2010-2014年遵义市HIV/AIDS晚发现的病例特征及影响因素分析  

Analysis of Characteristics and Influencing Factors of Later Found HIV / AIDS in Zunyi City from 2010 to 2014

作　　者：曹家艳[1] 杨家奇 周彩霞[1] 陈正义[1] 施聃 王世平[1] 

机构地区：[1]遵义市疾病预防控制中心,贵州遵义563000

出　　处：《中国皮肤性病学杂志》2016年第4期380-383,385,共5页The Chinese Journal of Dermatovenereology

摘　　要：目的分析遵义市2010—2014年报告的晚发现HIV／AIDS病例的流行病学特征及影响因素。方法在全国艾滋病综合防治信息系统中，收集2010—2014年遵义市医疗卫生机构报告的HIV／MDS病例信息，进行描述性统计分析，并对晚发现病例的特征选用，检验进行分析，将有统计学意义的变量进行Logistic多因素分析。结果1750例HIV／AIDS病例中，晚发现480例，晚发现率为27．43％，30～49岁的晚发现比率最高，达30．46％，传播途径以性传播为主，其中异性传播的晚发现率为29．61％，同性传播为19．71％，检测类别以医疗机构来源的受血（制品）前检测晚发现率最高，占44．44％，其次为阳性者配偶或性伴检测，占35．40％，差异有统计学意义。从报告单位类型分析，以临床医疗机构晚发现比例最高（30．76％），CDC的比例最低（23．47％），多因素分析显示，年龄、已婚有配偶和疾控中心来源的病例是晚发现的影响因素。结论遵义市HIV／AIDS晚发现的状况不容忽视，今后应进一步加大30～49岁年龄组、已婚有配偶等重点人群的艾滋病防控力度。Objective To analyze the epidemiological characteristics and influencing factors of late HIV/AIDS cases in Zunyi city from 2010 to 2014. Method Collecting HIV/AIDS case information reported by medical and health organizations of Zunyi city from 2010 to 2014 from the National AIDS prevention and control information system. Using descriptive analysis and ehi square test to analyze the characteristics of later found cases. The variables that were statistically significant were analyzed by Logistic. Result In 1750 cases of HIV/AIDS, 480 cases were late found. The late discovery rate was 27.43%. 30 -49 years old found the highest proportion of late,up to 30.46%. Sexual transmission was the main route of transmission. The rate of the homaseual transmission and homasexual transmission accounted for 29.61% and 19.71%, respectively. The late detection rate was the highest in the blood （products） from medical institution, accounting for 44.44%. The second highest was a positive spouse or sexual partners, accounted for 35.40%. The difference was statistically significant. Among the types of reporting institutes, the clinical medical institutions were the highest for the late discovery （30.76%）. CDC was lowest （23.47%）. Multiple factor ana/ysis showed that the factors that affect the late found were 30 -49 years old age group, married with a spouse and the source of the disease prevention and control of the disease. Conclusion The situation of HIV/AIDS in Zunyi city should not be ignored. In the future, AIDS prevention and control should further increase efforts to focus on people, especially 30 -49 years old age group, married with a spouse, etc.

关 键 词：获得性免疫缺陷综合征 流行病学 影响因素 

分 类 号：R512.91[医药卫生—内科学]