The HIV Epidemic in Yunnan Province, China, 1989-2007
The HIV Epidemic in Yunnan Province, China, 1989-2007
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DOI：
10.1097/qai.0b013e3181c7d6ff
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发表时间：
2010-02-01
影响因子：
3.6
通讯作者：
Lu, Lin
中科院分区：
文献类型：
--
作者：
Jia, Manhong;Luo, Hongbing;Lu, Lin
目的：为了解1989 ~ 2007年云南省艾滋病病毒（HIV）流行的特点和趋势。方法：对1989 ~ 2007年云南省艾滋病病毒（HIV）自愿检测和咨询点的血清学资料、病例报告、人群筛查、哨点监测等资料进行统计分析。截至2007年，云南省累计报告艾滋病病毒感染病例57,325例，不安全注射吸毒和不安全性行为被确定为主要传播方式。注射吸毒人群HIV感染率最高，景颇、傣族、彝族等少数民族感染率最高，有7个县超过40%。女性性工作者的艾滋病毒感染率从1995年的0.5%上升到2007年的4.0%;男男性行为者的艾滋病毒感染率从2005年的4.0%上升到2007年的13.2%;女性性工作者的男性顾客的艾滋病毒感染率从1995-1997年的0%上升到2007年的1.8%;在男性性病门诊就诊者中，从1992年的0%降至2007年的2.1%;在孕妇中，从1992年的0.16%降至2007年的0.5%;献血员HIV感染率由1992年的0.0075%上升到2007年的0.084%。结论：云南省HIV流行已向集中流行发展。今后的努力不仅必须侧重于有初次感染风险的群体（注射毒品使用者、男男性行为者和FSW），而且还必须侧重于他们的低风险性伴侣。
Objective: To investigate the characteristics and trends in the HIV epidemic in Yunnan province, China, between 1989 and 2007.Methods: Statistical analysis of serological data from voluntary testing and Counseling sites, medical case reports, mass screenings, sentinel Surveillance, and other sources.Results: By 2007, a cumulative total of 57,325 cases of HIV infection were reported in Yunnan, and unsafe drug injection practices and unsafe sexual behaviors were identified as the dominant modes of transmission. HIV affects injecting drug users most, particularly in Jingpo, Dai, and Yi ethnicities, more than 40% in 7 counties. HIV prevalence rates among female sex workers (FSWs) increased from 0.5% in 1995 to 4.0% in 2007; among men who have sex with men, from 4.0% in 2005 to 13.2% in 2007; among male clients of FSWs, from 0% in 1995-1997 to 1.8% in 2007; among male sexually transmitted disease clinic attendees, from 0% in 1992 to 2.1% in 2007; among pregnant women from 0.16% in 1992 to 0.5% in 2007; and among blood donors, from 0.0075% in 1992 to 0.084% in 2007.Conclusions: The HIV epidemic in Yunnan has progressed to a concentrated epidemic. Future efforts must focus on not only groups at risk for primary infection (injecting drug users, men who have sex with men, and FSWs) but also on their low-risk sexual partners.