四川省艾滋病病毒感染者和患者异地流动以及随访检测与治疗现状分析  

A Study on the Current Situation of Follow-up Testing and Treatment Among Migrant Group of HIV/AIDS Infected Patients in Sichuan Province

作　　者：杨薇[1] 赖文红[1] 袁业伟 龚毅[1] 李恬[1] 黄惋莉[1] 喻航[1] 曾亚莉[1] YANG Wei;LAI Wenhong;YUAN Ye-wei;GONG Yi;LI Tian;HUANG Wanli;YU Hang;ZENG Yali(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China;Sichuan Maternity and Child Health Care Center,Chengdu 610045,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]四川省妇幼保健院,成都610045

出　　处：《预防医学情报杂志》2020年第12期1561-1565,1571,共6页Journal of Preventive Medicine Information

摘　　要：目的了解四川省艾滋病病毒感染者和患者(以下简称"HIV/AIDS")的流动情况以及其在流动期间获得随访检测、抗病毒治疗等服务的现状,为下一步为制定流动感染者提供随访检测及抗病毒治疗服务的具体措施提供依据。方法以截止2016年底"艾滋病综合防治信息系统"中选取的四川省15个县区现存活HIV/AIDS为研究对象,开展面对面的问卷调查,采用SPSS17.0软件进行数据整理和统计学分析。结果9127名完成调查的感染者中,有8.7%(790/9127)流动到本省外县(区),有8.7%(798/9127)流动至外省。89.7%(8187/9127)的感染者在过去1年得到随访干预并做CD4^+T淋巴细胞检测(以下简称CD4检测),61.1%(2611人)的配偶在过去1年做过HIV检测,55.0%希望在流入地进行CD4检测;49.9%希望在流入地接受抗病毒治疗服务。结论四川省HIV/AIDS流动以省内流动为主,HIV/AIDS的流动在一定程度上增加了艾滋病潜在的传播风险,也对各地的随访管理工作带来新的挑战,应关注感染者服务需求,加强流动感染者管理体系建设,探索适宜的管理模式,保障流动感染者及时获得后续随访,从而减少感染者的脱失。Objective To understand the current situation of the flow of HIV/AIDS infected persons and patients in Sichuan province and their access to follow-up testing and antiretroviral treatment during the flow period,so as to provide the basis for formulating specific measures of follow-up testing and antiretroviral treatment services for mobile infected persons.Methods By the end of2016,about 15 counties and districts in Sichuan province were selected as the research objects to carry out face-to-face questionnaires.Data were collated and analyzed by SPSS17.0 software.Results Of 9127 infected persons who completed the survey,about 8.7%(790/9127)of them moved to other counties(districts)and 8.7%(798/9127)of them moved to other provinces.Total of 89.7%(8187/9127)of the infected persons received follow-up intervention and CD4^+T lymphocyte test(hereinafter referred to as CD4 test)in the past year.And61.1%(2611)of their spouses had been tested for HIV in the past year.There were 55.0%of the spouses wanted CD4 test in the inflow area;and 49.9%wanted to receive antiviral treatment in the inflow area.Conclusion The flow of HIV/AIDS in our province is mainly intra-provincial.To a certain extent,the flow of HIV/AIDS increases the potential risk of transmission of AIDS,and also brings new challenges to follow-up management.We should pay attention to the service needs of infected persons,and we should strengthen the construction of management system for mobile infected persons,we should explore appropriate management models and ensure mobile infection.The patients were followed up in time so that to reduce the loss of infected persons.

关 键 词：艾滋病 异地流动 随访 

分 类 号：R512.91[医药卫生—内科学]