陆伟江, 刘伟, 朱秋映, 李荣健, 梁富雄, 黎锋. 2002-2007年广西壮族自治区级艾滋病哨点监测报告[J]. 疾病监测, 2009, 24(2): 103-107. DOI: 10.3784/j.issn.1003-9961.2009.02.012
引用本文: 陆伟江, 刘伟, 朱秋映, 李荣健, 梁富雄, 黎锋. 2002-2007年广西壮族自治区级艾滋病哨点监测报告[J]. 疾病监测, 2009, 24(2): 103-107. DOI: 10.3784/j.issn.1003-9961.2009.02.012
LU Wei-jiang, LIU Wei, ZHU Qiu-ying, LI Rong-jian, LIANG Fu-xiong, LI Feng. Sentinel surveillance of AIDS in Guangxi Autonomous Region, 2002-2007[J]. Disease Surveillance, 2009, 24(2): 103-107. DOI: 10.3784/j.issn.1003-9961.2009.02.012
Citation: LU Wei-jiang, LIU Wei, ZHU Qiu-ying, LI Rong-jian, LIANG Fu-xiong, LI Feng. Sentinel surveillance of AIDS in Guangxi Autonomous Region, 2002-2007[J]. Disease Surveillance, 2009, 24(2): 103-107. DOI: 10.3784/j.issn.1003-9961.2009.02.012

2002-2007年广西壮族自治区级艾滋病哨点监测报告

Sentinel surveillance of AIDS in Guangxi Autonomous Region, 2002-2007

  • 摘要: 目的进一步掌握广西壮族自治区(广西)艾滋病流行现状,为广西艾滋病防治策略和干预措施的制定提供准确信息和科学依据。方法按照自治区级艾滋病哨点监测方案用横断面调查方法对吸毒者、暗娼、性病门诊就诊者和孕产妇人群进行监测。结果2002-2007年省级吸毒者哨点分别监测1373、2090、2451、4031、4163、4904例,艾滋病病毒(HIV)检出阳性199、262、292、394、374、429例, HIV阳性率分别为14.5%、12.5%、11.9%、9.8%、9.0%、8.7%。2002-2007年省级暗娼哨点分别监测60、146、253、318、1423、1549例,暗娼HIV阳性率分别为0%、2.1%、2.4%、3.5%、0.6%、1.2%。2002-2007年省级性病门诊就诊者哨点分别监测239、412、829、1672、2790、3154例,HIV阳性率分别为0%、0.2%、0.1%、2.3%、1.3%、2%。HIV传播呈如下流行趋势:(1)75%以上的吸毒者采用注射方式吸毒,60%左右的吸毒者有共用注射器行为;HIV感染率在高流行区呈缓慢下降趋势,在中、低流行区呈基本稳定或有缓慢上升;(2)暗娼性行为时每次使用安全套的比例呈逐步上升趋势,艾滋病病毒(HIV)感染率在0.6%~3.5%之间;(3)性病门诊就诊者性行为时从未使用过安全套的比例呈逐步下降趋势,HIV感染率在0.1%~2.3%之间,呈逐步上升趋势;(4)孕产妇哨点HIV 感染率在0.2%~1.1%之间。结论广西艾滋病的流行已从高危人群向一般人群扩散,形势严峻。需要进一步加大有效干预措施的力度和覆盖面,以减缓艾滋病在广西的流行速度。

     

    Abstract: ObjectiveTo investigate the current status of AIDS epidemic in Guangxi Autonomous Region, provide accurate information and scientific basis for the development of appropriate prevention and control strategies and interventions. MethodsAccording to the sentinel surveillance scheme of Guangxi, cross-sectional sentinel surveillance was conducted among drug users, female sex workers, outpatients of STDs and pregnant women. ResultsDuring 2002-2007, 1373, 2090, 2451, 4031, 4163 and 4904 drug users were under surveillance and 199, 262, 292, 394, 374 and 429 drug users were detected to be HIV positive respectively with the positive rates of 14.5%, 12.5%, 11.9%, 9.8%, 9% and 8.7%, and 60, 146, 253, 318, 1423 and 1549 female sex workers were under surveillance with the HIV positive rates of 0%, 2.1%, 2.4%, 3.5%, 0.6% and 1.2% respectively. During 2002-2007, 239, 412, 829, 1672, 2790 and 3154 STDs cases were detected by sentinel surveillance, and the HIV positive rates were 0%, 0.2%, 0.1%, 2.3%, 1.3% and 2% respectively. The transmission of HIV had following features: 1) More than 75% of drug users were IDUs, and about 60% of drug users shared syringes. The infection rate of HIV in highly endemic area slowly decreased, while the infection rates in moderate and mild endemic areas remained stable or slowly increased. 2) The proportion of female sex workers who used condoms at each commercial sex increased gradually, and the HIV infection rates among them ranged from 0.6% to 3.5%. 3) The proportion of STDs outpatients who never used condoms decreased gradually, and the HIV infection rates among them ranged from 0.1% to 2.3% which showed an increasing trend. 4) The HIV infection rate of pregnant women ranged from 0.2% to 1.1%. ConclusionThe AIDS epidemic in Guangxi was severe with the transmission not only in high risk population but also in general population. It is necessary to strengthen the effective interventions and expand its coverage to slow down the AIDS epidemic in Gunagxi.

     

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