兰州市某区HIV感染者及艾滋病患者死亡影响因素分析  

Analysis on the Influencing Factors of People Dying from HIV Infected or AIDS Patient in a Region of Lanhzou

作　　者：程宝莲[1] CHENG Baolian(Lanzhou Chengguan District Center for Disease Control and Prevention,Lanzhou 730030,China)

机构地区：[1]兰州市城关区疾病预防控制中心,甘肃兰州730030

出　　处：《中国皮肤性病学杂志》2022年第4期439-443,共5页The Chinese Journal of Dermatovenereology

摘　　要：目的了解兰州市城关区艾滋病病毒(HIV)感染者及艾滋病(AIDS)患者(HIV/AIDS)死亡病例特征,并分析其死亡相关影响因素。方法采用艾滋病综合防治信息系统数据,用Cox比例风险模型对HIV/AIDS患者死亡影响因素进行分析。结果截至2020年12月31日,兰州市城关区报告的HIV/AIDS患者中死亡病例为399例,其中男性占89.47%(357/399),已婚占48.87%(195/399),汉族占80.20%(320/399)。死亡病例确诊时年龄平均(41.73±14.23)岁,死亡时年龄平均(43.64±14.02)岁。存活时长以1个月以下为主,占23.06%(92/399),异性传播占57.89%(231/399),样本来源以临床就诊为主占77.69%(310/399)。Cox比例风险模型分析显示,死亡相关危险因素有年龄、样本来源中的临床就诊,死亡相关保护因素有接受规范抗病毒药物治疗、大专及以上文化程度、已婚和商业服务。结论兰州市城关区HIV/AIDS患者死亡病例确诊年龄和死亡年龄均较低,应扩大相关检测,早发现、早诊断、早治疗,以减少死亡。Objective To understand the characteristics of death cases of HIV infected or AIDS patients(shorted for HIV/AIDS patients),and to analyze the factors of AIDS-related death in Chengguan District of Lanzhou City.Methods The influencing factors of death among HIV/AIDS patients were analyzed by Cox's Proportional Hazards Regression Model using data from AIDS Prevention and Control Information System.Results By the end of 2020,there were 399 deaths among HIV/AIDS patients reported in Chengguan District,including 89.47%(357/399)males,48.87%(195/399)married and 80.20%(320/399)Han nationality.The average age of their diagnosis of AIDS was(41.73±14.23)years old,and the age of death was(43.64±14.02)years old.People's survival time less than a month accounted for 23.06%(92/399),the heterosexual transmission accounted for 57.89%(231/399).The sample source was mainly clinical diagnosis occupied 77.69%(310/399).Cox's Proportional Hazard Regression Model showed that the death related risk factors were age and clinical diagnosis from the sample source,and the death related protective factors were receiving standardized antiviral treatment,having a college education or above,getting married and commercial services.Conclusion The diagnosis age and age at death of HIV/AIDS patients in Chengguan region of Lanzhou are both low,so it is necessary to expand the detection in order to detect early,diagnose early,get timely medical treatment and reduce mortality.

关 键 词：艾滋病 死亡 影响因素 

分 类 号：R512.91[医药卫生—内科学]