CAJ | 학술논문

目的：探讨广西1996—2012年艾滋病流行的地理差异，为针对性防控策略和措施的制定提供科学依据。方法以县（市、区）为基本统计单位，通过地理信息系统（GIS）软件的自然断点分级法，划分艾滋病累积报告感染率（CRIR）和累积报告发病率（CRI）的高、中、低流行区，对比分析各县的差异。结果累积报告感染率为高、中、低流行区的县分别有19、40、50个，相应区间分别为302.91/10万～700.98/10万、124.90/10万～302.90/10万、18.42/10万～124.89/10万；累积报告发病率为高、中、低流行区的县分别有13、35、61个，相应区间为159.79/10万～428.09/10万、64.69/10万～159.78/10万、7.23/10万～64.68/10万。以CRI为参照，CRIR与CRI高、中、低流行区的分布一致率分别为100.00%、82.86%、93.44%。广西艾滋病CRIR和CRI高、中、低流行区的分布呈“同心圆”状辐射递减及“孤点”现象。结论广西艾滋病流行有明显的地理差异性，其流行强度是地理、经济、社会、资源等各方面因素相互作用的结果，今后艾滋病防控策略研究应该融合更多的经济社会因素，以使防控更有成效。
목적：탐토엄서1996—2012년애자병류행적지리차이，위침대성방공책략화조시적제정제공과학의거。방법이현（시、구）위기본통계단위，통과지리신식계통（GIS）연건적자연단점분급법，화분애자병루적보고감염솔（CRIR）화루적보고발병솔（CRI）적고、중、저류행구，대비분석각현적차이。결과루적보고감염솔위고、중、저류행구적현분별유19、40、50개，상응구간분별위302.91/10만～700.98/10만、124.90/10만～302.90/10만、18.42/10만～124.89/10만；루적보고발병솔위고、중、저류행구적현분별유13、35、61개，상응구간위159.79/10만～428.09/10만、64.69/10만～159.78/10만、7.23/10만～64.68/10만。이CRI위삼조，CRIR여CRI고、중、저류행구적분포일치솔분별위100.00%、82.86%、93.44%。엄서애자병CRIR화CRI고、중、저류행구적분포정“동심원”상복사체감급“고점”현상。결론엄서애자병류행유명현적지리차이성，기류행강도시지리、경제、사회、자원등각방면인소상호작용적결과，금후애자병방공책략연구응해융합경다적경제사회인소，이사방공경유성효。
Objective To explore the geographical differences of HIV/AIDS epidemic characteristics in Guangxi from 1996 to 2012, and provide scientific evidence for the targeted prevention and control strategies and measures. Methods The infected persons were seleted and counted up by county (city/district) as the basic statistical unit. The total of 109 counties (cities/districts) of Guangxi were classified into high, middle and low epidemic areas of HIV/AIDS according to cumulative reported infection rate(CRIR)and cumulative reported of incidence (CRI) by natural breakout classification method of the geographic information system (GIS) ,and compared the differences among different epidemic areas. Results Nineteen, forty, and fifty counties were classified into high, middle and low epidemic areas based on CRIR, respectively, the corresponding CRIR were 302.91-700.98, 124.90-302.90 and 18.42-124.89 per 100, 000. Thirteen, thirty-five,and sixty-one counties were classified into high, middle and low epidemic areas based on CRI, respectively, and the corresponding CRI were 159.79-428.09, 64.69-159.78 and 7.23-64.68 per 100, 000. With CRI as reference the consistent rates between CRI and CRIR were 100.00% ,82.86% and 93.44%respectively in high, middle and low epidemic areas. The high, middle and low epidemic areas of CRIR and CRI in Guangxi radiated outwards like concentric circles, and the high epidemic areas were the starting points, with the trend of gradual step-down of epidemic intensity. In addition, some epidemic areas existed like“isolated points”. Conclusions Geographical differences of HIV/AIDS epidemic in Guangxi are obvious. This is the result caused by different geographic location, regional economy, society, and resource and so on. In future HIV/AIDS prevention and control strategies should integrate more economic and social factors in order to make the results more efficient.