中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
9期
1017-1021
,共5页
王岚%丁正伟%阎瑞雪%李东民%郭巍%丁国伟%王丽艳%秦倩倩%黑发欣%李培龙%葛琳%王璐
王嵐%丁正偉%閻瑞雪%李東民%郭巍%丁國偉%王麗豔%秦倩倩%黑髮訢%李培龍%葛琳%王璐
왕람%정정위%염서설%리동민%곽외%정국위%왕려염%진천천%흑발흔%리배룡%갈림%왕로
艾滋病%疫情%监测%青年学生
艾滋病%疫情%鑑測%青年學生
애자병%역정%감측%청년학생
AIDS%Epidemic situation%Surveillance%Young students
目的 分析近年来中国青年学生艾滋病疫情状况及相关行为特征.方法 收集2006-2009年15～24岁年龄组艾滋病病例报告数据信息和2006-2009年连续开展监测的国家级青年学生艾滋病哨点的监测数据.青年学生哨点监测是在每年监测期内,选择所在地区大学、大专、职高和中专的在读学生,采用分阶段整群抽样方法开展监测,监测内容包括自填式问卷调查和采集血液标本检测HIV和梅毒;每个哨点每年监测样本量约为800名.结果 2006-2009年历年报告的15～24岁青年学生HIV/AIDS呈上升趋势,历年报告数占当年报告总数的比例亦呈上升趋势,分别为0.39%、0.50%、0.83%和1.02%.性传播为主要传播途径,同性传播所占比例有所上升.2006、2008和2009年开展监测的6个国家级青年学生哨点中,监测对象有过性行为者的比例(中位数)分别为4.3%、4.5%和6.1%;最近一年发生过商业性行为者的比例(中位数)分别为0.3%、0.2%和0.3%;最近一年发生过男男性行为者的比例(中位数)分别为0.7%、0.2%和0.2%;HIV和梅毒螺旋体抗体阳性检出率(中位数)均为0%;艾滋病知识知晓率(中位数)分别为49.0%、75.0%和80.5%;最近一年接受过干预服务者的比例(中位数)分别为44.2%、54.3%和50.2%.结论 近年来青年学生的HIV/AIDS报告数有所上升,但HIV感染率总体维持在低水平.该人群的主要传播途径是性传播;部分青年学生有商业性行为和男男性行为等危险行为.
目的 分析近年來中國青年學生艾滋病疫情狀況及相關行為特徵.方法 收集2006-2009年15～24歲年齡組艾滋病病例報告數據信息和2006-2009年連續開展鑑測的國傢級青年學生艾滋病哨點的鑑測數據.青年學生哨點鑑測是在每年鑑測期內,選擇所在地區大學、大專、職高和中專的在讀學生,採用分階段整群抽樣方法開展鑑測,鑑測內容包括自填式問捲調查和採集血液標本檢測HIV和梅毒;每箇哨點每年鑑測樣本量約為800名.結果 2006-2009年歷年報告的15～24歲青年學生HIV/AIDS呈上升趨勢,歷年報告數佔噹年報告總數的比例亦呈上升趨勢,分彆為0.39%、0.50%、0.83%和1.02%.性傳播為主要傳播途徑,同性傳播所佔比例有所上升.2006、2008和2009年開展鑑測的6箇國傢級青年學生哨點中,鑑測對象有過性行為者的比例(中位數)分彆為4.3%、4.5%和6.1%;最近一年髮生過商業性行為者的比例(中位數)分彆為0.3%、0.2%和0.3%;最近一年髮生過男男性行為者的比例(中位數)分彆為0.7%、0.2%和0.2%;HIV和梅毒螺鏇體抗體暘性檢齣率(中位數)均為0%;艾滋病知識知曉率(中位數)分彆為49.0%、75.0%和80.5%;最近一年接受過榦預服務者的比例(中位數)分彆為44.2%、54.3%和50.2%.結論 近年來青年學生的HIV/AIDS報告數有所上升,但HIV感染率總體維持在低水平.該人群的主要傳播途徑是性傳播;部分青年學生有商業性行為和男男性行為等危險行為.
목적 분석근년래중국청년학생애자병역정상황급상관행위특정.방법 수집2006-2009년15～24세년령조애자병병례보고수거신식화2006-2009년련속개전감측적국가급청년학생애자병초점적감측수거.청년학생초점감측시재매년감측기내,선택소재지구대학、대전、직고화중전적재독학생,채용분계단정군추양방법개전감측,감측내용포괄자전식문권조사화채집혈액표본검측HIV화매독;매개초점매년감측양본량약위800명.결과 2006-2009년력년보고적15～24세청년학생HIV/AIDS정상승추세,력년보고수점당년보고총수적비례역정상승추세,분별위0.39%、0.50%、0.83%화1.02%.성전파위주요전파도경,동성전파소점비례유소상승.2006、2008화2009년개전감측적6개국가급청년학생초점중,감측대상유과성행위자적비례(중위수)분별위4.3%、4.5%화6.1%;최근일년발생과상업성행위자적비례(중위수)분별위0.3%、0.2%화0.3%;최근일년발생과남남성행위자적비례(중위수)분별위0.7%、0.2%화0.2%;HIV화매독라선체항체양성검출솔(중위수)균위0%;애자병지식지효솔(중위수)분별위49.0%、75.0%화80.5%;최근일년접수과간예복무자적비례(중위수)분별위44.2%、54.3%화50.2%.결론 근년래청년학생적HIV/AIDS보고수유소상승,단HIV감염솔총체유지재저수평.해인군적주요전파도경시성전파;부분청년학생유상업성행위화남남성행위등위험행위.
Objective To analyze the HIV/AIDS epidemic situation and related behavioral components among young students in the last years and to provide information for integrated control and prevention programs. Methods Data on young students (1 5-24 years) through case reporting system was collected from 2006 to 2009 and continuous sentinel surveillance data regarding 6 national sentinel sites carried out from 2006 to 2009 was also collected. The sentinel sites would include universities, junior college and secondary vocational colleges registered students, using cluster sampling phases method. Self-administered questionnaire survey and blood (HIV antibody testing and syphilis antibody testing) tests were carried out, with the sample size was about 800 cases per site per year. Results The number of case report on HIV/AIDS among the young students of 15-24 years age group had been rising. Similar trend was also observed on the number of reported cases over the years, accounting for the proportions of the total number of reported cases, as 0.39%, 0.50%, 0.83%and 1.02% respectively from 2006 to 2009. Sexual contacts continued to be the major route of transmission, with the increasing proportion of homosexual transmission. In the 6 national sentinel sites of young students which continuous surveillance was conducted during the period from 2006 to 2009, data showed the following facts as: proportion (median) of objects who admmited to have had sex, were: 4.3%, 4.5 % and 6.1%, proportions (median) of commercial sex occurred in the past year were: 0.3%, 0.2% and 0.3%; proportions (median) of MSM occurred in the past year were: 0.7%,0.2% and 0.2%; median of HIV antibody positive rate and syphilis antibody positive rate were 0%;median of awareness rate on HIV/AIDS were: 49.0%, 75.0% and 80.5%; proportion (median) of monitor objects who received intervention services in the past year were: 44.2%, 54.3% and 50.2% respectively. Conclusion In recent years, the HIV / AIDS number through case reporting system on the young students under 15-24 years age group, was increasing, but the HIV prevalence among young students was still relatively low, in general. The main transmission was sexual. Some young students had been engaged in commercial sex and MSM activities. Health education should be strengthened to increase the awareness of young students on AIDS/STD prevention. It is necessary to take more effective intervention measures to decrease new infection and control HIV/AIDS epidemic among young students.
