CAJ | 학술논문

目的了解2010年天津市艾滋病报道病例中HIV-1新近感染情况,探讨艾滋病在各类高危人群中的分布特点和流行现状,为开展有针对性的预防干预工作提供依据.方法应用BED捕获酶联免疫方法(BED-CEIA)对2010年天津市发现的349例艾滋病报道病例进行HIV-1新近感染检测,结合监测数据和流行病学资料,分析比较艾滋病高危人群中HIV-1新近感染比例.结果 2010年天津市共检测HIV 777 207人次,发现HIV感染者和艾滋病患者(HIV/AIDS) 349例.其中HIV-1新近感染者87例,全部为男性,主要来自男男性行为人群(MSM)、自愿咨询检测和性病门诊就诊者三类人群,其HIV-1新近感染率分别为1.48％、0.38％和0.17％.HIV/AIDS报道病例中,天津本市与外地户籍HIV-1新近感染比例差异无统计学意义(x2=0.376,P＞0.05).经男男性传播途径感染占全部HIV-1新近感染病例的80.46％.结论天津市艾滋病流行以男男同性性传播为主,MSM人群中HIV感染状况十分严峻,且存在快速传播危险,应尽快采取更具针对性的预防干预措施.
목적 료해2010년천진시애자병보도병례중HIV-1신근감염정황,탐토애자병재각류고위인군중적분포특점화류행현상,위개전유침대성적예방간예공작제공의거.방법 응용BED포획매련면역방법(BED-CEIA)대2010년천진시발현적349례애자병보도병례진행HIV-1신근감염검측,결합감측수거화류행병학자료,분석비교애자병고위인군중HIV-1신근감염비례.결과 2010년천진시공검측HIV 777 207인차,발현HIV감염자화애자병환자(HIV/AIDS) 349례.기중HIV-1신근감염자87례,전부위남성,주요래자남남성행위인군(MSM)、자원자순검측화성병문진취진자삼류인군,기HIV-1신근감염솔분별위1.48％、0.38％화0.17％.HIV/AIDS보도병례중,천진본시여외지호적HIV-1신근감염비례차이무통계학의의(x2=0.376,P＞0.05).경남남성전파도경감염점전부HIV-1신근감염병례적80.46％.결론 천진시애자병류행이남남동성성전파위주,MSM인군중HIV감염상황십분엄준,차존재쾌속전파위험,응진쾌채취경구침대성적예방간예조시.
Objective To explore the epidemic characteristics of HIV-1 recent infection among high-risk populations in Tianjin and to provide reasonable evidence for intervention strategy.Method Blood samples were detected using BED-CEIA to identify recent HIV-1 infection,and HIV/AIDS cases in Tianjin 2010 were collected to analyze epidemic data.Results 349 of reported HIV/AIDS cases were confirmed from total 777 207 people.ALL of 87 HIV-1 recent infections were males and mainly detected from men who have sex with men (MSM),voluntary counseling and testing (VCT) and STD outpatients,the HIV-1 incidence of each group was 1.48％,0.38％,0.17％ respectively.There were not significant difference in recent HIV-1 infection rate between other areas and locals.The homosexual transmission was 80.46％ among recent HIV-1 infections.Conclusion The results of this study showed that the homosexual contact was primary route of HIV transmission in Tianjin.The infection of HIV was serious among MSM,effective interventions should be taken for HIV/AIDS control and prevention urgently.