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目的了解广西南宁市存活的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人的随访检测情况,并分析其影响因素。方法资料来源于艾滋病综合防治数据信息管理系统下载的截至2015年12月31日的病例报告历史卡片,应用logistic回归对影响因素进行分析。结果截至2015年12月31日,累计报告现住址为广西南宁市存活的HIV/AIDS病人10 478例,2015年内完成随访检测率为81.5%。单因素分析显示,性别、年龄、婚姻状况、民族、文化程度、职业、病程阶段、感染途径、样本来源、地区类别、是否参加抗病毒治疗等因素,与HIV/AIDS病人是否完成随访检测有关(P<0.01)。多因素分析显示,同性性接触感染(OR=1.960,95%CI:1.541~2.492)、母婴传播(OR=2.713,95%CI:1.959~3.758)、病程阶段为艾滋病(OR=1.614,95%CI:1.426~1.826)、已接受抗病毒治疗(OR=7.831,95%CI:6.953~8.819)是随访检测的保护因素(P>0.001);地区类别为本省其它地市和外省(OR=0.661,95%CI:0.588~0.744,P<0.001)是随访检测的危险因素(OR<1)。结论广西南宁市艾滋病病毒感染者/艾滋病病人的随访检测率较低。地区类别为本省其它地市和外省是随访检测的主要影响因素;感染途径为同性性接触感染、母婴传播、病程阶段为艾滋病、已接受抗病毒治疗的HIV/AIDS病人有较好的随访检测依从性。应进一步加强对随访检测率低的人群尤其是流动病例的沟通与管理。同时根据不同人群特点采取有针对性的措施,以进一步提高随访管理工作的质量,有效地控制艾滋病的蔓延。
Objective To understand the follow-up of survivors of HIV / AIDS in Nanning, Guangxi and analyze its influencing factors. Methods The data were collected from the case history card downloaded as of December 31, 2015 from the Integrated AIDS Prevention and Control Information System. Logistic regression was used to analyze the influential factors. Results As of December 31, 2015, there were 10 478 HIV / AIDS patients living in Nanning, Guangxi. The cumulative follow-up rate in 2015 was 81.5%. Univariate analysis showed that gender, age, marital status, ethnicity, education level, occupation, stage of disease course, route of infection, source of samples, regional category and whether antiviral therapy were involved were all related to follow-up of HIV / AIDS patients P <0.01). Multivariate analysis showed that homosexual contact infection (OR = 1.960, 95% CI: 1.541-2.492), mother-to-child transmission (OR = 2.713, 95% CI: 1.959-3.758) (OR = 7.831, 95% CI: 6.953-8.819) were the protective factors of follow-up testing (P> 0.001). The regional categories were those of other prefectures and provinces in the province (OR = 0.661, 95% CI: 0.588-0.744, P <0.001) were risk factors for follow-up (OR <1). Conclusion The detection rate of HIV / AIDS patients in Nanning City, Guangxi Province was low. The other regions and provinces in the province were the main influencing factors for follow-up testing. The routes of infection were homosexual contact, mother-to-child transmission, HIV / AIDS during the course of disease, and better follow-up of HIV / AIDS patients who had received antiviral treatment Compliance. Should further strengthen the follow-up detection rate of people, especially the flow of cases of communication and management. At the same time, according to the characteristics of different groups of people take targeted measures to further improve the quality of follow-up management, effectively control the spread of AIDS.