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目的了解甘肃省兰州市城关区艾滋病疫情特征和流行趋势,为卫生行政部门制定艾滋病防治措施和疫情监测管理策略提供依据。方法用Excel软件统计分析2009─2013年城关区网络直报的艾滋病病毒(HIV)新发感染病例。结果 2009─2013年城关区报告新发病例468例,发病率4.40/10万,2009─2011年发病稳中有降,但2011─2013年呈现出逐年增长的趋势;感染人群以性活跃期的青壮年为主,16~45岁占82.26%,男女性别比6.67∶1;传播途径以性接触为主,占92.31%;职业分布前三位依次是家务及待业(19.44%)、农民(15.60%)、其他(13.68%)。结论农民工、妇女等易感人群面临感染HIV的威胁,应大力推广覆盖人群面广的社区艾滋病干预模式;制定符合本地区现状的防治策略和措施,提高干预工作效率,遏制艾滋病进一步蔓延。
Objective To understand the epidemic situation and epidemic trend of AIDS in Chengguan District of Lanzhou City, Gansu Province, and provide the basis for the health administrative department to formulate AIDS prevention and control measures and epidemic situation monitoring and management strategies. Methods The software of Excel was used to make a statistical analysis of newly infected cases of HIV from 2009 to 2013 in Chengguan District. Results A total of 468 cases of newly diagnosed cases were reported in Chengguan District from 2009 to 2013, with an incidence rate of 4.40 / 100 000. The incidence of the disease was steadily decreasing from 2009 to 2011, but showed a trend of increasing year by year from 2011 to 2013. In the active population Young and middle aged, aged 16-45 accounted for 82.26%, male to female ratio 6.67:1; sexual contact was the main route of transmission, accounting for 92.31%; the top three occupations were household and unemployed (19.44%), peasants (15.60% %), Others (13.68%). Conclusions Migrant workers, women and other susceptible people are at risk of HIV infection. Community-based HIV / AIDS interventions that cover a wide range of population should be vigorously promoted. Prevention and control strategies and measures that are in line with the current situation in the region should be developed to increase the efficiency of intervention and curb the further spread of AIDS.