铜川市2016—2022年新报告HIV/AIDS病例晚发现影响因素分析  

Influencing factors for late diagnosis of newly reported HIV/AIDS cases in Tongchuan city from 2016 to 2022

作　　者：马龙 时洁 赵宇鑫 巩娟芳 邓文升 Ma Long;Shi Jie;Zhao Yuxin;Gong Juanfang;Deng Wensheng(AIDS Prevention and Control Department,Tongchuan Center for Disease Control and Prevention,Tongchuan 727031,China;Clinical Laboratory,Tongchuan City Center for Disease Control and Prevention,Tongchuan 727031,China;Dermatological Department,Shaanxi Institute of Endemic Disease,Xi’an,710003,China)

机构地区：[1]铜川市疾病预防控制中心艾防科,727031 [2]铜川市疾病预防控制中心检验科,727031 [3]陕西省地方病防治研究所皮肤科,西安710003

出　　处：《国际病毒学杂志》2024年第6期502-506,共5页International Journal of Virology

摘　　要：目的分析铜川市2016—2022年新报告现住址艾滋病感染者/艾滋病病人(human immunodeficiency virus/acquired immunodeficiency syndrome,HIV/AIDS)晚发现情况,为制定针对性的防治措施提供科学依据。方法在艾滋病综合防治信息系统中下载2016—2022年铜川市新报告现住址HIV/AIDS,采用χ^(2)检验进行晚发现率及变化趋势分析,多因素Logistic回归模型进行晚发现影响因素分析。结果铜川市2016—2022年新报告现住址HIV/AIDS共318例,晚发现156例,晚发现率49.1%。各年份(χ_(趋势)^(2)=3.208,P>0.05)、各区县(χ^(2)=0.874,P>0.05)HIV/AIDS晚发现病例差异无统计学意义。多因素Logistic回归分析显示,30~50岁年龄组(OR=1.833,95%CI:1.251~3.265)、≥50岁年龄组(OR=2.462,95%CI:1.422~4.771)、已婚有配偶(OR=2.162,95%CI:1.184~3.949)、医疗检测(OR=11.006,95%CI:2.796~43.325)病例的晚发现比例较高。检测咨询晚发现比例较低(OR=0.103,95%CI:0.025~0.429)。结论铜川市应全面扩大艾滋病防治宣传,提高重点人群防病和检测意识;在全市医疗机构推行医务人员主动开展艾滋病检测咨询策略;探索网络环境下的新型高危行为干预检测方法。Objective To analyze the late diagnosis of newly reported HIV/AIDS patients with current address in Tongchuan city from 2016 to 2022,so as to provide a scientific basis for formulating targeted prevention and control measures.Methods The data of newly reported HIV/AIDS patients with current addresses in Tongchuan city from 2016 to 2022 was downloaded from HIV/AIDS Comprehensive Response Information Management System.Chi-square test was used for trend analysis on late diagnosis rate,and multivariate logistic regression was conducted to test the factors associated with late diagnosis.Results A total of 318 HIV/AIDS cases were reported in Tongchuan city from 2016 to 2022.One hundred and fifty-six cases had late diagnosis and the rate of late diagnosis was 49.1%.The differences in late diagnosis of HIV/AIDS cases in different years(χ^(2)=3.208,P>0.05)and in different regions(χ^(2)=0.874,P>0.05)were not statistically significant.Multivariate logistic regression analysis indicated that proportions of late diagnosis were higher in 30-50 years old group(OR=1.833,95%CI:1.251-3.265),≥50 years old group(OR=2.462,95%CI:1.422-4.771),married group(OR=2.162,95%CI:1.184-3.949)and medical testing group(OR=11.006,95%CI:2.796-43.325).The proportion of late diagnosis among persons having consultation of testing was lower(OR=0.103,95%CI:0.025-0.429).Conclusions Tongchuan should fully expand the publicity of AIDS prevention and control to improve the awareness of disease prevention and testing among key groups.The testing and counseling strategy(PITC)for HIV/AIDS should be implemented by medical staffs in medical institutions throughout the city.New online methods for high-risk behavior intervention and detection should be explored.

关 键 词：艾滋病 晚发现 影响因素 

分 类 号：R51[医药卫生—内科学]