2017—2020年重庆市北碚区新报告HIV感染者/AIDS病例抗病毒治疗及时性影响因素分析  

Influencing factors on the timeliness of antiviral therapy initiation in newly reported HIV/AIDS patients in Beibei District of Chongqing from 2017 to 2020

作　　者：杨文婷[1] 马文 谭兴兰[1] YANG Wen-ting;MA Wen;TAN Xing-lan(Center for Disease Control and Prevention of Beibei District,Chongqing 400700,China.)

机构地区：[1]重庆市北碚区疾病预防控制中心,重庆400700

出　　处：《寄生虫病与感染性疾病》2022年第2期69-73,共5页Parasitoses and Infectious Diseases

摘　　要：目的 分析自2016年实施“发现即治疗”政策后,2017—2020年重庆市北碚区新报告HIV感染者/AIDS病例抗病毒治疗及时性与影响因素,为制定提高艾滋病抗病毒治疗工作质量相关政策措施提供参考依据。方法 从中国疾病预防控制中心信息系统艾滋病防治信息模块下载卡片信息,采用单因素χ2检验,多因素Logistic回归分析抗病毒治疗及时性与影响因素,以P<0.05为差异有统计学意义。结果 1 026例患者接受抗病毒治疗及时性为60.82%,报告时地区、性别、现住址(街道/镇)、样本来源、HIV确诊后首次CD4检测结果是影响病例确诊后申请抗病毒治疗及时性的主要的因素。结论重庆市北碚区HIV/AIDS病例自2016年开始实施“发现即治疗”相关政策后,接受艾滋病抗病毒治疗及时性占比有所提高。但对外区报至本地、男性、乡镇、被动检测、CD4检测结果高的患者的抗病毒治疗工作措施需要进一步加强。Objective To analyze the timeliness and influencing factors of antiviral therapy initiation for newly reported HIV/AIDS patients in Beibei District of Chongqing from 2017 to 2020(after the implementation of immediate treatment after discovery policy in 2016), so as to provide reference for the development of policies and measures to improve the quality of antiviral therapy for AIDS.Methods The card information was downloaded from the AIDS prevention information module of the Chinese Center for Disease Control and Prevention information system. Timeliness and influencing factors of antiviral therapy initiation was analyzed by using Chi-square tests and multivariate Logistic regression models and P < 0.05 was considered statistically significant. Results The timeliness of receiving antiviral therapy initiation was 60.82% in 1 026 patients. Region areas, gender, current address(street/town), sample source, and results of the first CD4 test after HIV diagnosis were the main factors affecting the timeliness of application for antiviral therapy after HIV diagnosis.Conclusions In 2017-2020, the timeliness rate of antiviral therapy initiation has been improved in HIV/AIDS patients in Beibei District of Chongqing. However, antiviral treatment measures should be further strengthened for patients, especially those who were males, reported to local areas,living in township,found in passive detection,and with high CD4 detection results.

关 键 词：艾滋病 抗病毒治疗 及时性 

分 类 号：R512.91[医药卫生—内科学]