The epidemiology of HIV infection and AIDS in Thailand.
The epidemiology of HIV infection and AIDS in Thailand.
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DOI：
10.1097/00002030-199101001-00011
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发表时间：
1991-01-01
期刊：
影响因子：
--
通讯作者：
Wasi, C
中科院分区：
文献类型：
--
作者：
Weniger, B G;Limpakarnjanarat, K;Wasi, C
1988年，泰国--以及亚洲、大洋洲和北非的大部分地区--被归类为流行病学“模式III”国家，这意味着有少量艾滋病病例被报告，艾滋病毒在艾滋病大流行中出现的时间相对较晚[1，2]。然而，在同一年，泰国在注射吸毒者(IDU)中的艾滋病毒流行率出现了爆炸性增长(图1)。HTV随后以可预测的顺序波传播到其他高危人群，以及最近传播到普通人群的亚群，使得模式III分类过时。我们回顾了泰国艾滋病毒感染和艾滋病的流行病学和预防，更新了以前的报告[6-9]和评论||10-13]，并包括迄今未公布或尚未广泛获得的数据。艾滋病毒和艾滋病的第四种流行模式似乎已经发生，它可能代表了亚洲邻国的经验范例。
In 1988, Thailand–along with much of Asia, Oceania, and North Africa–was classified as an epidemiologic “Pattern III'country, signifying that small numbers of AIDS cases had been reported and that the introduction of HIV occurred relatively late in the AIDS pandemic [1, 2]. In that same year, however, Thailand experienced an explosive increase in HIV prevalence among injecting drug users (IDU)(Fig. 1). The sub-sequent spread of HTV in predictable sequential waves into other high-risk groups, and more recently into subgroups of the general population, renders the Pattern III classification obsolete. We review the epidemiology and prevention of HIV infection and AIDS in Thailand, updating previous reports [6–9] and commentary|| 10–13], and including data hitherto unpub-lished or not widely available. A fourth epidemiologic pattern of HIV and AIDS appears to have occurred, and it may represent a paradigm for the experience of neighboring countries in Asia.