黄东升, 郑维斌, 杨家芳, 李艳萍, 郭建华, 彭佳艳, 徐正翠, 刘丽, 丁英, 赵彩佐. 1997-2011年云南省保山市缅籍艾滋病病毒/艾滋病疫情流行特征分析[J]. 疾病监测, 2013, 28(3): 202-205. DOI: 10.3784/j.issn.1003-9961.2013.3.010
引用本文: 黄东升, 郑维斌, 杨家芳, 李艳萍, 郭建华, 彭佳艳, 徐正翠, 刘丽, 丁英, 赵彩佐. 1997-2011年云南省保山市缅籍艾滋病病毒/艾滋病疫情流行特征分析[J]. 疾病监测, 2013, 28(3): 202-205. DOI: 10.3784/j.issn.1003-9961.2013.3.010
HUANG Dong-sheng, ZHENG Wei-bin, YANG Jia-fang, LI Yan-ping, GUO Jian-hua, PENG Jia-yan, XU Zheng-cui, LIU Li, DING Ying, ZHAO Cai-zuo. HIV/AIDS epidemiological features among Myanmar people living in Baoshan, Yunnan, 1997[J]. Disease Surveillance, 2013, 28(3): 202-205. DOI: 10.3784/j.issn.1003-9961.2013.3.010
Citation: HUANG Dong-sheng, ZHENG Wei-bin, YANG Jia-fang, LI Yan-ping, GUO Jian-hua, PENG Jia-yan, XU Zheng-cui, LIU Li, DING Ying, ZHAO Cai-zuo. HIV/AIDS epidemiological features among Myanmar people living in Baoshan, Yunnan, 1997[J]. Disease Surveillance, 2013, 28(3): 202-205. DOI: 10.3784/j.issn.1003-9961.2013.3.010

1997-2011年云南省保山市缅籍艾滋病病毒/艾滋病疫情流行特征分析

HIV/AIDS epidemiological features among Myanmar people living in Baoshan, Yunnan, 1997

  • 摘要: 目的 分析现住址为云南省保山市的缅籍人员人类免疫缺陷病毒(human immunodeficiency virus, HIV,艾滋病病毒)/获得性免疫缺陷综合征(acquired immunodeficiency syndrome, AIDS,艾滋病) 流行特征, 为保山市针对缅籍人员开展艾滋病防治工作提供参考。 方法 采用入境者体检、涉外婚检、孕产妇检测、自愿咨询检测、术前检查等方法获得现住址为保山市的缅籍人员HIV感染相关资料,对1997-2011年现住址为保山市的缅籍HIV/AIDS病例疫情报告状况及一般人口学特征、随访管理等进行描述性流行病学分析。 结果 1997年发现首例现住址为保山市的缅籍HIV感染者,截止2011年底累计报告现住址为保山市的缅籍HIV/AIDS病例共计303例,HIV感染者占86.1%,AIDS患者占13.9%;报告病例数最多的地区为腾冲县(56.8%),其次为隆阳区(15.8%);样本来源主要为检测咨询和入境人员体检及孕产期检测(50.5%);病例报告数据显示,现住址为保山市的缅籍HIV感染者数及AIDS患者数呈逐年上升趋势,特别是自2005年以来上升较为显著;人口学总体特征分布:男女比例接近, 为0.92:1,主要以年龄在21~40岁(74.9%),已婚有配偶(69.3%),初中及以下文化程度者(72.2%)为主,汉族(47.2%)及农民(65.0%)居多;对于缅籍HIV/AIDS病例随访管理,能够随访到的仅占27.1%,查无此人占22.8%,失访者占50.2%。 结论 保山市缅籍HIV/AIDS 疫情逐年加重,缅籍HIV/AIDS病例主要为文化程度较低的缅籍汉族已婚青壮年,以农民居多,且难于进行随访管理。今后需有针对性的加强保山市的缅籍青壮年HIV/AIDS病例以及新入境HIV抗体检测阳性者的随访管理力度,进而减少缅籍艾滋病疫情对中国造成影响。

     

    Abstract: Objective To understand the epidemiological features of HIV/AIDS among Myanmar people currently living in Baoshan, Yunnan province, and provide evidence for the prevention and control of HIV/AIDS. Methods The HIV infection status of the Myanmar people were known by country entrance examination, pre marriage examination, antenatal examination, voluntary counseling and testing(VCT) and preoperative examination. Descriptive epidemiological analyses were conducted on the epidemiological status, basic information and management of HIV/AIDS cases in the Myanmar people from 1997 to 2011 in Baoshan. Results Since the detection of the first HIV infection in the Myanmar people living in Baoshan in 1997, a total of 303 HIV/AIDS cases had been reported in the Myanmar people by the end of 2011, in which HIV infections accounted for 86.1%, AIDS cases accounted for 13.9%.Tengchong county reported case number accounted for the highest proportion(56.8%), followed by Longyang(15.8%). The samples were mainly from VCT, pre-marriage and antenatal examinations. HIV/AIDS cases in the Myanmar people were in increase, especially after 2005. The male to female ratio of the cases was 0.92:1. Most cases were aged 21-40 years(74.9%), married(69.3%), with less than or equal to junior high school education level(72.2%), in Han ethnic group(47.2%) and farmers(65.0%). Only 27.1% of the cases could be followed up,22.8% were false and 50.2% were lost to follow up. Conclusion The HIV/AIDS epidemic situation in the Myanmar people living in Baoshan is becoming seriously. It is necessary to strengthen the detection of HIV, management of HIV/AIDS cases among these Myanmar people to reduce the impact to China.

     

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