无锡市50岁及以上HIV/AIDS抗病毒治疗病例自报慢性病资料分析  

Self-reported chronic disease prevalence among HIV/AIDS patients aged 50 years and above receiving antiretroviral therapy in Wuxi City

作　　者：李倩 杨柏林 陈积标 尹寒露 许祝平[1] 孟晓军[1] LI Qian;YANG Bolin;CHEN Jibiao;YIN Hanlu;XU Zhuping;MENG Xiaojun(The Affiliated Wuxi Center for Disease Control and Prevention of Nanjing Medical University,Wuxi Center for Disease Control and Prevention,Wuxi,Jiangsu 214023,China)

机构地区：[1]无锡市疾病预防控制中心(南京医科大学附属无锡疾病预防控制中心),江苏无锡214023

出　　处：《预防医学》2025年第4期390-394,共5页China Preventive Medicine Journal

基　　金：无锡市卫生健康委项目(BJ2023097,FZXK2021010)。

摘　　要：目的了解江苏省无锡市接受抗病毒治疗的≥50岁艾滋病病毒感染者和艾滋病患者(HIV/AIDS)高血压、糖尿病和高脂血症患病情况,为HIV/AIDS病例慢性病综合防治提供依据。方法于2024年3—6月,在无锡市艾滋病定点医疗机构采用方便抽样方法选取接受抗病毒治疗的≥50岁HIV/AIDS病例为调查对象。通过问卷调查收集人口学信息,诊疗情况及自报高血压、糖尿病和高脂血症患病情况;采用多因素logistic回归模型分析慢性病患病的影响因素。结果调查HIV/AIDS抗病毒治疗病例830例,其中男性656例,占79.04%;50~<60岁375例,占45.18%。自报患高血压、糖尿病和高脂血症至少1种慢性病366例,自报患病率为44.10%;自报患高血压、糖尿病和高脂血症分别为280、114和61例,自报患病率为33.73%、13.73%和7.35%。多因素logistic回归分析结果显示,男性(OR=1.725,95%CI:1.187~2.507)、月均收入<3000元(OR=1.521,95%CI:1.122~2.063)、体质指数≥24 kg/m2(OR=1.577,95%CI:1.168~2.130)、启动抗病毒治疗年龄≥50岁(50~<60岁,OR=1.535,95%CI:1.052~2.238;≥60岁,OR=3.322,95%CI:2.191~5.038)、抗病毒治疗时间≥10年(OR=2.069,95%CI:1.419~3.017)、使用非一线药物方案(OR=1.776,95%CI:1.304~2.418)的HIV/AIDS抗病毒治疗病例患高血压、糖尿病和高脂血症至少1种慢性病的风险较高。结论无锡市≥50岁HIV/AIDS抗病毒治疗病例中,44.10%自报患高血压、糖尿病和高脂血症至少1种慢性病,性别、月均收入、体质指数和抗病毒治疗情况与慢性病患病风险有关。Objective To investigate the prevalence of hypertension,diabetes and hyperlipidemia among HIV/AIDS patients aged 50 years and above receiving antiretroviral therapy(ART)in Wuxi City,Jiangsu Province,so as to provide insights into the prevention and intervention of chronic diseases for these populations.Methods The HIV/AIDS patients aged 50 years and above receiving ART were recruited at designated HIV/AIDS medical institutions in Wuxi City using the convenient sampling method from March to June 2024.Demographic information,treatment status and self-reported prevalence of hypertension,diabetes and hyperlipidemia were collected through questionnaire surveys.Factors affecting the prevalence of chronic diseases were analyzed using a multivariable logistic regression model.Results A total of 830 HIV/AIDS patients receiving ART were surveyed,including 656 males(79.04%)and 375 patients aged 50 to<60 years(45.18%).Among them,366 patients reported having at least one type of chronic disease,including hypertension,diabetes and hyperlipidemia,with a self-reported prevalence rate of 44.10%.Specifically,280,114 and 61 patients reported having hypertension,diabetes and hyperlipidemia,with the self-reported prevalence rates of 33.73%,13.73%and 7.35%,respectively.Multivariable logistic regression analysis showed that male patients(OR=1.725,95%CI:1.187-2.507),those with monthly income less than 3000 yuan(OR=1.521,95%CI:1.122-2.063),those with body mass index of 24 kg/m2 and above(OR=1.577,95%CI:1.168-2.130),those who initiated ART at ages of 50 years and above(50 to<60 years,OR=1.535,95%CI:1.052-2.238;≥60 years,OR=3.322,95%CI:2.191-5.038),those with ART duration of 10 years and above(OR=2.069,95%CI:1.419-3.017),and those who received non-first-line regimens(OR=1.776,95%CI:1.304-2.418)had higher risks of developing at least one type of chronic disease,including hypertension,diabetes and hyperlipidemia.Conclusions The self-reported prevalence of at least one type of chronic disease,including hypertension,diabetes and hyperlipidem

关 键 词：艾滋病 抗病毒治疗 高血压 糖尿病 高脂血症 

分 类 号：R512.91[医药卫生—内科学]