珠海市AIDS病例晚发现的影响因素  

Analysis on influencing factors of late diagnosed AIDS cases in Zhuhai

作　　者：黄珊子 周毅[1] 李晓凤[1] 李玮[1] HUANG Shan-zi;ZHOU Yi;LI Xiao-feng;LI Wei(Zhuhai Center for Disease Control and Prevention,Zhuhai,Guangdong 519006,China)

机构地区：[1]广东省珠海市疾病预防控制中心,广东珠海519006

出　　处：《热带医学杂志》2018年第9期1246-1249,共4页Journal of Tropical Medicine

摘　　要：目的了解珠海市艾滋病(AIDS)病例晚发现的状况和影响因素,为制定有针对性的人类免疫缺陷病毒(HIV)早期发现策略提供科学依据。方法通过国家艾滋病综合防治信息系统收集珠海市2012-2016年HIV检测和AIDS新病例报告信息,采用描述性流行病学方法进行统计分析。结果珠海市2012-2016年累计新报告AIDS病例933例,晚发现比例34.6%;Logistic回归分析结果显示,35～44岁年龄组(OR=1.84,95%CI=1.06～3.21)、45~54年龄组(OR=2.41,95%CI=1.26～4.59)和55岁以上年龄组(OR=2.48,95%CI=1.24～4.98)相对于最低年龄组(25岁以下)是危险因素,本市户籍(OR=1.93,95%CI=1.43～2.59)、被动发现(OR=2.58,95%CI=1.94～3.44)是AIDS病例晚发现的危险因素;未婚相对于已婚有配偶是病例晚发现的保护因素(OR=0.55,95%CI=0.36～0.84),男男同性传播相对于异性传播病例晚发现的风险更小(OR=0.58,95%CI=0.41～0.81)。结论珠海市HIV抗体检测数量逐年上升,但晚发现病例所占比例仍然较高,应结合晚发现的影响因素,制定更为有效的策略和措施,促进AIDS病例的早发现和早治疗。Objective To investigate the influencing factors of late diagnosed AIDS cases and provide the basis for making strategy on promoting the early detection on AIDS in Zhuhai city. Methods The information on HIV testing and AIDS new case reports in Zhuhai city from 2012 to 2016 was collected through the National AIDS Comprehensive Prevention and Control Information System, and descriptive epidemiological methods were used for statistical analysis. Results There ate total 933 cases of AIDS were newly reported from 2012 to 2016, 34.6% of them met the criteria of late diagnosis. Multiple Logistic aggression analysis showed that compared to the cases of age group of 25 years and below, the age group of 35-44 years（OR= 1.84, 95% CI=1.06-3.21）, 45-54 years （0R=2.41,95% C1=1.26-4.59） and 55 years and above （0R=2.48,95% CI=1.24-4.98） were the risk factors of late diagnosis. Local residents （0R=1.93,95% CI=1.43-2.59） and passive testing （0R=2.58,95%Cl=l.94- 3.44）were risk factors of late diagnose cases. Unmarried relative to married spouses was a protective factor found in late eases （OR=0.55, 95%CI=0.36~0.84） ; male homosexual transmission has a lower risk of late detection than heterosexual transmission cases （OR=0.58, 95%ci=0.41-0.81）. Conclusion The number of HIV antibody tests in Zhuhai has increased year by year, but the proportion of eases found late is still high. Combined with the influencing factors of late detection, more effective strategies and measures should be formulated to promote early detection and early treatment of AIDS cases.

关 键 词：艾滋病 晚发现 影响因素 

分 类 号：R512.91[医药卫生—内科学]