2012-2021年吴兴区新报告HIV/AIDS病例晚发现及影响因素分析  

Late identification and its influencing factors of newly reported HIV/AIDS cases in Wuxing District from 2012 to 2021

作　　者：俞素芬[1] 蒋青林 戴杰 YU Sufen;JIANG Qinglin;DAI Jie(Department of Health Education,Wuxing District Center for Disease Control and Prevention,Huzhou,Zhejiang 313000,China;Wuxing District Center for Disease Control and Prevention,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市吴兴区疾病预防控制中心健康教育科,浙江湖州313000 [2]湖州市吴兴区疾病预防控制中心,浙江湖州313000

出　　处：《预防医学》2023年第9期796-799,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解2012—2021年浙江省湖州市吴兴区新报告艾滋病病毒感染者和艾滋病患者(HIV/AIDS)晚发现情况,并分析影响因素,为完善艾滋病防控措施、促进病例早发现提供依据。方法通过中国疾病预防控制信息系统艾滋病综合防治信息系统收集2012—2021年吴兴区新报告HIV/AIDS病例资料,主要包括人口学信息、CD4+T淋巴细胞检测结果、传播途径和发现途径等,分析不同特征病例的晚发现比例,并采用多因素logistic回归模型分析晚发现的影响因素。结果2012—2021年吴兴区新报告HIV/AIDS病例627例,年龄为(40.30±15.98)岁;男性555例,占88.52%。晚发现病例212例,晚发现比例为33.81%;2012—2021年晚发现比例为28.00%~51.85%,未见明显变化趋势(χ2趋势=1.152,P=0.283)。多因素logistic回归分析结果显示,吴兴区户籍病例(OR=1.651,95%CI:1.140~2.393)、诊断时年龄≥40岁(OR=1.719,95%CI:1.068~2.766)、医疗机构检测发现(OR=1.809,95%CI:1.136~2.881)的HIV/AIDS病例晚发现比例较高。结论2012—2021年吴兴区新报告HIV/AIDS病例中,本区户籍、≥40岁、医疗机构发现的病例晚发现比例较高。Objective To investigate the late identification of newly reported HIV/AIDS cases in Wuxing District of Hu⁃zhou City,Zhejiang Province from 2012 to 2021,and analyze the influencing factors,so as to provide the basis for im⁃proving AIDS prevention and control measures and promoting early identification of HIV/AIDS cases.Methods Data pertaining to demographics,CD4+T lymphocyte counts,transmission routes and identification routes among newly reported HIV/AIDS cases in Wuxing District from 2012 to 2021 were collected through the HIV/AIDS Comprehensive Control System of Chinese Disease Prevention and Control Information System.The proportions of late identification of cases with different characteristics were descriptively analyzed,and factors affecting late identification were identified using a multivariable logistic regression model.Results Totally 627 HIV/AIDS cases were reported in Wuxing District from 2012 to 2021,including 555 males(88.52%),and had a mean age of(40.30±15.98)years.There were a total of 212 cases with late identification,and the annual average proportion was 33.81%.The proportions of late identification ranged from 51.85%in 2012 to 28.00%in 2021,with no significant changing trend(χ2trend=1.152,P=0.283).Multivari⁃able logistic regression analysis showed that higher proportion of late identification was more likely seen in the regis⁃tered cases in Wuxing District(OR=1.651,95%CI:1.140-2.393),cases at ages of 40 years and older at diagnosis(OR=1.719,95%CI:1.068-2.766),and cases identified by medical institutions(OR=1.809,95%CI:1.136-2.881).Conclusion HIV/AIDS cases registered in Wuxing District,aged 40 years and older,and identified by medical institutions have high⁃er proportions of late identification in Wuxing District from 2012 to 2021.

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]