论文部分内容阅读
目的分析福建省性传播艾滋病病毒感染者(HIV)/艾滋病病人(AIDS)生存状况及其影响因素。方法利用中国疾病预防控制信息系统艾滋病综合防治信息系统,收集自1987年福建省报告首例经性传播病例—2014年11月30日病例基本信息和随访资料,采用回顾性队列研究分析相关数据。结果 6 146例研究对象平均生存时间为(189.91±7.58)月,中位生存时间216月;首次确诊HIV抗体阳性时年龄<50组死亡风险低于年龄≥50岁组(P均<0.0001);大专以上文化程度病例死亡风险低于其他文化水平患者(95%CI=0.20~0.87,P=0.020),重点人群、羁押人群发现病例死亡风险低于医疗机构发现病例(P分别为0.010、0.046);CD4+T淋巴细胞≤500个/μL病例死亡风险高于CD4+T淋巴细胞>500个/μL病例(P均<0.000 1,95%CI=19.04~83.03、6.17~28.33、1.89~8.26);未治疗组死亡风险高于治疗组(P<0.000 1,95%CI=4.12~7.21)。结论年龄、文化程度影响HIV/AIDS的生存时间。
Objective To analyze the living conditions of HIV / AIDS patients and their influencing factors in Fujian Province. Methods The information system of AIDS prevention and control in China was used to collect the first case of sexually transmitted disease in Fujian Province from 1987 to November 30, 2014. The retrospective cohort study was conducted to analyze the relevant data. Results The average survival time of 6 146 subjects was (189.91 ± 7.58) months and the median survival time was 216 months. The risk of death in the group of <50 patients with the first HIV positive diagnosis was lower than that of the group of age ≥50 years (all P <0.0001). (95% CI = 0.20-0.87, P = 0.020). The risk of death in key population and detainees was lower than that in medical institutions (P = 0.010,0.046, respectively) ; CD4 + T lymphocytes ≤ 500 cases / μL case death risk higher than CD4 + T lymphocytes> 500 cases / μL cases (all P <0.000 1,95% CI 19.04 ~ 83.03,6.17 ~ 28.33,1.89 ~ 8.26) ; The risk of death in untreated group was higher than that in the treatment group (P <0.000, 95% CI = 4.12-7.21). Conclusion Age and educational level have an impact on the survival time of HIV / AIDS.