中国临床康复
中國臨床康複
중국림상강복
CHINESE JOURNAL OF CLINICAL REHABILITATION
2005年
48期
176-178
,共3页
滕国兴%张永红%刘守军%蒋智剑
滕國興%張永紅%劉守軍%蔣智劍
등국흥%장영홍%류수군%장지검
HIV感染/传播%获得性免疫缺陷综合征%妇女卫生保健服务%普查
HIV感染/傳播%穫得性免疫缺陷綜閤徵%婦女衛生保健服務%普查
HIV감염/전파%획득성면역결함종합정%부녀위생보건복무%보사
背景:数据报告非洲地区撒哈拉以南的16个国家艾滋病病毒感染者多达2450万.目的:了解居于撒哈拉腹地的毛里塔尼亚育龄期妇女人类免疫缺陷病毒的感染及类型,为艾滋病的防治工作提供研究方向和基本资料.设计:随机抽样调查.单位:苏州大学放射医学与公共卫生学院流行病与卫生统计学教研室,哈尔滨医科大学碘缺乏病研究所,哈尔滨医科大学公共卫生学院流行病与卫生统计学教研室.对象:调查于2001-03/2001-06在毛里塔尼亚14个行政区(省)进行,纳入标准:毛里塔尼亚14个行政区(省)育龄期妇女,年龄15～49岁,均知情同意.排除标准:拒绝调查及非育龄期妇女.总数为331 548名,拟抽样调查4 000～6 000名,抽样率为1.2%～1.8%.方法:抽查育龄期妇女,采静脉血、分离血清;用酶联免疫吸附试验做初筛试验,用蛋白印迹试验做确证试验,检测人类免疫缺陷病毒的感染及其类型;用每个行政区人类免疫缺陷病毒感染的检出率乘以该行政区育龄期妇女数,即为该行政区育龄妇女人类免疫缺陷病毒感染的估计人数.主要观察指标:检测人类免疫缺陷病毒的感染及其类型;计算不同城市、不同人群的人类免疫缺陷病毒感染率,并加以分析.结果:艾卡欧特行政区(省)因故未调查,在13个行政区中抽查了4 648名,抽样率为1.4%.在4 648名15～49岁育龄期妇女中,检出人类免疫缺陷病毒感染者24例,总感染率为0.516%.其中,人类免疫缺陷病毒-1型22例,人类免疫缺陷病毒-2型2例;有5个城市感染率在0.50%～1.01%之间,有3个城市感染率在0～0.50%之间,有5个城市未检出;15～29岁人类免疫缺陷病毒感染23例,占95.83%;在全国13个主要城市中,人类免疫缺陷病毒感染者总数估计在l 400例左右.结论:毛里塔尼亚13个主要城市育龄期妇女人类免疫缺陷病毒总感染率为0.516%;人类免疫缺陷病毒感染以人类免疫缺陷病毒-1型为主;人类免疫缺陷病毒感染有地区差异;15～29岁人类免疫缺陷病毒感染占95%以上;毛里塔尼亚艾滋病的流行态势属于传入后的传播扩散阶段.
揹景:數據報告非洲地區撒哈拉以南的16箇國傢艾滋病病毒感染者多達2450萬.目的:瞭解居于撒哈拉腹地的毛裏塔尼亞育齡期婦女人類免疫缺陷病毒的感染及類型,為艾滋病的防治工作提供研究方嚮和基本資料.設計:隨機抽樣調查.單位:囌州大學放射醫學與公共衛生學院流行病與衛生統計學教研室,哈爾濱醫科大學碘缺乏病研究所,哈爾濱醫科大學公共衛生學院流行病與衛生統計學教研室.對象:調查于2001-03/2001-06在毛裏塔尼亞14箇行政區(省)進行,納入標準:毛裏塔尼亞14箇行政區(省)育齡期婦女,年齡15～49歲,均知情同意.排除標準:拒絕調查及非育齡期婦女.總數為331 548名,擬抽樣調查4 000～6 000名,抽樣率為1.2%～1.8%.方法:抽查育齡期婦女,採靜脈血、分離血清;用酶聯免疫吸附試驗做初篩試驗,用蛋白印跡試驗做確證試驗,檢測人類免疫缺陷病毒的感染及其類型;用每箇行政區人類免疫缺陷病毒感染的檢齣率乘以該行政區育齡期婦女數,即為該行政區育齡婦女人類免疫缺陷病毒感染的估計人數.主要觀察指標:檢測人類免疫缺陷病毒的感染及其類型;計算不同城市、不同人群的人類免疫缺陷病毒感染率,併加以分析.結果:艾卡歐特行政區(省)因故未調查,在13箇行政區中抽查瞭4 648名,抽樣率為1.4%.在4 648名15～49歲育齡期婦女中,檢齣人類免疫缺陷病毒感染者24例,總感染率為0.516%.其中,人類免疫缺陷病毒-1型22例,人類免疫缺陷病毒-2型2例;有5箇城市感染率在0.50%～1.01%之間,有3箇城市感染率在0～0.50%之間,有5箇城市未檢齣;15～29歲人類免疫缺陷病毒感染23例,佔95.83%;在全國13箇主要城市中,人類免疫缺陷病毒感染者總數估計在l 400例左右.結論:毛裏塔尼亞13箇主要城市育齡期婦女人類免疫缺陷病毒總感染率為0.516%;人類免疫缺陷病毒感染以人類免疫缺陷病毒-1型為主;人類免疫缺陷病毒感染有地區差異;15～29歲人類免疫缺陷病毒感染佔95%以上;毛裏塔尼亞艾滋病的流行態勢屬于傳入後的傳播擴散階段.
배경:수거보고비주지구살합랍이남적16개국가애자병병독감염자다체2450만.목적:료해거우살합랍복지적모리탑니아육령기부녀인류면역결함병독적감염급류형,위애자병적방치공작제공연구방향화기본자료.설계:수궤추양조사.단위:소주대학방사의학여공공위생학원류행병여위생통계학교연실,합이빈의과대학전결핍병연구소,합이빈의과대학공공위생학원류행병여위생통계학교연실.대상:조사우2001-03/2001-06재모리탑니아14개행정구(성)진행,납입표준:모리탑니아14개행정구(성)육령기부녀,년령15～49세,균지정동의.배제표준:거절조사급비육령기부녀.총수위331 548명,의추양조사4 000～6 000명,추양솔위1.2%～1.8%.방법:추사육령기부녀,채정맥혈、분리혈청;용매련면역흡부시험주초사시험,용단백인적시험주학증시험,검측인류면역결함병독적감염급기류형;용매개행정구인류면역결함병독감염적검출솔승이해행정구육령기부녀수,즉위해행정구육령부녀인류면역결함병독감염적고계인수.주요관찰지표:검측인류면역결함병독적감염급기류형;계산불동성시、불동인군적인류면역결함병독감염솔,병가이분석.결과:애잡구특행정구(성)인고미조사,재13개행정구중추사료4 648명,추양솔위1.4%.재4 648명15～49세육령기부녀중,검출인류면역결함병독감염자24례,총감염솔위0.516%.기중,인류면역결함병독-1형22례,인류면역결함병독-2형2례;유5개성시감염솔재0.50%～1.01%지간,유3개성시감염솔재0～0.50%지간,유5개성시미검출;15～29세인류면역결함병독감염23례,점95.83%;재전국13개주요성시중,인류면역결함병독감염자총수고계재l 400례좌우.결론:모리탑니아13개주요성시육령기부녀인류면역결함병독총감염솔위0.516%;인류면역결함병독감염이인류면역결함병독-1형위주;인류면역결함병독감염유지구차이;15～29세인류면역결함병독감염점95%이상;모리탑니아애자병적류행태세속우전입후적전파확산계단.
BACKGROUND:Data suggested that there were 24.5 million of human immunodeficiency virus (HIV) infected women in 16 countries in southern Sahara Africa.OBJECTIVE: To survey the HIV infection status among women in reproductive age in Mauritania so as to provide research direction and basic data for prevention and treatment of immunodeficiency diseases.DESIGN: Random sampling survey.SETTING: Epidemic Disease & Health Statistics Department of Radiation Medicine and Public Health College of Suzhou University;Institute of Iodin Absence of Harbin Medical University;and Public Health College and Epidemic Disease & Health Statistics Department of Harbin Medical University.PARTICIPANTS:The survey was conducted in the 14 main cities of the whole country from March to June 2001. Inclusion criteria: Women were in reproductive age, aged 15-49 years, from Mauritania; and all told the fact.Exclusion criteria: Women refused survey and not in reproductive age were excluded.Among 331 548 women,4 000-6 000 samples were surveyed and the sampling rate was 1.2％-1.8％.METHODS: Venous blood and isolated sera of women in reproductive age were collected. Sera were detected by ELISA test and confirmed by Western Blot test in order to know HIV infection and its subtypes.The detection rates of different population and cities were calculated and made statistical analysis.MAIN OUTCOME MEASURES: The infection and subtypes of HIV; infected rate of HIV among different crowd in different cities.RESULTS: Among 4 648 women in reproductive age in 13 provinces, 24infected cases aged of 15-49 years were found with the infected rate of 0.516％,of them 22 cases were infected with HIV-1 and 2 cases were in fected with HIV-2. The detection rates were 0.500％-1.010％ (5 cities), 0-0.500％ (3 cities) and 0％ (5 ities) respectively. The age of 95.83％ of the total infected cases was 15-29 years. The number of the HIV-infected cases was about 1 400 persons among women in reproductive age in 13 main cities.CONCLUSION: The total HIV-infected detection rate was 0.516％ among women in reproductive age in 13 main cities of Mauritania.HIV-1 2 was the dominant subtype. HIV infection was different among regions. HIV-in fected cases aged 15-29 constituted more than 95％ of the total cases. The prevalent trend of AIDS was in the stage of transmission after importing.
