【摘要】　目的　 掌握德昌縣艾滋病流行趨勢，為制訂防控措施提供準確依據。　方法　 利用描述流行病學方法分析德昌縣1995年以來艾滋病疫情資料。　結果　 自1995年德昌縣報告首例艾滋病感染者至2011年8月共報告艾滋病感染者/患者262例，年均報告發病率18.95/10萬，2008年-2010年報告發病率呈快速增長趨勢；男性年均發病率26.57/10萬，女性11.05/10萬，差異有統計學意義（χ2=43.94，P=0.002），男女性別比為2.49︰1；年齡分布以20~45歲和55~75歲高發為特征，兩個年齡段合計占病例報告總數93.49%；農民、不詳2項職業的艾滋病病例數占全部病例的82.4%，職業高峰明顯；異性傳播及注射毒品是德昌縣艾滋病的主要傳播途徑，分別占病例總數的64.89%、32.82%。異性傳播中有29例為夫妻間家庭式感染病例，另外還有3例為母嬰傳播病例。　結論　 德昌縣艾滋病疫情快速增長，形勢嚴峻，須加強艾滋病防治知識宣傳，提高全民預防艾滋病的意識；各部門互相合作，對娛樂場所進行監管；加強對流動人口的管理；進一步完善咨詢檢測網絡，提高艾滋病的發現率，以有效控制艾滋病的蔓延。
【Abstract】　Objective　 To understand the epidemiological trend of acquired immune deficiency syndrome (AIDS) in Dechang County so as to provide a scientific base for prevention and control of AIDS.　Methods　 Descriptive epidemiological analysis was conducted on the AIDS epidemic data in Dechang county.　Results　 From 1995 when the first case of HIV infection was confirmed to August 2011, a total of 262 cases of HIV/AIDS were reported with a total infection rate of 18.95/100 000. From 2008 to 2010, the reported infections showed rapid growth. The annual infection rate of male was 26.57/100 000 and female 11.05/100 000 with a significant difference (χ2＝43.94, P＝0.002). The ratio of male to female infections was 2.49∶1. Most of the AIDS cases were young adults aged between 20 and 45 years and old people aged between 55 and 75 years old who occupied 93.49% of the total infectious cases. The number of reported AIDS cases of farmer and unknown occupations accounted for 82.4% and there was an obvious occupations peak. Most patients in the county were infected by heterosexual sexual contact and injecting drugs, which accounted for 64.89% and 32.82% of the total respectively. The AIDS cases of 29 infected couples and 3 mother-to-child transmission.　Conclusions　 AIDS epidemic growth is rapid in Dechang county with the situation being quite grim. We should enhance the AIDS prevention propaganda in the publicity, to raise national awareness of AIDS prevention. The related departments should cooperate to regulate the illegal entertainment and strengthen the management of migrant workers. The counseling and testing network should be improved so as to raise the detection rate and control the spread of AIDS.

引用本文： 施朝瑜. 德昌縣艾滋病流行特征分析. 華西醫學, 2011, 26(10): 1501-1504. doi: 復制