目的 了解云南省红河彝族哈尼族自治州开远市艾滋病流行状况和趋势.方法 利用1995年5月至2011年12月的监测数据,分析艾滋病感染者的流行病学特征.结果 开远市1995年发现首例艾滋病病毒感染者,截至2011年底累计报告现住址艾滋病病毒感染者/艾滋病患者(HIV/AIDS)3 465例,其中男性占74.3％；20～ 49岁占90.3％；民族以汉族为主,占62.7％,其次是回族和彝族；职业以无业、农民为主,占68％；文化程度初小为主,占58.9％；HIV传播途径1995年至2003年以注射吸毒共用针具传播为主,性接触传播构成比从2005年的10.4％上升到2011年的64.9％.异性性接触传播成为主要传播途径.结论 开远市艾滋病的传播已由注射吸毒为主转为以异性性接触传播为主.在云南省开远市艾滋病病毒流行处于高流行区域.%Objective To understand HIV epidemic trend in Kaiyuan, Honghe prefecture of Yunnan. Method The surveillance data (1995 -2011) were analyzed to understand the the epidemiological characteristics of HIV infection. Results Since the fist HIV case was found in 1995 in Kaiyuan, the cumulative number of reported HIV/AIDS cases had reached 3465 by 2011. Most of cases were male (74.3%) , aged between 20 and 49 (90.3%) , han people (62.7%) , had no work or worked as fanners (68%) , and were educated at the level of primary school. The major HIV transmission route was injection drug use by sharing needles from 1995 to 2003. The sexual transmission constituent ratio rose from 10.4% in 2005 to 64.9% in 2011. The heterosexual transmission has become the main route for HIV transmission. Conclusions HIV/AIDS epidemic in Kaiyuan has shifted from injection drug use to heterosexual transmission. Kaiyuan is now an area with high incidence of HIV infection.
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