【摘要】 目的 分析东莞市艾滋病流行情况，为制定艾滋病防治策略提供科学依据。 方法 对全市HIV哨点监测资料、常规监测资料、全市各HIV初筛实验室监测报表及流行病学个案调查资料进行分析。 结果 自1991年发现首例AIDS，截止2005年底，全市共报告HIV感染者758例，死亡24例，其中AIDS 10例，分布在全市32个镇(区)；感染者以青壮年流动人口为主(81.27%)；静脉吸毒是我市HIV传播的主要途径(57.92%)，经性途径和母婴途径传播呈逐年上升趋势；东莞市艾滋病流行已进入快速增长期，并呈现多元化流行模式。结论 东莞市艾滋病流行处于少数高危人群感染率较高，而整体低流行阶段。但艾滋病增长速度明显加快，艾滋病已开始从高危人群向一般人群扩散，已到了应立即采取有效的干预措施，以控制艾滋病从高危人群向一般人群进一步蔓延的关键时期。

    【关键词】 HIV/AIDS； 流行病学； 分析

    Analysis on epidemiological characteristics and trends of HIV/AIDS in Dongguan city

    WANG Xiao-xia,ZHANG Qiao-li,ZHANG Ze-wu，et al.Dongguan Center for Disease Control and Prevention,Guangdong Province, Dongguan 523006,China

    【Abstract】 Objective To explore the prevalent status and trend of HIV/AIDS, and to provide the evidences for prevention and control measures. Methods Data of the sentinel surveillance, routine surveillance, laboratory record and cases epidemiological investigation were collected and analyzed. Results Since the first AIDS was found in 1991, among 32 villages(districts) of Dongguan city, 758 HIV antibody positive cases were reported, 24 cases were dead, and 10 cases developed AIDS, to the end of 2005. 81.27% of them are young flow populations. The main transmission route is drug injection(57.92%), sex transmission and mother-to-baby transmission are increasing. HIV/AIDS infection is rapidly increasing in Dongguang city showing multiple ways. Conclusion HIV/AIDS epidemic in Dongguan city is in a low prevalence but the epidemic spreads faster than ever before. It’s showing a tendency of spreading from high risk population to general population. Some intervention measures should be taken to hold back the trend of HIV/AIDS transmission and spreading. ......