摘要
目的 分析安徽省2011—2015年新诊断HIV感染者和艾滋病患者（HIV/AIDS）晚发现情况及其相关因素。方法 通过中国疾病预防控制信息系统中的艾滋病综合防治信息系统，选取2011—2015年新诊断报告且现住址为安徽省的HIV/AIDS者的基本情况、样本来源、传播途径、流动情况、性病史、死亡情况及首次CD4＋T淋巴细胞计数检测情况进行分析，共7 073例。将选取的HIV/AIDS病例分为HIV感染晚发现和非晚发现，采用多因素logistic回归分析的方法来分析晚发现相关因素。结果 7 073例新诊断HIV/AIDS病例的年龄为（38.5±15.0）岁，晚发现者占41.7%（2 949例），2011—2015年历年晚发现比例依次为59.7%（485/812）、46.5%（531/1 141）、42.7%（587/1 376）、36.1%（609/1 686）、35.8%（737/2 058）。与0~19岁的HIV/AIDS者相比，40~59及≥60岁者HIV感染晚发现OR（95%CI）值分别为2.68（1.94~3.71）和2.18（1.53~3.10）；与大专及以上文化程度者相比，文化程度为文盲和小学者晚发现OR（95%CI）值分别为1.74（1.36~2.22）和1.64（1.34~2.01）；与其他样本来源相比医疗机构晚发现OR（95%CI）值为2.64（2.28~3.05）；与流动人口相比常住人口晚发现OR（95%CI）值为1.80（1.53~2.11）。结论 安徽省2011—2015年新诊断HIV/AIDS病例整体晚发现比例较高，晚发现主要与医疗机构发现、常住人口、40岁以上年龄组和低文化程度有关。
Objective To analyze the base situation and influential factors of late diagnosis among newly identified HIV/AIDS cases in Anhui Province from 2011 to 2015.Methods Database information of the newly identified HIV/AIDS cases in Anhui Province from 2011 to 2015 were downloaded from the National HIV/AIDS Comprehensive Information System of China＇s disease prevention and control information system. To analyze the data including basic information, sample source, route of HIV transmission, population mobility, venereal disease, death and first CD4 count; and the number of 7 073 cases were classified according to late diagnosis and non-late diagnosis criteria. The Chi-square test and logistic regression analysis were used to analyze the influential factors of HIV late diagnosis.Results A total of 7 073 newly identified HIV/AIDS cases were analyzed, and the mean age was （38.5±15.0） years. The proportion of late diagnosis in all counted cases was 41.7% （2 949/7 073）; from 2011 to 2015, the proportions of late diagnosis were 59.7% （485/812）, 46.5% （531/1 141）, 42.7% （587/1 376）, 36.1% （609/1 686）, and 35.8% （737/2 058）, respectively. Compared with the 0 to 19 years group, the 40 to 59 years group and over 60 years old group have higher risk of late diagnosis （OR=2.68, 95%CI： 1.94-3.71; OR=2.18, 95%CI： 1.53-3.10, respectively）. Compared with the high education group, the illiterate and primary school education group have higher risk of late diagnosis （OR=1.74, 95%CI： 1.36-2.22; OR=1.64, 95%CI： 1.34-2.01, respectively）. Compared with other sample sources, medical institutions have higher risk of late diagnosis （OR=2.64, 95%CI： 2.28-3.05）. Compared with migrant population, the resident population have higher risk of late diagnosis （OR=1.80, 95%CI： 1.53-2.11）.Conclusion The proportion of late diagnosis among newly identified HIV/AIDS cases in Anhui province was relatively high from 2011 to 2015. The main risk factors of late diagnosis included cases reported by medical institutions, resident population, over 40 years old age group and low education level.
作者
金琳
程晓莉
秦义组
苏斌
Jin Lin , Cheng Xiaoli , Qin Yizu , Su Bin(AIDS Department of Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, Chin)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2018年第4期415-418,共4页
Chinese Journal of Preventive Medicine
