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中文摘要: 目的 分析芒市2005—2015年艾滋病流行特征及趋势，了解德宏州三轮防艾人民战争对芒市艾滋病疫情的影响，总结有效措问题，为下一步制定芒市艾滋病防治策略提供科学依据。方法 2016年1月下载《中国疾病预防控制信息系统艾滋病综合防治信息系统》中，2005—2015年新报告的HIV/AIDS病例，采用描述性方法分析检测及病例报告、晚发现、治疗和死亡情况。艾滋病相关死亡包括HIV/AIDS相关死亡和疑似艾滋病死亡，死亡率的计算方法为：①观察终点为发现HIV感染者死亡。②观察时间：随访期间未发生死亡的HIV感染者，当年报告当年死亡者记为0.25人年；非年报告当年死亡者，在报告年和死亡年均记为0.5人年；任意一自然年间未发生死亡记为1人年。③死亡率=自死亡人数÷观察时间×100，单位为/百人年。结果 2011-2015年每年HIV平均检测数占当地常住人口的47.42%（189671/400000），高危人群检测数较2005-2010年上升24.50%,检测数逐年增加，新发现病例逐年下降。2005-2015年累计报告HIV/AIDS 4388例，其中本县区有2049例（46.70%），外县有1369例（31.20）），外籍有970例（22.11%），外籍病例构成比从2008年的17.65%上升到2015年的41.96%；累计报告病例性传播占74.07%，每年新报告性传播比例从2005年的55.60%上升到2015年的77.33%，40岁以上中老年人从2005年的19.30%上升到2015年39.91%；检测咨询、医院及监管场所为主要病人发现渠道；累计晚发现比例为34.13%（399/1169），从2005年的77.78%下降到2015年的25.39%，男性、已婚、大年龄，服务业、干部职员相对其他类别人群晚发现率高；抗病毒治疗者死亡率较未治疗者低。结论 通过三轮防艾人民战争的开展，芒市迅速上升的艾滋病疫情形式有所控制，但性传播、边境防控，中老年人健康教育都成为新的挑战,疫情形势依然不容乐观，需要进一步探索更有针对性的防治措施。
Abstract:Objective To analysis the epidemiological characteristics and trend of HIV/AIDS in Mang City, Dehong Prefecture. Methods New report cases of HIV/AIDS from 2005 to 2015 were downloaded from the “China CDC information system of AIDS disease prevention and control” in January 2016. Descriptive epidemiology has been used to analyze the information of case detection and report, later found, treatment, and death. Later found cases are defined as the new report cases who are diagnosed with AIDS patients (CD4 < 200 mm3 or clinical diagnosis of AIDS patients), and cases who transformed quickly into AIDS during 1 year after reporting. AIDS related deaths including HIV/AIDS related deaths and suspected AIDS death. The calculation method of mortality: (1) the terminal event is the death among people infected with HIV; (2) the observation time: survival infections during the follow-up period, the report when death notes for 0.25 years; not when the report was dead, in the annual report and death notes for 0.5 years; any natural and no death notes for one year. (3) mortality rate = deaths / observation time×100% (100 person year). Results The average number of HIV detection per year in 2011-2015 accounted for 47.42% (189671/400000) of the local resident population. The number of high risk population increased by 24.50% compared with 2005 to 2010, and the number of newly detected cases decreased year by year. In 2005-2015, the cumulative report of 4388 cases of HIV/AIDS, 2049 cases (46.70%) in county, 1369 cases (31.20%) in the county, 970 cases (22.11%) in foreign countries, and the proportion of foreign cases was higher than that the 17.65% in 2008, increasing to 41.96% in 2015; cumulative reported cases of sexual transmission accounted for 74.07%, the annual report of the proportion of new sex spread from 55.60% in 2005 rose to 77.33% in 2015, 40 years of age in the elderly from 77.78% in 2005 to 25.39% in 2015. The number of male founders in the same period was higher than that in 2015. The number of founders was 34.13% (399/1169) , Married, older age, service industry, cadres and staff compared to other categories of people found a high rate of late; antiviral treatment of mortality than those who are not treated low. Conclusion Through three times the AIDS war, the rapid rise in the AIDS epidemic situation has been controlled, but the sexually transmitted, border prevention and control, health education in the elderly have become new challenges, the epidemic situation is still not optimistic, need to further explore more targeted sexual control measures.
文章编号：3201804016 中图分类号：R1-9 文献标志码：
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