江西省2014—2018年新报告HIV/AIDS病例晚发现情况及影响因素分析  

Late diagnosis of newly identified HIV/AIDS cases and influencing factors in Jiangxi province during 2014-2018

作　　者：杨晴[1] 罗雅凌[1] 胡强[1] YANG Qing;LUO Yaling;HU Qiang(Jiangxi Provincial Center for Disease Control and Prevention,Nan-chang 330029,China)

机构地区：[1]江西省疾病预防控制中心

出　　处：《中国艾滋病性病》2019年第11期1153-1156,共4页Chinese Journal of Aids & STD

基　　金：江西省卫生健康委员会科技项目(20196003)~~

摘　　要：目的分析江西省2014-2018年新报告艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)晚发现情况及影响因素。方法利用艾滋病综合防治信息系统,选取2014-2018年新报告现住址为江西省的HIV/AIDS病例采用单因素和多因素Logistic回归模型进行分析。结果2014-2018年共报告HIV/AIDS病例11 557例,晚发现比例为45.23%,各年晚发现比例分别为40.35%、48.47%、51.10%、44.17%和42.56%。单因素分析显示,不同性别、年龄、文化程度、婚姻状况、职业、感染途径、样本来源和地区流动的晚发现差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,晚发现的危险因素为男性、≥50岁、小学及以下、有婚史、农民、异性性传播和样本来源于医疗机构者。结论江西省2014-2018年新报告HIV/AIDS病例中晚发现比例高,应积极推动各级医疗机构开展医务人员主动提供艾滋病检测咨询服务,同时扩大对重点人群的宣传教育及检测动员,促进病例的早期发现。Objective To analyze the late diagnosis among newly identified HIV/AIDS cases and the influencing factors in Jiangxi province during 2014-2018.Methods Newly identified HIV/AIDS cases were selected from the case reporting database of HIV/AIDS comprehensive information management system in Jiangxi during 2014-2018.The univariate and multivariate logistic regression methods were used for the analysis.Results A total of 11 557 HIV/AIDS cases were reported from 2014 to 2018,the percentage of late diagnosis was 45.23%,with 40.35%,48.47%,51.10%,44.17% and 42.56%for the five years respectively.The univariate analysis showed that there were significant differences in the late diagnosis of different gender,age,educational level,marital status,occupation,route of infection,sources of samples and mobility(P<0.05).The multivariate logistic regression analysis showed that the risk factors for the late diagnosis of HIV were male,aged over 50 years old,education of primary school or below,being married,farmers,heterosexual transmission and samples from medical institutions.Conclusion The late diagnosis rate of newly identified HIV/AIDS is high in Jiangxi province during 2014-2018.Provider initiated HIV testing and counseling should be promoted in medical institutions,as well as expansion of AIDS related knowledge publicity,education and mobilization of HIV testing among the key groups for early HIV detection.

关 键 词：艾滋病病毒感染者/艾滋病病人 晚发现 影响因素 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]