2014-2018年全国艾滋病高危人群干预数据质量评估分析  

Assessment of data quality of intervention in population at high risk for HIV/AIDS in China,2014-2018

作　　者：李力[1] 罗巍[1] 徐杰[1] 柔克明[1] Li Li;Luo Wei;Xu Jie;Rou Keming(Division of Health Education and HIV Prevention,National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China)

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室,北京102206

出　　处：《中华流行病学杂志》2020年第1期85-89,共5页Chinese Journal of Epidemiology

摘　　要：目的评估2014-2018年艾滋病高危人群主要为暗娼和MSM的干预数据质量,找出干预数据质量问题,探讨提高干预数据质量的办法。方法抽查干预数据月度报表,通过比较上报全国艾滋病综合防治信息系统数据与原始记录的一致性,评估干预数据的准确性。走访干预活动场所,访谈场所业主、管理者和/或干预对象,评估干预数据填报的真实性。按年度整理国家级和省级评估结果,采用描述性统计方法分析,并归纳评估过程中发现的数据质量问题。结果省级评估中上报数据与原始记录的年均符合率为94.6%(17671/18673),国家级评估中上报数据与原始记录的年均符合率为79.4%(558/703),省级和国家级评估中年均评估结果为"好"的干预场所分别占抽查场所总数的81.6%(8617/10559)和84.4%(249/295)。评估发现存在干预现场原始记录与网络直报信息不完全一致,干预数据管理能力不足,干预工作覆盖面不足和效果不佳等问题影响干预数据质量。结论2014-2018年全国艾滋病高危人群干预数据的准确性和真实性总体上较好,强化数据质量管理意识,加强暗娼和MSM干预工作培训,继续推动高质量的干预活动,有助于提高干预数据质量,进一步完善干预数据质量评估方案。Objective To assess the quality of data of intervention in population at high risk for HIV/AIDS,especially in female sex workers(FSWs)and men who have sex with men(MSM),in China during 2014-2018,for the purpose of improving intervention data quality.Methods Data accuracy was evaluated by sampling monthly reported intervention data and comparing the consistency of the information recorded in national HIV/AIDS prevention and treatment information system to original paper records.Data authenticity was assessed by visiting intervention sites and interviewing owners,manager and/or target groups at sites.The assessment results of both national level and provincial level were summarized by year and analyzed with descriptive statistical method.The data quality problems recognized by assessments were summed up.Results The annual concordance rate of the data recorded in information system to paper records was 94.6%(17671/18673)in provincial level assessment and 79.4%(558/703)in national level assessment.Up to 81.6%(8617/10559)and 84.4%(249/295)of all sampled intervention sites were annually evaluated as"good"in provincial and state level assessments respectively.The assessment found that the intervention data in original paper records were not completely consistent to that recorded in the information system,the deficiency of ability on intervention data management,and the insufficient coverage and effect of intervention service influenced the intervention data quality.Conclusions In general,the accuracy and authenticity of intervention data were fine in China during 2014-2018.Intervention data quality can be improved through measures of enhancing data quality management,strengthening training for the prevention and intervention in FSWs and MSM,and providing high-quality intervention service.

关 键 词：艾滋病 高危人群 预防干预 数据质量 

分 类 号：R51[医药卫生—内科学]