铜川市91例男男性行为者hivaids病例的流行病学分析

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1、铜川市91例男男性行为者HIV/AIDS病例的流行病学分析马龙胡改霞蔺淞锋时洁铜川市疾病预防控制中心摘要：目的分析铜川市男男性行为者(Menwhohavesexwithmen,MSM)艾滋病病毒感染者(HIV)和艾滋病病人(AIDS)的流行现状，为掌握当地艾滋病流行特征及采取针对性防治策略提供依据。方法在中国疾病预防控制信息系统中下载报告时间截至2016年12月31日,现住址为铜川市的所有HIV/AIDS病例，利用Excel2007和SPSS19.0软件进行分析。结果2010—2016年共报MSMHTV/AIDS91例，死

2、亡5例。报告MSMIIIV/AIDS地区分布不均，主要集屮在王益区和耀州区，分别占58.24%和32.97%。平均年龄为(40.89±12.85)岁,20‘9岁年龄组病例最多，占56.04%o职业分布主要集中在家政、家务及待业占31.87%,干部/工人/离退人员占23.08%,农民占21.98%。检出途径以专题调查和临床检验为主,分别占45.05%和38.46%。结论铜川市MSMHTV/ATDS疫情呈上升态势，应釆取加强政府领导，开展健康教育，实行安全套推广、加强疫情监测、动员参与检测等综合防治措施。关键词：艾滋病；男男性

3、行为者;流行病学;作者简介：马龙(1982—),男，本科，主管医师，研究方向：预防医学。收稿日期：2017-04-19Epidemiologicalanalysisof91MSMHIV/AIDScasesinTongchuanMALongHUGaixiaLINSongfengSHIJieTongchuanCenterforDiseaseControlandPrevention;Abstract：ObjectiveToanalyzetheprevalenceofHIVinfectionandAIDSamongmenwhoha

4、vesexwithmen(MSM)inTongchuanCity,soastoprovidetheevidenceformasteringthecharacteristicsoflocalATDSepidemicandformulatingthetargetedpreventionandcontrolstrategies.MethodsThedataofHIV/AIDScaseswerecollectedfromTheChina'sDiseasePreventionandControlInformationSystemun

5、tilDecember31,2016,theiraddresseswereallinTongchuanCity,andthesedatawereanalyzedbyusingExcel2007andSPSS19.0software.ResultsAtotalof91casesofMSMHTV/ATDSwerereportedfrom2010to2016,and5patientsdied.TheareawithMSMIIIV/AIDScaseswasunevenlydistributed,mainlyconcentrated

6、inWangyiDistrictandYaozhouDistrict,accountingfor58.24%and32.97%respectively.Theaverageagewas(40.89±12.85)years,andthemostcaseswereintheagegroupfrom20to39years,accountingforabout56.04%.Theoccupationaldistributionwasmainlyconcentratedinthehousekeeping,houseworkandun

7、employmentaccountingfor31.87%,thecadres/workers/retiredstaffaccounteclfor23.08%,andfarmersaccountedfor21.98%.Thedetectionmethodsweremainlybasedonthespecialinvestigationandclinicalexamination,accountingfor45.05%and38.46%,respectively.ConelusionInTongchuanCity,thepr

8、evalenceofMSMIIIV/AIDSisintheupwardtrend.Therefore,therelevantauthorityshouldstrengthentheleadership,carryouthea1theducation,implementcondompromotion,st