武汉市2008-2018年报告HIV/AIDS病人晚发现状况及影响因素  

Influential factors of late diagnosis among newly detected HIV/AIDS cases during 2008-2018 in Wuhan, Hubei province

作　　者：丁洁[1] 闫晗 吴斯[1] 王夏[1] 谢年华[1] DING Jie;YAN Han;WU Si;WANG Xia;XIE Nianhua(Wuhan Center for Disease Control and Prevention,Wuhan 430015,China)

机构地区：[1]武汉市疾病预防控制中心,武汉430015

出　　处：《中国艾滋病性病》2020年第3期290-293,297,共5页Chinese Journal of Aids & STD

基　　金：武汉市卫生计生委医学科研计划资助项目(WG18A06)。

摘　　要：目的分析武汉市2008-2018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)晚发现状况及影响因素。方法根据中国艾滋病综合防治信息系统中武汉市2008-2018年新报告HIV/AIDS病例信息,分析不同特征HIV/AIDS病人晚发现状况,采用单因素分析和Logistic回归模型对晚发现影响因素进行分析。结果 2008-2018年武汉市新报告HIV/AIDS病人5 602例,平均年龄(38.47±15.47)岁,晚发现病例占33.83%(1 895例)。HIV/AIDS病人晚发现主要影响因素包括:年龄[25~49岁组与16~24岁组比较,比值比(OR)=2.010, 95%可信区间(CI):1.655~2.441, 50岁及以上组与16~24岁组比较,OR=2.634,95%CI:2.064~3.362]、婚姻状态(已婚有配偶与未婚比较,OR=1.474, 95%CI:1.224~1.775)、职业状态(无稳定职业与有职业者比较,OR=1.277, 95%CI:1.118~1.459)、感染途径(异性性传播与同性性传播比较,OR=1.460, 95%CI:1.252~1.703)、性病史(无性病史与有性病史比较,OR=0.730, 95%CI:0.585~0.910)以及样本来源(医疗机构与自愿咨询检测门诊比较,OR=2.154, 95%CI:1.816~2.555)。结论 2008-2018年武汉市新报告HIV/AIDS病人晚发现比例较高,下降趋势不明显,应重点关注50岁及以上、已婚有配偶、异性性传播、无职业及医疗机构就诊人群。Objective To analyze the situation and influential factors of late diagnosis among newly detected HIV/AIDS cases in Wuhan from 2008 to 2018. Methods Information was downloaded from database of the National HIV/AIDS Comprehensive Information System of China. Univariate analysis and logistic regression model were used to analyze the influential factors of HIV cases diagnosed late. Results There were 5 602 HIV/AIDS cases reported during the period. The mean age was(38.47±15.47) years,and the total rate of late diagnosis was 33.75%(1895). The influential factors of late diagnosis among HIV/AIDS included age(25-49 years vs. 16-24 years, OR =2.010, 95%CI :1.655-2.441, 50 years and over vs. 16-24 years, OR =2.634, 95%CI :2.064-3.362), marriage status(married vs. unmarried, OR =1.474, 95%CI : 1.224-1.775), employment(unemployed vs. employed, OR =1.277, 95%CI : 1.118-1.459), route of transmission(heterosexual vs. homosexual, OR =1.460, 95%CI : 1.252-1.703), STD history(yes vs. no, OR =0.730, 95%CI : 0.585-0.910), and source of samples(HSP vs. VCT, OR =2.154, 95%CI : 1.816-2.555). Conclusion The rate of late diagnosis among the detected HIV/AIDS cases in Wuhan is relatively high from 2008 to 2018, and there is no significant downtrend in the years. We should focus on those aged 50 years and over, married, heterosexual transmission, unemployed and clinic patients by expanding testing, health publicity and education among high-risk populations. The HIV-test-network should also be improved and strengthened to explore characteristics of HIV test model and cover more population.

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] R373.9[医药卫生—临床医学]