南宁市5县农村地区HIV/AIDS患者合并结核病、结核病患者感染HIV的现状及其影响因素  

Current status and its influencing factors of HIV/AIDS patients complicated with tuberculosis and tuberculosis patients infected with HIV in rural area of 5 prefectures in Nanning City

作　　者：何波[1] 农丽萍[1] 黎舒[1] 黎火佳 林倩[1] 汤洪洋[1] 姚敏[1] 李斯斯[1] 岑平[1] 陈文才[1] 吴敬兰 覃威翱 HE Bo;NONG Li-ping;LI Shu;LI Huo-jia;LIN Qian;TANG Hong-yang;YAO Min;LI Si-si;CEN Ping;CHEN Wen-cai;WU Jing-lan;QIN Wei-ao(Department of Tuberculosis Prevention and Control,Nanning Municipal Center for Disease Control and Prevention Nanning 530023,China;Institute Office,the Health Inspection Institute of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西南宁市疾病预防控制中心结核病防制科,南宁市530023 [2]广西壮族自治区卫生监督所办公室,南宁市530021

出　　处：《广西医学》2019年第22期2898-2903,共6页Guangxi Medical Journal

基　　金：广西卫生和计划生育委员会科研课题(Z20180347、Z20181042、Z2016013、Z2016014)

摘　　要：目的分析广西南宁市5县农村地区HIV/AIDS患者合并结核病、结核病患者感染HIV的现状及其影响因素。方法分别纳入南宁市5县农村地区的1 185例HIV/AIDS患者及1 013例结核病患者为研究对象,调查其一般人口学资料、AIDS与结核病的相关资料。采用Logistic回归模型分析HIV/AIDS患者合并结核病、结核病患者合并HIV感染的影响因素。结果 1 185例HIV/AIDS患者中结核病检出率为9.8%(116/1 185),1 013例结核病患者中HIV感染率为3.1%(31/1 013)。多因素分析结果显示,男性、病程阶段为AIDS、近1年有咳嗽、有结核病史、家庭人均月收入<1 000元是HIV/AIDS患者合并结核病的危险因素(均P<0.05)。男性、有商业性行为是结核病患者感染HIV的危险因素(均P<0.05)。结论南宁市农村地区HIV/AIDS患者TB检出率和结核病患者HIV感染率均较高,且均与多种因素有关。应根据两类患者的危险因素制定相应的防治措施,有效预防TB/HIV双重感染的传播和蔓延。Objective To analyze the current status and its influencing factors of the HIV/AIDS patients complicated with tuberculosis(TB) and TB patients infected with HIV in rural area of 5 prefectures in Nanning City.Methods A total of 1 185 HIV/AIDS patients and 1 013 TB patients from rural area of 5 prefectures in Nanning City were enrolled as subjects,and the general demographic data as well as AIDS and TB related data were investigated.Logistic regression model was employed to analyze the influencing factors for AIDS patients complicated with TB,as well as for TB patients complicated with HIV infection.Results The detection rate of TB was 9.8%(116/1 185) in 1 185 patients with HIV/AIDS,and HIV infection rate was 3.1%(31/1 013) in 1 013 tuberculosis patients.Multivariate analysis results revealed that male,AIDS stage,cough in one recent year, family history of TB, monthly household income per capita less than 1 000 yuan were the risk factors for HIV/AIDS patients complicated with tuberculosis(all P<0.05).Meanwhile,male and commercial sexual behavior were the risk factors for TB patients infected HIV(all P<0.05).Conclusion The detection rate of TB in HIV/AIDS patients and the HIV infection rate in TB patients are relatively high in the rural area of Nanning City,and are related with various factors.Corresponding prevention and control measures should be formulated according to the risk factors for these two types of patients,thereby effectively preventing the transmission and spread of TB/HIV dual infection.

关 键 词：艾滋病 结核病 双重感染 影响因素 南宁市 农村地区 

分 类 号：R512.91[医药卫生—内科学]