2015年广西壮族自治区新报告HIV感染者/AIDS患者晚发现的影响因素  

Analysis on influencing factors of late detection for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015

作　　者：周崇兴[1] 胡茜[2] 沈智勇[1] 朱秋映[1] 孟琴[1] 臧丹艳 宋丽萍 蒋俊俊[2] 黄颉刚[2] 梁冰玉[2] ZHOU Chong-xing;HU Xi;SHEN Zhi-yong;ZHU Qiu-ying;MENG Qin;ZANG Dan-yah;SONG Li-ping;JIANG Jun-jun;HUANG Jie-gang;LIANG Bing-yu(Department of AIDS and STD Control, Center for Disease Con- trol and Prevention of Guangxi Zhuang Autonomous Region, Nanning 530021, China;The Key Laboratory of AIDS Prevention and Research, Department of Epidemiology and Biostatistics, School of Public Health, Guangxi Medical Universi- ty, Nanning 530021, China;Department of Epidemiology, School of Public Health, Guilin Medical University, Guilin 541004, China)

机构地区：[1]广西壮族自治区疾病预防控制中心性病艾滋病防治科,广西南宁530021 [2]广西艾滋病防治研究重点实验室广西医科大学公共卫生学院流行病与卫生统计教研室,广西南宁530021 [3]桂林医学院公共卫生学院流行病学教研室,广西桂林541004

出　　处：《中华疾病控制杂志》2017年第9期888-890,899,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(81460511;81360441);广西科学研究技术开发计划(桂科技字[2014]124号);广西重点实验室资助计划(桂教人[2013]18号);"八桂学者"-艾滋病防控关键项目资助(厅发(2013)3号)

摘　　要：目的探讨2015年广西新报告HIV感染者/AIDS患者晚发现情况及其影响因素。方法收集广西2015年新报告HIV感染/AIDS患者CD4^+T淋巴细胞首次检测结果数据,并对其进行统计分析。结果 2015年共收集8 586例新报告的HIV感染者/AIDS患者。研究对象首次CD4^+T淋巴细胞计数中位数为237.5个/μl,其中CD4^+T淋巴细胞计数<200个/μl占43.12%;单因素分析发现,性别、年龄、职业、婚姻状况、文化程度、传播途径、样本来源及地区均为晚发现的影响因素(均有P<0.05);Logistic多因素分析结果发现,晚发现的危险因素有男性(OR=1.851,95%CI:1.673~2.048),农民、工人、民工(OR=1.387,95%CI:1.242~1.549),初中及以下文化(OR=1.619,95%CI:1.400~1.873),已婚有配偶(OR=1.207,95%CI:1.075~1.354)、离异或丧偶(OR=1.508,95%CI:1.309~1.738)。结论广西HIV感染者/AIDS患者晚发现疫情较严重,相关部门应加大对艾滋病的宣传力度与筛查力度。Objective To explore the influencing factors of late diagnosis for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015.Methods The CD4 ＋ T lymphocytes count which was first detection for newly diagnosed HIV/AIDS positive patients in Guangxi during 2015 was collected.Data were statistically analyzed.Results We collected 8 586 newly diagnosed HIV/AIDS whose median CD4＋ T lymphocytes counts was 237.5 cells/μl,and 43.12% of them had less than 200 cells/μl.Gender,age,occupation,marriage,nation,education,route of transmission,types of testing and region had effects on late HIV diagnosis（all P 〈 0.05）.Logistic analysis found that risk factors associated with the late diagnosis of HIV were male（OR =1.851,95% CI：1.673-2.048）,migrant worker （OR =1.387,95% CI：1.242-1.549）,education below middle and secondary school（OR =1.619,95% CI：1.400-1.873）,currently married（OR =1.207,95% CI：1.075-1.354）,divorced or widowed（OR =1.508,95% CI：1.309-1.738）.Voluntary testing was a protective factor.Conclusions The prevalence the late diagnosis of HIV was high in Guangxi in 2015,it is crucial for related departments to enhance the testing and screening effort for HIV/AIDS.

关 键 词：HIV/AIDS CD4阳性T淋巴细胞 广西(壮族自治区) 

分 类 号：R512.91[医药卫生—内科学] R181.1[医药卫生—临床医学]