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目的了解云南省澜沧拉祜族自治县(澜沧县)艾滋病流行状况和趋势。方法利用1992-2008年的监测数据,分析艾滋病感染者的流行病学特征。结果澜沧县累计报告HIV/AIDS感染者1005例,其中男性占61.99%;15～49岁占94.83%;民族以汉族为主,占35.02%,其次是拉祜族和傣族;职业以农民为主,占61.09%;文化程度主要是小学和初中,分别占30.25%和26.97%;异性性接触和注射吸毒为分别占42.69%和34.83%,新报告的感染者中,异性性接触感染的比例逐年增加,由2006年的46.99%上升到2008年的62.96%;75.72%的HIV感染者为本地户籍。结论澜沧县艾滋病的传播逐渐由注射吸毒为主转为以异性性接触传播为主。
Objective To understand the prevalence and trend of AIDS in Lancang Lahu Autonomous County (Lancang County) in Yunnan Province. Methods Using the monitoring data from 1992 to 2008, the epidemiological characteristics of HIV-infected persons were analyzed. Results A total of 1005 cases of HIV / AIDS were reported in Lancang County, of which 61.99% were male; 94.83% were aged from 15 to 49; Han ethnic group accounted for 35.02%, followed by Lahu and Dai nationality; , Accounting for 61.09%; the primary and middle school education level was 30.25% and 26.97% respectively; heterosexual contact and injecting drug use accounted for 42.69% and 34.83% respectively. Among the newly reported cases, the proportion of heterosexual contact infections was year by year Increase from 46.99% in 2006 to 62.96% in 2008; 75.72% of HIV-infected persons are local residents. Conclusion The transmission of AIDS in Lancang County gradually changed from injecting drug use mainly to heterosexual transmission.