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马迪辉,张彦琦,周亮,肖琴,刘岭,卢戎戎,吴国辉,刘小钰,伍亚舟,易大莉,易东.重庆市2006-2012年艾滋病高危人群HIV/AIDS流行情况分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(07):689-692.
Ma Dihui,Zhang Yanqi,Zhou Liang,Xiao Qin,Liu Ling,Lu Rongrong,Wu Guohui,Liu Xiaoyu,Wu Yazhou,Yi Dali,Yi Dong.Epidemic analysis on high-risk HIV/AIDS population in Chongqing from 2006 to 2012[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(07):689-692.
马迪辉,张彦琦,周亮,肖琴,刘岭,卢戎戎,吴国辉,刘小钰,伍亚舟,易大莉,易东.重庆市2006-2012年艾滋病高危人群HIV/AIDS流行情况分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(07):689-692. DOI:
Ma Dihui,Zhang Yanqi,Zhou Liang,Xiao Qin,Liu Ling,Lu Rongrong,Wu Guohui,Liu Xiaoyu,Wu Yazhou,Yi Dali,Yi Dong.Epidemic analysis on high-risk HIV/AIDS population in Chongqing from 2006 to 2012[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(07):689-692. DOI:
目的 分析重庆市2006-2012年艾滋病高危人群HIV/AIDS流行情况,为艾滋病高危人群的干预提供科学依据。 方法 从重庆市传染病上报系统和艾滋病监测哨点收集时间序列数据,评价指标为HIV新发病例数、HIV感染率和安全套使用率,利用泊松分布估计总体率的95%可信区间,采用时间序列相关性分析方法进行时间序列趋势性检验。 结果 2006-2012年艾滋病感染的主要途径为异性性途径、同性性途径和静脉注射吸毒。暗娼(female sex worker
FSW)、静脉注射吸毒者(injecting drug use, IDU)、男男性行为人群(men who have sex with men,MSM)和性病门诊患者(people with sexually transmitted diseases
STDs)的HIV年平均感染率分别为0.18%(95%CI: 0.10%~0.25%)、8.42%(95%CI: 7.82%~9.03%)、15.62%(95%CI: 14.41%~16.86%)和1.58%(95%CI: 1.25%~1.91%)。FSW和MSM平均安全套使用比例分别为74.01%(95%CI: 73.21%~74.82%)和62.30%(95%CI: 60.67%~63.92%)。 结论 重庆市必须加强针对男男性行为人群、暗娼和性病门诊患者的干预工作,并在男男性行为人群和暗娼人群中加强安全套使用重要性的宣传力度。
Objective To analyze the prevalence of HIV/AIDS in the high-risk population in Chongqing during the years of 2006 to 2012 so as to provide scientific basis for the intervention strategies of high-risk peoples. Methods The time series data were collected from infectious disease system and HIV monitoring sentinel. The estimation indicators were new HIV infections
HIV infection rate and condom usage rates. The overall rate and its 95% confidence interval (95%CI) were estimated based on Poisson distribution principle. The time serial correlation analysis was employed for time serial trend test. Results From 2006 to 2012
the main HIV infection routes were intravenous drug use
and heterosexual and homosexual transmission routes. The annual average HIV infection rates of the female sex workers (FSWs)
injecting drug users (IDUs)
men who have sex with men (MSM) and the people with sexually transmitted diseases (STDs) were 0.18% (95%CI: 0.10%-0.25%)
8.42% (95%CI: 7.82%-9.03%)
15.62% (95%CI: 14.41%-16.86%)
and 1.58% (95%CI: 1.25%-1.91%).The condom usage rates were 74.01% (95%CI: 73.21%-74.82%) and 62.30% (95%CI: 60.67%-63.92%) respectively for FSWs and MSM. Conclusion Chongqing should strengthen the intervention among FSWs
MSM
and STDs
and enhance the publicity of the importance of condom usage in MSM and FSWs.
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