2005-2008年福州市HIV／AIDS疫情分析

目的]了解艾滋病的流行特点，为制定切实有效的预防和控制策略提供依据。方法]对2005～2008年福州市户籍的HIV感染者及艾滋病病人资料进行分析。结果]2005～2008年发现福州市现住址的HIV／AIDS合计434例，年均发现率为1．73／10万；其中艾滋病发病219例，死亡45例。各年分别发现106例、i01例、99例和128例。2005～2008年年均发现率（110万），男性为2．08．女性为1．36（P〈O．01）；0～14岁、15～24岁、25～34岁、35～44岁、45～54岁、55～岁以上分别为0．13、1．16、3．44、2．70、1．81、0．99（P〈0．01）；城区、山区县、沿海县分别为3．08、0．52、1．32（PdO．01）。434例中．各医院就诊者检测检出的占42．40％．自愿咨询检测检出的占22．35％．其他羁押人员体检检出的占9．91％，其他途径检出的占25．34％；传播途径为异性性接触、静脉注射吸毒、同性性接触、母婴、不详的分别占61．75％、9．45％、3．00％、0．92％、24．89％。结论]2005～2008年福州市艾滋病总体呈低流行状态．异性性接触是主要的传播方式，大部分通过医院就诊检测和自愿咨询检测检出。

Epidemiological Analysis of HIV/AIDS in Fuzhou City from 2005 to 2008

Objective] To understand the characteristics of AIDS epidemic and provide effective evidence for HIV/ AIDS prevention and control strategies. Methods]The reported HIV/AIDS cases from 2005 to 2008 were collected and sorted and the data were analyzed statistically. Results]A total of 434 HIV/AIDS cases were reported from 2005 to 2008. Of the 434 cases,219 were AIDS patients and 45 died with an average annual incidence rate of 1.73/100 000,106, 101,99 and 128 eases were reported in individual year. The average annual incidence rate（/100 000）, for male and female were 2.08,1.36（ P 〈0.01）;for the people aged from 0-14,5-24,25-34,35-44,45-54 and over 55 years old was 0.13, 1.16,3.44,2.70,1.81 and 0. 99 respectively（ P 〈0.01） ;for urban,mountain districts,coastal areas was 3.08,0. 52 and 1.32 respectively（ P 〈0. 01）. Of the 434 cases,the people detected from the hospitals accounted for 42.40 %, from voluntary counseling and testing accounted for 22.35% ,detention medical examination accounted for 9. 91% and from the other ways accounted for 25.34 % ;heterosexual sexually transmitted accounted for 61.75 % ;intravenous drug use accounted for 0. 45%;homosexual transmission accounted for 3.00%;mother to child transmission accounted for 0.92%; unknown route of transmission accounted for 24. 89 %; Conclusion]The prevalence of HIV/AIDS in Fuzhou was lower from 2005 to 2008,heterosexual contact is the main transmission routes, the majority of cases were detected from the hospital medical testing and voluntary counseling testing.