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目的了解甘肃省2013-2015年新报告艾滋病病例中“晚发现”病例现状及其影响因素。方法利用全国艾滋病综合防治信息系统数据,对甘肃省2013-2015年新报告的艾滋病病例进行统计分析,分析晚发现艾滋病病例流行病学特征及相关影响因素。结果 2013-2015年甘肃省报告发现的艾滋病病毒感染者和艾滋病患者(HIV/AIDS)1 965例,其中524例(26.67%)属于晚发现病例。不同特征的病例中晚发现比例不同,回族、已婚有配偶者、65岁以上年龄者、文盲、输血/血制品、农民及医院就诊者人群中晚发现比例较高,分别占:38.62%(56/145)、32.38%(284/877)、41.43%(29/70)、36.13%(43/119)、50.00%(1/2)、33.84%(243/718)、40.96%(274/669)。晚发现病例中2013-2015年分别死亡37、42、36例,当年艾滋病病死率分别为27.61%(37/134)、22.95%(42/183)、17.39%(36/207)。结论甘肃省新报告病例中晚发现比例较高,年龄、户籍、样本来源均是晚发现的相关影响因素。
Objective To understand the status of “late detection” cases and their influential factors in newly reported AIDS cases in Gansu Province during 2013-2015. Methods The data of AIDS prevention and control system in China were used to analyze the newly reported cases of AIDS in Gansu Province in 2013-2015 and analyze the epidemiological characteristics of late-onset AIDS cases and the related influencing factors. Results 1 965 cases of HIV / AIDS and HIV / AIDS were found in Gansu Province during 2013-2015. Among them, 524 cases (26.67%) were late-onset cases. There were different proportions of patients with different characteristics found late, Hui, married spouses, people over 65 years of age, illiteracy, blood transfusion / blood products, farmer and hospitalized patients were found in the late population were higher, accounting for: 38.62% (43/119), 50.00% (1/2), 33.84% (243/718), 40.96% (274/877), 32.38% (284/877), 41.43% 669). In the late found cases, there were 37, 42 and 36 cases of death respectively in 2013-2015. The AIDS death rates were 27.61% (37/134), 22.95% (42/183) and 17.39% (36/207) respectively. Conclusion The proportion of newly reported cases in Gansu Province was higher in the middle and late days. The age, household registration and sample source were the related influencing factors found late.