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目的了解HIV-1阳性的广西男男性行为人群(men having sex with men,MSM)高效抗逆转录病毒治疗(highly active antiretroviral therapy,HAART)状况及影响因素。方法从艾滋病综合防治数据信息系统中筛查在广西随访的所有感染途径为“男男性行为”的个案所有相关信息,进行随访及数据处理,用SPSS16.0软件进行数据分析。结果共1 782例MSM HIV-1阳性患者纳入分析,已经进行HAART者1 125例,未进行HAART者657例,两组人群年龄、职业、首次确诊地点、婚姻状态、目前居住地、基线CD4+T及确诊时病程差异均有统计学意义(P均<0.05),HAART可能性比较:首次确诊地点为本省(OR=1.626),外省(OR=1.0);基线CD4计数<200个/μL(OR=1.0),基线CD4计数200~350个/μL(OR=0.006);职业为非学生(OR=1.269~2.676),学生(OR=1.0),病程在1年内(OR=1.0),1年以上(OR=1.015~1.989),差异均有统计学意义(P<0.05)。结论 HIV-1阳性的广西MSM人群HAART覆盖率较高,需加强在外省发现HIV-1感染的MSM群体的咨询,加强学生群体的隐私和HAART服务。
Objective To investigate the status and influencing factors of HIV-1-positive highly active antiretroviral therapy (MSART) in men with sex with men (MSM). Methods All HIV / AIDS patients were followed up for all follow-up and data processing of all cases of follow-up in Guangxi from data system of AIDS prevention and control. The data were analyzed by SPSS16.0 software. Results A total of 1 782 MSM HIV-1 positive patients were enrolled in the analysis. Among them, 1 125 cases of HAART and 657 cases of non-HAART were enrolled. The age, occupation, initial diagnosis, marital status, current residence, baseline CD4 + (OR = 1.626), other provinces (OR = 1.0); the baseline CD4 count <200 / μL (P <0.05), and the difference of HAART between the two groups was statistically significant OR = 1.0). The baseline CD4 counts ranged from 200 to 350 / μL (OR = 1.06). The students were non-students (OR = 1.269-2.676) Year (OR = 1.015 ~ 1.989), the difference was statistically significant (P <0.05). Conclusion The HIV-1-positive MSM population in Guangxi has a high coverage of HAART. It is necessary to strengthen the consultation among MSM groups with HIV-1 infection in other provinces and to strengthen the privacy and HAART services of the student population.