摘要
目的了解2009年新发现艾滋病病毒感染者/艾滋病病人(HIV/AIDS)的随访情况,分析首次随访后的随访管理情况及其相关因素。方法分别使用2010年1月下载的艾滋病网络直报病例报告卡和2010年7月下载的艾滋病随访管理数据库,对相关数据进行统计分析。结果截至2009年12月31日,当年报告HIV/AIDS68 249人,新发现且存活的HIV/AIDS 56 018人,其中完成首次随访48 407人(86.4%),失访3 151人(5.6%),查无此人2 646人(4.7%),未随访1 814人(3.2%)。首次随访完成后,未婚、维吾尔族和彝族、初中及以下文化程度、感染途径为注射毒品、现住址为非报告地县区、样本来源于医疗机构和强制戒毒/劳教/羁押人员,检测的HIV/AIDS失访比例较高。医疗机构报告病例信息不全为病例流失的主要原因。讨论为减少病例的失访,应加强易失访人群的沟通与管理,提高医疗机构报告病例信息收集的准确性和完整性。
Objective To analyze the follow-up of newly detected HIV/AIDS cases in 2009 and its related factors.Method Data collected with HIV/AIDS Case Reporting Cards and Follow-up Cards,which were obtained from China Information System for HIV/AIDS control and prevention in January and July of 2010,were statistically analyzed.Result Among the newly detected survived HIV/AIDS cases in 2009,86.4%（68 249） completed the first round of follow-up,5.6%（3 151）were lost to follow-up,4.7%（2 646） could not be identified,and 3.2%（1 814） were not subject to follow-up.For those who completed the first round of follow-up,the factors related with their later loss to follow-up included： being unmarried,junior high schooling or below,being infected by injecting drug use,current address outside the reported regions,HIV/AIDS testing samples provided by medical institutions,compulsory detoxification centers or detention/custody institutions.Incomplete information provided by medical institutions was the main cause of loss to follow up.Conclusion The cases which are apt to be lost to follow up should be paid more attention.The cooperation should be enforced between CDC and medical institution for HIV/AIDS case reporting and follow-up to improve the accuracy and integrity of reporting data.
出处
《中国艾滋病性病》
CAS
2011年第3期311-313,319,共4页
Chinese Journal of Aids & STD
关键词
艾滋病
随访
管理
失访
HIV /AIDS
Follow-up
Management
Lost to follow-up
