CAJ | 학술논문

目的：了解江西艾滋病报告疫情样本来源的分布情况及其病例特征，为调整艾滋病检测及病例发现策略提供依据。方法从中国艾滋病网络直报信息系统下载病例报告历史卡片资料，采用描述流行病学方法对资料进行分析。结果1994-2013年江西省累计报告艾滋病病毒感染者和艾滋病病人5979例，其样本主要来源于：其他就诊者检测1735例（29.02%），检测咨询1433例（23.97%），术前检测776例（12.98%）。2009-2013年，样本来源为医疗行为检测者出现增长趋势，其构成比由2009年的49.37%上升至2013年的62.38%，阳性亲属检测各年构成比在7.30%左右，而检测咨询、公安司法筛查和其他检测则相应出现下降的趋势。医疗机构是病例发现的主要机构，而且其中的AIDS病人所占比例(53.14%)高于HIV感染者（46.86%），以青壮年组的病例居多，其次是中老年组的病例。结论近年来江西省艾滋病报告疫情样本来源的分布情况及病例特征出现了一些新特点和变化趋势，临床医疗机构在HIV感染者及艾滋病患者的发现中起着越来越重要的作用。
목적：료해강서애자병보고역정양본래원적분포정황급기병례특정，위조정애자병검측급병례발현책략제공의거。방법종중국애자병망락직보신식계통하재병례보고역사잡편자료，채용묘술류행병학방법대자료진행분석。결과1994-2013년강서성루계보고애자병병독감염자화애자병병인5979례，기양본주요래원우：기타취진자검측1735례（29.02%），검측자순1433례（23.97%），술전검측776례（12.98%）。2009-2013년，양본래원위의료행위검측자출현증장추세，기구성비유2009년적49.37%상승지2013년적62.38%，양성친속검측각년구성비재7.30%좌우，이검측자순、공안사법사사화기타검측칙상응출현하강적추세。의료궤구시병례발현적주요궤구，이차기중적AIDS병인소점비례(53.14%)고우HIV감염자（46.86%），이청장년조적병례거다，기차시중노년조적병례。결론근년래강서성애자병보고역정양본래원적분포정황급병례특정출현료일사신특점화변화추세，림상의료궤구재HIV감염자급애자병환자적발현중기착월래월중요적작용。
Objective To understand the sample sources of HIV/AIDS cases reported in Jiangxi Province, and provide the basis for adjusting HIV/AIDS testing strategy. Methods The data of HIV/AIDS cases reported in Jiangxi were retrieved from the national HIV/AIDS information system database and descriptive epidemiology method was adapted to analysis the sample sources and characteristics of HIV/AIDS reported in Jiangxi Province from 1994 to 2013. Results The total number of HIV/AIDS cases reported in Jiangxi Province in the period were 5 979. Among them 1 735 cases (29.02%) were diagnosed from the samples of “other patients” who visited the hospital with symptoms other than HIV/AIDS, 1 433 cases (23.97%) from counseling testing, 776 cases (12.98%) from preoperative testing. The proportion of cases from testing for the purpose of routine medical services in the sample sources rose from 49.37%in 2009 to 62.38%in 2013, while the proportion of cases from the partners or relatives of HIV/AIDS patients fluctuated around 7.30%and the proportion of cases from counseling testing, testing in detention institutions or the other sample sources showed a decreasing trend in the same period. Clinic service institution like hospitals were major units of finding HIV/AIDS cases. The cases reported in hospitals were more advanced in the disease stage (the proportion of AIDS patients was 53.14%higher than that of HIV infections46.86%), and most of them were middle and old-aged group. Conclusion The sample sources of HIV/AIDS reported in Jiangxi had changed and hospitals play more and more important role in finding the HIV/AIDS cases in the recent years.