目的了解湛江市2012—2014年艾滋病的流行状况,为制定艾滋病防控策略提供依据。方法疾控机构负责公安系统羁押人员、吸毒人员、男男同性恋者(MSM)、性病就诊者、外来媳妇、暗娼、自愿咨询检测者(VCT)等重点人群监测检测工作,医疗机构包括妇幼机构负责临床病人包括术前检测者和孕产妇等监测检测工作,采供血机构负责无偿献血人群的监测检测工作,对监测检测对象采血进行HIV抗体的筛查和蛋白印迹法确证,收集阳性者的个案调查表等病例信息,并进行统计分析。结果 2012—2014年共监测个案835 442例,HIV抗体阳性1 057例,总阳性率为0.13%;以男男同性恋者(MSM)阳性率最高,达11.85%,其次为自愿咨询检测者,为4.49%,其余为0~0.61%;男女比例逐年升高,平均为3.21:1;低年龄组(0~岁组)感染者比例逐年下降;职业仍以农民和无业者为主,占82.11%;廉江的疫情最严重,占10个县区病例的40.02%;传播途径以性传播为主,占92.34%。结论应重点加强MSM人群、农民和无业人员的疫情监测、宣传教育和行为干预,以有效控制艾滋病的传播 Objective To understand the prevalence of AIDS in Zhanjiang City from 2012 to 2014 and provide the basis for the development of AIDS prevention and control strategies. Methods The CDC is responsible for the monitoring and testing of major groups such as public security detainees, drug addicts, men who have sex with men (MSM), sexually transmitted diseases (STDs), foreign wives, sex workers and voluntary counseling and testing (VCT). The medical institutions including the women and children agencies Clinical patients include preoperative testing and maternal monitoring and testing work, blood donation and blood donation is responsible for the monitoring and detection of blood donors, the monitoring of blood samples for HIV antibody screening and Western blot confirmation, positive case-collection survey Table and other case information, and statistical analysis. Results A total of 835 442 HIV-positive cases were detected in 2012-2014, with a total positive rate of 0.13%. The highest prevalence was found in MSM (11.85%), followed by voluntary counseling and testing 4.49%, and the rest 0- 0.61%. The male-female ratio increased year by year, with an average of 3.21: 1. The proportion of those infected in the low-age group (0-years old group) decreased year by year. The occupations were still dominated by peasants and unemployed persons, accounting for 82.11% Lianjiang had the worst epidemic situation, accounting for 40.02% of the 10 county cases. The main route of transmission was sexual transmission, accounting for 92.34%. Conclusion The epidemic situation monitoring, publicity, education and behavior intervention among MSM population, peasants and unemployed should be strengthened to effectively control the spread of AIDS