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目的了解四川省绵阳市艾滋病疫情变化趋势和流行现状,评价防治效果,为制定防治策略提供参考依据。方法对绵阳市1995-2013年HIV/AIDS病例进行描述性流行病学分析。结果绵阳市1995年发现第1例HIV感染者,1995-2013年绵阳市10个县市区共报告现住址为绵阳市的HIV/AIDS病例1 536例,其中艾滋病感染者920例,艾滋病患者616例,死亡244人,现存活的艾滋病感染者和患者1292例;HIV/AIDS病例男性占77.80%,20~50岁人群1 224例(79.69%),50岁以上的老年人群自2009年以来逐年增多;病例职业以农民为主504例(32.81%);3种传播途径并存,以经性传播为主(88.86%),异性传播比例逐年上升。结论绵阳市仍然处于艾滋病低流行区,2007年后,每年新增艾滋病患者呈现快速上升趋势,性传播比例大,防治难度加大,需进一步采取有效措施,遏制艾滋病疫情发展。
Objective To understand the trend and epidemic situation of AIDS epidemic in Mianyang City, Sichuan Province, evaluate the effect of prevention and treatment, and provide a reference for formulating prevention and control strategies. Methods Descriptive epidemiological analysis of HIV / AIDS cases in Mianyang from 1995 to 2013 was conducted. Results The first case of HIV infection was found in Mianyang city in 1995. A total of 1 536 cases of HIV / AIDS were found in Mianyang City from 1995 to 2013 in 10 counties and cities in Mianyang City, of which 920 were HIV-positive and 616 were AIDS Among them, there were 244 deaths and 1292 HIV-infected persons and patients. Among them, 77.80% were HIV / AIDS cases, 1 224 cases (79.69%) were from 20 to 50 years old, and the elderly population over 50 years old (32.81%). The three modes of transmission coexist, mainly through sexual transmission (88.86%), and the proportion of heterosexual transmission increases year by year. Conclusion Mianyang City is still in a low endemic area of AIDS. After 2007, the number of AIDS patients newly increased rapidly, the proportion of sexually transmitted diseases is high, prevention and treatment are more difficult, and further effective measures are needed to curb the development of AIDS epidemic.