CAJ | 학술논문

目的：对2008～2013年广西第二轮艾滋病综合防治示范区艾滋病流行特点进行分析，为探索和制订适合广西的艾滋病综合防治策略和干预措施提供科学依据。方法从全国艾滋病综合防治数据信息系统收集2008～2013年广西第二轮艾滋病综合防治区（13个）的数据，用SPSS19．0软件进行分析。结果2008～2013年示范区HIV/AIDS报告数中，男女性别比为2．27∶1。20～49岁年龄组患者占58．20％。2008～2013年，50岁及以上年龄组的构成比分别为30．76％、33．97％、35．66％、44．83％、43．67％、45．10％；农民的构成比分别为66．95％、69．67％、70．24％、75．60％、75．78％、76．60％；初中及以下文化水平的分别为90．99％、90．32％、88．86％、91．47％、91．72％、91．58％。13个示范区中HIV/AIDS累计报告数＞500例的有10个，其中≥2000例的有1个，1000～1999例的有4个，500～999例的有5个。8个示范区的发病比例超过1．0‰。2008～2013年经性接触途径传播的构成比分别为64．73％、75．55％、85．84％、92．25％、92．59％、94．65％。结论“三间”分布特征提示应更加重视孕产期艾滋病抗体筛查；关注老年人群经性途径感染艾滋病的现象；尝试和探索更多针对低素质人群的有效防治模式；随着更多的地区成为高流行区域和性传播成为最主要的传播途径，艾滋病防治任务越来越艰巨，应继续深入实施防治艾滋病攻坚工程。
목적：대2008～2013년엄서제이륜애자병종합방치시범구애자병류행특점진행분석，위탐색화제정괄합엄서적애자병종합방치책략화간예조시제공과학의거。방법종전국애자병종합방치수거신식계통수집2008～2013년엄서제이륜애자병종합방치구（13개）적수거，용SPSS19．0연건진행분석。결과2008～2013년시범구HIV/AIDS보고수중，남녀성별비위2．27∶1。20～49세년령조환자점58．20％。2008～2013년，50세급이상년령조적구성비분별위30．76％、33．97％、35．66％、44．83％、43．67％、45．10％；농민적구성비분별위66．95％、69．67％、70．24％、75．60％、75．78％、76．60％；초중급이하문화수평적분별위90．99％、90．32％、88．86％、91．47％、91．72％、91．58％。13개시범구중HIV/AIDS루계보고수＞500례적유10개，기중≥2000례적유1개，1000～1999례적유4개，500～999례적유5개。8개시범구적발병비례초과1．0‰。2008～2013년경성접촉도경전파적구성비분별위64．73％、75．55％、85．84％、92．25％、92．59％、94．65％。결론“삼간”분포특정제시응경가중시잉산기애자병항체사사；관주노년인군경성도경감염애자병적현상；상시화탐색경다침대저소질인군적유효방치모식；수착경다적지구성위고류행구역화성전파성위최주요적전파도경，애자병방치임무월래월간거，응계속심입실시방치애자병공견공정。
Objective To analyze AIDS epidemic characteristics of the second-round China CARES program which was conducted in Guangxi from 2008 to 2013 ,therefore to provide scientific evidences for developing HIV/AIDS prevention and intervention strategies for Guangxi .Methods The data of second-round China CARES program in Guangxi(13 comprehensive AIDS prevention and control demonstration zones ) from 2008 to 2013 collected from the national HIV/AIDS prevention and control epidemic information system were analyzed by using SPSS 19 .0 software . Results The HIV/AIDS reports(2008-2013) showed that,for the overall patients in demonstration zones,male to female ratio was 2.27∶1.Patients aged ≥20 and≤49 years old accounted for 58.20%in total.From 2008 to 2013, patients aged 50 years old or older accounted for 30.76%,33.97%,35.66%,44.83%,43.67%,45.10%, respectively . Farmers accounted for 66.95%,69.67%,70.24%,75.60%,75.78%,76.60%,respectively .Patients with education level of junior school or below accounted for 90.99%,90.32%,88.86%,91.47%,91.72%,91.58%.Ten of 13 demonstration zones reported a cumulative number of HIV/AIDS cases which was more than 500,of which there was one demonstration zone with HIV/AIDS cases more than 2000 ,4 demonstration zones with HIV/AIDS cases more than 1 000 and less than 1999 ,5 demonstration zones with HIV/AIDS cases more than 500 and less than 999 .There were 8 demonstration zones with HIV/AIDS incidence higher than 1 .0%.From 2008 to 2013 ,the proportions of HIV/AIDS transmission though sexual contact were 64.73%,75.55%,85.84%,92.25%,92.59%,94.65%,respectively.Conclusion The analysis on the characteristics of distribution of time ,region and population in the study suggests that:We should pay more attentions to the HIV/AIDS antibody screening in pregnancy women ,focus on HIV/AIDS infection though sexual transmission in elderly people ,and explore more effective ways to prevent HIV /AIDS infection for the population with poor education level .Under the background of HIV/AIDS spreads in more and more areas and sexual contact becomes the major pattern of HIV/AIDS transmission , HIV/AIDS prevention and treatment is getting harder to complete .HIV/AIDS prevention project should be implemented thoroughly and consistently .