摘要
目的分析安徽省2017―2022年新报告HIV/AIDS患者启动cART及时性情况及其影响因素。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,选取符合标准的2017―2022年新报告安徽省HIV/AIDS患者资料进行分析。将选取的HIV/AIDS患者分为cART及时和不及时,采用Logistic回归方法分析及时性影响因素。结果2017―2022年新报告15896例HIV/AIDS患者的年龄为(42.60±16.60)岁,cART及时率为68.92%(10956例),历年治疗及时率依次为61.44%(1617/2632)、67.02%(1831/2732)、70.52%(1950/2765)、68.02%(1706/2508)、73.58%(2061/2801)、72.86%(1791/2458)。相较于跨市流动、外省户籍、确诊当年病程为非艾滋病期、未婚、样本来源为医疗机构、小学及以下文化程度和男性HIV/AIDS患者,市内流动(OR=1.860,95%CI:1.718~2.014)、本省户籍(OR=1.807,95%CI:1.496~2.181)、确诊当年病程为艾滋病期(OR=1.706,95%CI:1.576~1.847)、已婚有配偶(OR=1.566,95%CI:1.409~1.741)、离异或丧偶(OR=1.356,95%CI:1.200~1.532)、检测咨询(OR=1.210,95%CI:1.117~1.312)、高中及以上文化程度(OR=1.204,95%CI:1.069~1.356)和女性(OR=1.164,95%CI:1.041~1.302)HIV/AIDS患者治疗及时性高。结论安徽省新报告HIV/AIDS患者cART及时率呈上升趋势,需针对流动人口、外省户籍病例、未婚者和低文化程度等重点人群,采取强化宣传教育,提高治疗转介效率和质量,促进cART及时性进一步提高。
Objective This study aimed to investigate the status and factors influencing the timely initiation of combination antiretroviral therapy(cART)among newly diagnosed HIV/AIDS cases in Anhui Province from 2017 to 2022.Methods Data on newly diagnosed HIV/AIDS cases in Anhui Province from 2017 to 2022 were extracted from the Database of Comprehensive AIDS Control and Prevention of the Chinese Center for Disease Control and Prevention.The cases were categorized based on the initiation of cART timely or untimely.Logistic regression analysis was employed to identify the factors influencing the timeliness of cART initiation.Results A total of 15896 cases of newly diagnosed HIV/AIDS from 2017 to 2022 were included in the analysis,with a mean age of 42.60±16.60 years.Among these cases,10956(68.92%)received timely cART therapy.The proportions of cases receiving timely cART for each year from 2017 to 2022 were 61.44%(1617/2632),67.02%(1831/2732),70.52%(1950/2765),68.02%(1706/2508),73.58%(2061/2801),and 72.86%(1791/2458),respectively.Compared to patients who traveled across cities,were registered residents in other provinces,were diagnosed with latent HIV/AIDS,were single,had samples submitted from medical facilities,had an education level of primary school and below,or were male,those who only traveled within the city(OR=1.860,95%CI:1.718-2.014),had a registered residence in Anhui Province(OR=1.807,95%CI:1.496-2.181),were diagnosed with symptomatic AIDS(OR=1.706,95%CI:1.576-1.847),were married(OR=1.566,95%CI:1.409-1.741),were divorced or widowed(OR=1.356,95%CI:1.200-1.532),specifically tested during a medical consultation(OR=1.210,95%CI:1.117-1.312),had a high school education or above(OR=1.204,95%CI:1.069-1.356),or were female(OR=1.164,95%CI:1.041-1.302)were more likely to receive timely treatment.Conclusions The proportion of newly diagnosed HIV/AIDS cases receiving timely cART in Anhui Province showed an increasing trend.The key targets of the work include floating population,cases with registered residence in other provinces,unmarried and lower education groups.Efforts should focus on enhancing public education,improving treatment referral efficiency and quality,and enhancing the timeliness of cART initiation.
作者
金琳
刘爱文
张进
吴建军
沈月兰
秦义组
JIN Lin;LIU Aiwen;ZHANG Jin;WU Jianjun;SHEN Yuelan;QIN Yizu(Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2024年第5期466-470,共5页
Chinese Journal of Aids & STD
基金
2022年度安徽省卫生健康科研项目(AHWJ2022b057)。
