊男性就诊者梅毒抗体总阳性率稳定在5.00%~6.00%之间,其他人群梅毒抗体总阳性率均低于1.00%；吸毒者HCV抗体总阳性率从41.81%下降至33.38%，男男性行为者、暗娼HCV抗体总阳性率稳定在0.60%~0.80%之间，性病门诊男性就诊者HCV抗体总阳性率稳定在0.70%~0.90%之间，其他人群HCV抗体总阳性率均低于0.50%。结论男男性行为者和吸毒人群是HIV的主要流行人群，性病门诊男性就诊者和男男性行为人群中梅毒持续处于较高水平，HCV感染率在吸毒人群中较高。
- 艾滋病病毒感染者/艾滋病患者 /
- 哨点监测 /
- 血清学检测
Abstract: Objective To understand the prevalence of HIV infection, syphilis and HCV infection and epidemic trend in 8 populations in China during 2010-2015 and provide evidence for the comprehensive prevention and control of HIV/AIDS. Methods Sentinel surveillance was conducted annually in injection drug users (IDUs), female sex workers (FSWs), men who have sex with men (MSM), male STD patients, long distance male drivers, pregnant women, young student and male migrant population through questionnaire survey and serological test during 2010-2015. Results During 2010-2015, the HIV antibody positive rate decreased from 4.48% to 2.96% in IDUs, and increased from 5.73% to 7.98% in MSM, while the overall HIV antibody positive rate in other populations was 1.00%; the syphilis antibody positive rate remained to be 4.00%-5.00% in IDUs and decreased from 8.61% to 5.27% in MSM, the positive rate remained to be 2.00%-3.00% in FSWs and 5.00%-6.00% in male STD patients, while the overall positive rate in other populations was 1.00%; the HCV antibody positive rate decreased from 41.81% to 33.38% in IDUs and remained to be 0.60%-0.80% in MSM and FSWs, the positive rate was between 0.70% and 0.90% in male STD patients, while the overall positive rate in other populations was 0.50%. Conclusion MSM and IDUs were the populations mostly affected by HIV epidemic, syphilis prevalence remained to be high in male STD patients and MSM, and the HCV infection rate was higher in IDUs than in other populations.
- Human immunodeficiency virus infection and acquired immune deficiency syndrome /
- Sentinel surveillance /
- Serological test

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