摘要
目的了解结核病患者中艾滋病病毒感染状况,分析艾滋病筛查影响因素。方法对云南省16个县2007年9-12月期间,所有新登记的结核病人进行艾滋病筛查。结果 993例新登记的结核病患者中,921例患者接受了艾滋病筛查,筛查率92.75%。其中,11例结核病患者艾滋病病毒抗体阳性,阳性率1.19%。双重感染患者年龄为20~40岁,男性占72.73%,农村占63.64%,91%患者文化程度为初中以下,72.72%患者来自艾滋病中高疫情地区。同时,不同人群接受艾滋病筛查率不同,来自农村（OR调整后=5.26,P〈0.01）,文化程度低（OR调整后=3.99,P〈0.01）、主动就诊（OR调整后=2.18,P〈0.05）、痰涂片阴性/未查痰（OR调整后=2.38,P〈0.05）和艾滋病疫情较低地区（P〈0.01）的患者中艾滋病筛查率较高。结论在艾滋病高疫情地区,结核病患者是艾滋病感染的高危人群,特别是文化程度较低的农村青壮年,应及时提供艾滋病病毒检测咨询,尽早发现双重感染患者。
Objective To investigate the prevalence of human immunodeficiency virus （HIV） infection and the risk factors influencing HIV screening among tuberculosis （TB） patients. Methods All newly registered TB patients in 16 counties of Yunnan Province during September and December in 2007 were offered HIV screening. Results Among 993 TB patients, 921 （92.75 % ） received HIV testing, and 11 TB patients were HIV positive, with the positive rate of 1.19 %. All patients with TB and HIV coinfection （TB/HIV） were aged 20 to 40 years, 72.73% were male, 63.64% came from countryside, 91% were poorly educated, and 72.72% were from HIV/AIDS high burden area. HIV screening rate was significantly higher for TB patients from rural area （ORadjusted = 5.26, P 〈 0.01 ）, with lower - degree education （ORadjusted = 3.99, P 〈 0.01 ）, with initiative visiting （ORadjusted = 2. 18, P 〈0.05）, with sputum smear negative/without sputum test （ORadjusted = 2.38, P〈 0.05 ） and from low HIV/AIDS burden area （P 〈 0.01）. Conclusions TB patients are at higher risk of being infected with HIV at high HIV/AIDS burden area, especially those who are poorer, younger and living at rural regions, thus HIV screening should be of- fered as early as possible to detect TB/HIV patient in time.
出处
《实用预防医学》
CAS
2012年第9期1424-1426,共3页
Practical Preventive Medicine
基金
第五轮中国全球基金TB/HIV双重感染防治项目(序列号:CHN-506-G08-T
委托书编号:GF-CHN-YUNNAN-TB-R5-18)
关键词
结核病
艾滋病
筛查
Tuberculosis
AIDS
Screening
