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目的了解云南省德宏州HIV感染者早发现率及其影响因素。方法利用艾滋病综合防治信息系统,对2009年1月～2010年6月期间德宏州新报告的HIV感染病例进行分析。结果多因素Logistic回归分析显示,外地或外籍、景颇族和已婚的HIV感染者中早发现率显著低于本地、汉族和未婚的HIV感染者;而20～29岁年龄组HIV感染者中早发现率较50岁以上者高;经由自愿咨询检测、戒毒所人员检测、婚前检查、孕产期检查发现的HIV感染者中早发现率均较医院就诊检测的早发现率高。结论德宏州HIV感染者中早发现率较低,必须继续推进在自愿咨询检测门诊、戒毒所、婚前体检和孕产妇体检中全面开展HIV检测工作,重点加强对外地或外籍、景颇族和已婚人群的HIV检测监测工作。
Objective To understand the early detection rate and its influencing factors of HIV infection in Dehong Prefecture of Yunnan Province. Methods Using HIV / AIDS prevention and control information system, the newly reported cases of HIV infection in Dehong Prefecture from January 2009 to June 2010 were analyzed. Results The multivariate Logistic regression analysis showed that the early detection rate of HIV infection among the foreign residents, Jingpo people and married people was significantly lower than that of the HIV-infected local, Han and unmarried women. Among HIV-infected persons aged 20-29, The detection rate was higher than those over 50 years of age. Early detection rates of HIV-infected persons detected by voluntary counseling and testing, detoxification officers, premarital and maternal examination were higher than those detected by the hospital. Conclusion The detection rate of HIV infection in Dehong Prefecture is relatively low. We must continue to conduct HIV testing in voluntary counseling and testing clinics, drug treatment centers, premarital health examination and maternal examination, with a focus on strengthening the field of HIV testing for foreign residents or foreigners, Jingpo people and HIV testing and monitoring of married people.