1995-2013年曲靖市HIV感染者/AIDS病人随访影响因素分析  

Analysis of Impact Factors on Follow-up Study of HIV / AIDS in Qujing City During 1995 to 2013

作　　者：徐洪吕[1] 保武生 何俊[1] 晋云[1] 邓凌艳 何丽芳[1] 李启贵[1] 贾曼红[2] 陆林[2] 

机构地区：[1]曲靖市疾病预防控制中心,云南曲靖655000 [2]云南省疾病预防控制中心,云南昆明650000

出　　处：《中国皮肤性病学杂志》2014年第12期1247-1249,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的分析HIV感染者和AIDS病人随访影响因素，为促进艾滋病防治工作提供理论依据。方法从中国疾病预防控制信息系统艾滋病综合防治信息系统下载历史卡片，使用Excel建立数据库，并使用SPSS19．0进行数据处理和统计分析。结果非条件Logistic回归分析显示，同性性接触感染（OR=4．94，P=0．001，95％CI：1．917-12．728）、病程为艾滋病（OR=6．857，P〈0．001，95％CI：4．162-11．298）、配偶检测为阳性（OR=9．896，P〈0．001，95％CI：4．779—20．493）是失访的危险因素（OR〉1）；已婚有配偶（OR=0．437，P=0．001，95％CI：0．272—0．704）、大专及以上学历（OR=0．205，P=0．006，95％CI：0．066-0．640）、样本源于检测咨询（OR=0．444，P=0．029，95％CI：0．275－0．816）是失访的保护因素（OR〈1）。结论随访状态受多种因素的影响，病程为艾滋病、配偶检测为阳性和同性性接触感染是失访的主要影响因素；已婚有配偶、大专及以上学历以及样本来源于检测咨询的HIV感染者和AIDS病人有较好的随访依从性。Objective To analyze the influence factors of HIV/AIDS follow-up observation in Qujing city, and provide theoretical basis of improvement for AIDS control and prevention. Methods The statistics data was extracted from the China information system for disease control and AIDS control and prevention information system according to the address in Qujing city. The database was established using Excel. SPSS19.0 software was used to process and analyze data. Results Unconditional Logistic analysis results showed that： homosexual behavior （ OR = 4.94, P = O. 001,95 % CI：1. 917 - 12.728）, the clinical stage of AIDS （ OR = 6.857,P 〈 0. 001,95% CI：4. 162 - 11. 298）, the positive turnout of the spouse （ OR = 9. 896, P 〈 0.001,95 % CI：4. 779 - 20. 493 ） were the risk factors of losing follow-up （ OR 〉 1 ）. However, living spouse （ OR = 0.437, P = 0. 001,95% CI： 0.272 -0. 704） ,college degree or above（ OR =0. 205 ,P =0. 006,95% CI：0. 066 -0. 640） ,individuals for testing and consultation （ OR = 0.444,P = 0.029,95% CI： 0. 275 - 0. 816） were the protective factor of loss from follow-up （ OR 〈 1 ）. Conclusion The status of follow up is influcenced by many factors. The most risk factors include the disease stage of AIDS, the positive test resuhs of spouse, and homosexual behavior. The effective marriage, college degree or above, and the active behavior for test and consutation show protective role for follow-up analysis.

关 键 词：HIV感染者/AIDS病人 随访 影响因素 非条件LOGISTIC回归分析 

分 类 号：R512.91[医药卫生—内科学]