CAJ | 학술논문

目的：了解广西2008—2013年艾滋病的流行特征，为制定针对性预防控制措施提供科学依据。方法采用描述流行病学方法，分析广西2008—2013年艾滋病新发现病例资料。结果广西2008—2013年新发现HIV/AIDS报告数呈先升后降；疫情分布广泛，局部聚集。年龄主要为25～49岁，占53.49%，呈下降趋势；50岁以上逐年上升。男∶女为2.36∶1，其中15～24岁女性多于男性。职业分布以农民、家政、家务及待业为主。传播途径以性传播感染为主，其构成比从2008年的57.07%，逐年上升至2013年的95.79%；吸毒传播感染从2008年的24.46%逐年下降至2013年的3.30%。婚前检查、孕产期检查的HIV抗体阳性率逐年下降。晚发现比例从2008年的25.25%逐年上升至2013年的42.74%。结论广西艾滋病以性传播途径为主，2012、2013年艾滋病新发现病例数连续两年减少，晚发现比例增高。提示广西今后要进一步加强检测及早发现感染者，加强预防性传播为主的综合防制措施。
목적：료해엄서2008—2013년애자병적류행특정，위제정침대성예방공제조시제공과학의거。방법채용묘술류행병학방법，분석엄서2008—2013년애자병신발현병례자료。결과엄서2008—2013년신발현HIV/AIDS보고수정선승후강；역정분포엄범，국부취집。년령주요위25～49세，점53.49%，정하강추세；50세이상축년상승。남∶녀위2.36∶1，기중15～24세녀성다우남성。직업분포이농민、가정、가무급대업위주。전파도경이성전파감염위주，기구성비종2008년적57.07%，축년상승지2013년적95.79%；흡독전파감염종2008년적24.46%축년하강지2013년적3.30%。혼전검사、잉산기검사적HIV항체양성솔축년하강。만발현비례종2008년적25.25%축년상승지2013년적42.74%。결론엄서애자병이성전파도경위주，2012、2013년애자병신발현병례수련속량년감소，만발현비례증고。제시엄서금후요진일보가강검측급조발현감염자，가강예방성전파위주적종합방제조시。
Objective To understand the epidemiological characteristics of HIV/AIDS in Guangxi during 2008—2013 with a purpose to provide scientific basis for their control effectively. Methods The data of newly diagnosed HIV/AIDS cases in Guangxi during 2008-2013 were analyzed using a descriptive epidemiology. Results The number of newly diagnosed cases increased initially, then decreased during 2008-2013. The distribution of the cases was wide but not even. Some of the cases appeared cluster. Most of the cases were 25-49 years old, accounting for 53.49% . The number of newly diagnosed cases in this age group tended to decrease during 2008-2013. However, the number of cases in the age group of more than 50 years old tended to increase year after year. The ratio of male and female was 2.36:1 but it was reverse in the age group of 15-24 years old. The major occupation distribution was farm workers, housewife and unemployed people. Sexual transmission was a major route of infection. Proportion of sexual transmission increased from 57.07% in 2008 to 95.79% in 2013. While the proportion of injection drug use transmission decreased from 24.46% in 2008 to 3.30% in 2013. The rate of anti-HIV positive in premarital checkups and prenatal examination decreased year by year. Proportion of late discovery increased from 25.25% in 2008 to 42.74% in 2013. Conclusion The major route of infection is sexual transmission. The number of new diagnosed cases decreased in 2012 and 2013. The proportion of late discovery increased. The results suggest that early examination of HIV/AIDS and intervening control of prostitute should be enhanced.