文章摘要
王岚,丁正伟,阎瑞雪,李东民,郭巍,丁国伟,王丽艳,秦倩倩,黑发欣,李培龙,葛琳,王璐.中国2006-2009年青年学生艾滋病疫情状况分析[J].中华流行病学杂志,2010,31(9):1017-1021
中国2006-2009年青年学生艾滋病疫情状况分析
HIV/AIDS epidemic situation and data analysis among young students from 2006-2009 in China
收稿日期:2010-04-27  出版日期:2014-09-10
DOI:
中文关键词: 艾滋病;疫情;监测;青年学生
英文关键词: AIDS;Epidemic situation;Surveillance;Young students
基金项目:国家"863"高技术研究发展计划(SQ2006AA02Z112882);公益性行业(农业)科研专项(200803014)
作者单位E-mail
王岚 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
丁正伟 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
阎瑞雪 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
李东民 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
郭巍 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
丁国伟 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
王丽艳 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
秦倩倩 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
黑发欣 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
李培龙 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
葛琳 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
王璐 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心 wanglu64@chirmaids.cn 
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中文摘要:
      目的 分析近年来中国青年学生艾滋病疫情状况及相关行为特征.方法收集2006-2009年15~24岁年龄组艾滋病病例报告数据信息和2006-2009年连续开展监测的国家级青年学生艾滋病哨点的监测数据.青年学生哨点监测是在每年监测期内,选择所在地区大学、大专、职高和中专的在读学生,采用分阶段整群抽样方法开展监测,监测内容包括自填式问卷调查和采集血液标本检测HIV和梅毒;每个哨点每年监测样本量约为800名.结果 2006-2009年历年报告的15~24岁青年学生HIV/AIDS呈上升趋势,历年报告数占当年报告总数的比例亦呈上升趋势,分别为0.39%、0.50%、0.83%和1.02%.性传播为主要传播途径,同性传播所占比例有所上升.2006、2008和2009年开展监测的6个国家级青年学生哨点中,监测对象有过性行为者的比例(中位数)分别为4.3%、4.5%和6.1%;最近一年发生过商业性行为者的比例(中位数)分别为0.3%、0.2%和0.3%;最近一年发生过男男性行为者的比例(中位数)分别为0.7%、0.2%和0.2%;HIV和梅毒螺旋体抗体阳性检出率(中位数)均为0%;艾滋病知识知晓率(中位数)分别为49.0%、75.0%和80.5%;最近一年接受过干预服务者的比例(中位数)分别为44.2%、54.3%和50.2%.结论近年来青年学生的HIV/AIDS报告数有所上升,但HIV感染率总体维持在低水平.该人群的主要传播途径是性传播;部分青年学生有商业性行为和男男性行为等危险行为.
英文摘要:
      Objective To analyze the HIV/AIDS epidemic situation and related behavioral components among young students in the last years and to provide information for integrated control and prevention programs. Methods Data on young students (1 5-24 years) through case reporting system was collected from 2006 to 2009 and continuous sentinel surveillance data regarding 6 national sentinel sites carried out from 2006 to 2009 was also collected. The sentinel sites would include universities, junior college and secondary vocational colleges registered students, using cluster sampling phases method. Self-administered questionnaire survey and blood (HIV antibody testing and syphilis antibody testing) tests were carried out, with the sample size was about 800 cases per site per year. Results The number of case report on HIV/AIDS among the young students of 15-24 years age group had been rising. Similar trend was also observed on the number of reported cases over the years, accounting for the proportions of the total number of reported cases, as 0.39%, 0.50%, 0.83%and 1.02% respectively from 2006 to 2009. Sexual contacts continued to be the major route of transmission, with the increasing proportion of homosexual transmission. In the 6 national sentinel sites of young students which continuous surveillance was conducted during the period from 2006 to 2009, data showed the following facts as: proportion (median) of objects who admmited to have had sex, were: 4.3%, 4.5 % and 6.1%, proportions (median) of commercial sex occurred in the past year were: 0.3%, 0.2% and 0.3%; proportions (median) of MSM occurred in the past year were: 0.7%,0.2% and 0.2%; median of HIV antibody positive rate and syphilis antibody positive rate were 0%;median of awareness rate on HIV/AIDS were: 49.0%, 75.0% and 80.5%; proportion (median) of monitor objects who received intervention services in the past year were: 44.2%, 54.3% and 50.2% respectively. Conclusion In recent years, the HIV / AIDS number through case reporting system on the young students under 15-24 years age group, was increasing, but the HIV prevalence among young students was still relatively low, in general. The main transmission was sexual. Some young students had been engaged in commercial sex and MSM activities. Health education should be strengthened to increase the awareness of young students on AIDS/STD prevention. It is necessary to take more effective intervention measures to decrease new infection and control HIV/AIDS epidemic among young students.
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