论文部分内容阅读
目的分析贵州省铜仁市2011-2015年新报告的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)中,晚发现病例的特征及影响因素,为制定艾滋病防控策略提供依据。方法收集全国艾滋病综合防治数据信息管理系统数据,对2011-2015年新报告病例的报告地为铜仁市的晚发现病例进行单因素Logistic分析,将有统计学意义的变量进行多因素Logistic回归分析。结果 2011-2015年铜仁市新报告HIV/AIDS病人1246例,男性占63.3%(789例),女性占36.7%(457例);平均年龄(43±14)岁(1~83岁),少数民族占67.0%(835例);已婚占50.7%(632例);初中及以下文化占81.6%(1 017例);异性性传播占84.2%(1 049例)。1 246例中晚发现病例610例,晚发现比例49.0%。不同流行病学特征的晚发现比例差异有统计学意义,男性、≥50岁年龄组、注射吸毒传播、样本来自咨询检测的病例晚发现比例较高,分别为51.0%(402/789)、51.9%(166/320)、58.4%(80/137)、48.9%(325/664)。多因素Logistic回归分析结果显示,男性、注射吸毒传播、≥50岁年龄组、样本来自检测咨询的病例,是晚发现的影响因素。结论铜仁市HIV/AIDS病例中晚发现的比例较高。应加强对注射吸毒和≥50岁年龄组等重点人群的艾滋病防控力度,加大早期检测重要意义的宣传,全面推进医疗机构主动提供艾滋病检测咨询工作,扩大检测覆盖面,提高HIV/AIDS病例的早发现能力。
Objective To analyze the characteristics and influencing factors of newly discovered cases of HIV / AIDS (referred to as HIV / AIDS patients) in Tongren City, Guizhou Province, from 2011 to 2015 for the purpose of formulating strategies for AIDS prevention and control Provide evidence. Methods Data of the national AIDS integrated prevention and control data and information management system were collected. One-factor logistic analysis was carried out on the late-found cases of Tongren City from 2011 to 2015, and the statistically significant variables were analyzed by multivariate Logistic regression. Results A total of 1246 new HIV / AIDS patients were reported in Tongren City in 2011-2015, accounting for 63.3% (789 cases) of male and 36.7% (457 cases) of female, with an average age of 43 ± 14 (range, 1 to 83 years) Ethnic minorities accounted for 67.0% (835 cases); married accounted for 50.7% (632 cases); junior high school and below accounted for 81.6% (1017 cases); heterosexual transmission accounted for 84.2% (1049 cases). One hundred and twenty-six cases were found late in the night and 49% late. There were significant differences in the late detection rates of different epidemiological characteristics. In men, ≥50 years of age groups, the spread of drug use by injection was high, with 51.0% (402/789) and 51.9 % (166/320), 58.4% (80/137), 48.9% (325/664). Multivariate Logistic regression analysis showed that male, injecting drug abuse, ≥50 years of age group, the sample from the test counseling cases, is the late found the influencing factors. Conclusion Tongren City, HIV / AIDS cases found a higher proportion of late. HIV / AIDS prevention and control should be strengthened for key populations such as injecting drug users and people over 50 years of age, increase awareness of the importance of early detection, and comprehensively promote the provision of AIDS testing and counseling by medical institutions in an all-round way to expand testing coverage and increase HIV / AIDS cases Early detection ability.