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[目的]了解湛江市艾滋病病毒(HIV)抗体检测和艾滋病流行现状,为预防控制艾滋病提供科学依据和对策。[方法]对2004~2007年湛江市疾病预防控制中心抗-HIV抗体检测情况与HIV感染者资料进行分析。[结果]2004~2007年合计检测各类标本147 387份,检出抗-HIV抗体阳性的316例,阳性率为0.21%,其中艾滋病病人72例,死亡15例。抗-HIV抗体阳性率,2004年为2.72%,2005年为2.70%,2006年为0.16%,2007年为0.11%;哨点监测为1.29%,自愿免费咨询检测为12.17%,美沙酮维持治疗门诊监测为4.59%,血站、医疗机构等样品为0.12%。316例HIV感染者中,湛江市籍人员占84.81%,市外流动人员占15.19%;男性占87.34%,女性占12.66%;20~39岁占65.82%;无业和农民占61.39%;已婚占42.09%,未婚占38.92%,离异占2.53%,未婚同居占0.63%,不详占15.82%;静脉吸毒感染占60.13%,性接触传播占25.95%,母婴传播占0.31%,不详占13.61%。[结论]近四年来湛江市HIV感染者进入快速增长阶段,主要从重点人群检测中发现,以20~39岁、无业和农民、静脉吸毒感染为主。
[Objective] To understand the status of HIV antibody testing and AIDS epidemic in Zhanjiang and to provide a scientific basis and countermeasures for the prevention and control of AIDS. [Methods] The anti-HIV antibody test data and HIV infected persons data of Zhanjiang CDC from 2004 to 2007 were analyzed. [Results] A total of 147 387 samples of all kinds were detected from 2004 to 2007, 316 cases were positive for anti-HIV antibody, the positive rate was 0.21%, including 72 AIDS patients and 15 deaths. The positive rate of anti-HIV antibody was 2.72% in 2004, 2.70% in 2005, 0.16% in 2006 and 0.11% in 2007; 1.29% in sentinel surveillance and 12.17% in voluntary counseling and testing. Methadone maintenance treatment clinic Monitoring was 4.59%, blood bank, medical institutions and other samples was 0.12%. Of the 316 cases of HIV-infected persons, 84.81% of them were from Zhanjiang City, 15.19% of them were migrant workers outside the city, 87.34% of men, 12.66% of women, 65.82% of 20-39 years old, 61.39% of unemployed and peasants, married Accounting for 42.09%, unmarried 38.92%, divorced 2.53%, unmarried cohabitation 0.63%, unknown 15.82%; intravenous drug abuse accounted for 60.13%, sexual contact accounted for 25.95%, mother-to-child transmission accounted for 0.31%, unknown 13.61% . [Conclusion] In the past four years, HIV-infected persons in Zhanjiang City have entered a stage of rapid growth mainly from the detection of key populations. Among them, 20-39 years old, unemployed and peasants and intravenous drug-induced infections are the major contributors.