上海市闵行区2005-2015年新报告HIV感染男男性行为者晚发现率及其影响因素  

Proportion and influencing factors of late diagnosis among newly reported HIV-infected men who have sex with men in Minhang District of Shanghai from 2005 to 2015

作　　者：杨瑛[1] 张星灿[1] 赵琬[1] 严华美 毕辰辰 

机构地区：[1]上海市闵行区疾病预防控制中心,上海201101

出　　处：《上海预防医学》2016年第12期856-859,共4页Shanghai Journal of Preventive Medicine

摘　　要：目的了解上海市闵行区报告的HIV感染者中男男性行为者(MSM)晚发现率及其影响因素。方法下载"艾滋病综合防治信息系统"中2005年1月1日至2015年12月31日的历史卡片,选择报告地编码为上海市闵行区,传播途径为男男同性传播的病例366例,剔除确诊HIV感染后3个月内无CD4^+T淋巴细胞检测结果的47例,共纳入研究对象319例。结果 2005—2015年闵行区报告的HIV感染MSM病例中晚发现病例103例,晚发现率为32.3%。多因素回归分析显示年龄≥50岁、样本来源为其他(包括外来流动人口检测,其他就诊者检测、术前检测、专题调查等)的晚发现率高于其他组别,OR值(95%CI)分别为12.31(1.12~135.67)和1.94(1.08~3.50)。结论闵行区HIV感染MSM的晚发现率较高,年龄和样本来源是其重要的影响因素,应加强中老年MSM的HIV检测力度。Objective To examine the prevalence and influencing factors of late diagnosis of HIV infection among men who have sex with men （ MSM ） reported in Minhang District. Methods Through the national system for Comprehensive AIDS Prevention and Control, all newly reported HIV cases infected via homosexual transmission, during January 2005 to December 2015 in Minhang District of Shanghai were included for the present analysis. There were 47 cases excluded for the initial CIM＋T cell count delayed by more than three months after the first HIV positive test. A total of 319 eligible patients were included in this study. Results A total of 103 cases （ 32.3% ） were found to be late diagnosis. Multiple logistic regression analysis indicated that aged over 50 years, cases found from other ways （ including detection of floating population, other patients preoperative examination, special survey etc. ） were associated with delayed diagnosis of HIV infection, with the OR（95% CI） 12.31 （ 1.12 - 135.67）, 1.94 （ 1.08 - 3.50 ） respectively. Conclusion The prevalence of delayed diagnosis of HIV infection in Minhang District during 2005 to 2015 is at a relatively high level. Age and sample origin are important influencing factors associated with late diagnosis. Continuous efforts for promotion of HIV tests and health education among MSM, people over 50 years are needed to raise the awareness of voluntary counseling and testing.

关 键 词：艾滋病病毒 男男性行为者 晚发现 影响因素 

分 类 号：R512.91[医药卫生—内科学]