重庆市荣昌区2012—2017年晚发现HIV/AIDS病例特征分析
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摘要
目的分析2012—2017年荣昌区新报告艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)的晚发现情况及其影响因素,为提高HIV/AIDS病例早发现能力提供建议。方法在全国艾滋病防治系统中选择荣昌区2012—2017年新报告的HIV/AIDS病例信息。根据中国疾病预防控制中心2014年标准,对HIV/AIDS病例晚发现进行定义,采用χ2检验分析晚发现率变化趋势,采用Logistic回归模型分析影响因素。结果荣昌区2012—2017年HIV/AIDS新发病例931例,其中晚发现442例,占47.5%。男性[比值比(OR)=1.49,95%可信区间(CI):1.08～2.06]、≥70岁(OR=4.87,95%CI:2.0～11.87)、住院或术前检测(OR=1.76,95%CI:1.18～2.64)、离异或丧偶(OR=1.50,95%CI:1.10～2.04)的病例晚发现率较高。结论荣昌区2012—2017年HIV/AIDS病例晚发现率呈现下降趋势,但仍维持较高水平,应进一步优化艾滋病检测咨询服务宽松环境,特别要关注本地中老年男性群体,扩大干预检测覆盖面,促进艾滋病早发现、早治疗,减少发病和传播风险。
Objective To analyze the late diagnosis(LD)and influencing factors of newly reported HIV/AIDS patients from 2012 to 2017in Rongchang district,and to provide evidences to increase early diagnosis of HIV/AIDS patients.Methods Newly detected HIV/AIDS in Rongchang from 2012 to 2017 were selected from the national HIV/AIDS information system.Late diagnosed HIV/AIDS case was defined according to the national standard in2014,and Chi-square test was used to analyze the LD rate and multivariate logistic regression was conducted to test the factors associated with LD.Results There were 931 new detected HIV/AIDS cases in Rongchang during 2012-2017,of which 442cases(47.5%)were lately diagnosed.Male(OR=1.49,95% CI:1.08-2.06)and age≥70(OR=4.87,95% CI:2.0-11.87),being hospitalized or preoperative detection(OR=1.76,95% CI:1.18～2.64),and being divorced or widowed(OR=1.50,95% CI:1.10-2.04)were the risk factors for LD.Conclusion The late detection rate of HIV/AIDS cases in Rongchang district from 2012 to 2017is declining.HIV testing and counseling service environment should be further optimized,esp.for local elderly male group so as to expand the coverage of intervention and testing,to promote early detection and treatment,and reduce the risk of HIV transmission and incidence.
Objective To analyze the late diagnosis(LD)and influencing factors of newly reported HIV/AIDS patients from 2012 to 2017in Rongchang district,and to provide evidences to increase early diagnosis of HIV/AIDS patients.Methods Newly detected HIV/AIDS in Rongchang from 2012 to 2017 were selected from the national HIV/AIDS information system.Late diagnosed HIV/AIDS case was defined according to the national standard in2014,and Chi-square test was used to analyze the LD rate and multivariate logistic regression was conducted to test the factors associated with LD.Results There were 931 new detected HIV/AIDS cases in Rongchang during 2012-2017,of which 442cases(47.5%)were lately diagnosed.Male(OR=1.49,95% CI:1.08-2.06)and age≥70(OR=4.87,95% CI:2.0-11.87),being hospitalized or preoperative detection(OR=1.76,95% CI:1.18～2.64),and being divorced or widowed(OR=1.50,95% CI:1.10-2.04)were the risk factors for LD.Conclusion The late detection rate of HIV/AIDS cases in Rongchang district from 2012 to 2017is declining.HIV testing and counseling service environment should be further optimized,esp.for local elderly male group so as to expand the coverage of intervention and testing,to promote early detection and treatment,and reduce the risk of HIV transmission and incidence.
引文
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[5]刘黎,朱正平,徐园园,等.南京市2011-2015年新报告艾滋病病毒感染者/艾滋病病人的晚发现率及其影响因素分析[J].中华疾病控制杂志,2017,21(12):1245-1249.
[6]武培丽,董薇,陈军,等.32名HIV阳性嫖客商业性行为的定性研究[J].中华疾病控制杂志,2015,19(4):367-370.
[7]葛锐,张倩倩,徐文贤,等.2011-2016年嘉兴市新报告HIV/AIDS病人的晚发现情况分析[J].中国艾滋病性病,2017,23(11):1078-1079,1083.
[8]王欣心,刘超,李彦奇,等.2011-2015年丰台区晚发现HIV/AIDS病例的流行病学特征[J].中国艾滋病性病,2017,23(7):606-608.
[9]张维,卢戎戎,吴国辉.重庆市艾滋病疫情网络直报数据库老年人HIV/AIDS特征分析[J].重庆医学,2017,46(6):815-817.
[10]赵万怀,陈艳,王月萍.扬州市江都区艾滋病病毒/艾滋病检测途径与晚发现情况分析[J].中国卫生检验杂志,2017,23(11):1010-1012.
[11]杨跃诚,张星灿,叶润华,等.云南省德宏州2007-2013年HIV感染者晚发现率及其影响因素研究[J].中华流行病学杂志,2015,19(10):971-974.
[12]徐里强,顾艳红,周春娟.江苏省常熟市2010-2015年艾滋病病人晚发现比例及其影响因素研究[J].中国艾滋病性病,2017,23(7):613-615,646.
[13]戴色莺,沈张伟,范引光,等.柳州市不同途径发现的HIV/AIDS的晚发现状况及其相关因素[J].中华疾病控制杂志,2015,21(12):1250-1253,1258.
[14]王险峰,周江,李洁芳,等.石家庄某市VCT室艾滋病自愿咨询检测人群的特征及HIV抗体检测分析[J].中国卫生检验杂志,2015,25(2):265-268.
[15]彭小波,谭毅,叶茂,等.2015年重庆市开县≥60岁乡镇老年男性艾滋病监测结果分析[J].中国艾滋病性病,2017,23(7):669-670.
[2]Girardi E,Sabin CA,Monforte AD.Late diagnosis of HIV infection:epidemiological features,consequences and strategies to encourage earlier testing[J].J Acquir Immune Defic Syndr,2007,46(Suppl 1):S3-S8.
[3]金霞,熊燃,毛宇嵘,等.2010-2014年我国HIV感染病例的晚发现情况分析[J].中华流行病学杂志,2016,37(2):218-221.
[4]王海,王亚西,和慧敏,等.贵州省铜仁市2011-2015年晚发现HIV/AIDS病例的特征及影响[J].中国艾滋病性病,2017,23(3):217-220.
[5]刘黎,朱正平,徐园园,等.南京市2011-2015年新报告艾滋病病毒感染者/艾滋病病人的晚发现率及其影响因素分析[J].中华疾病控制杂志,2017,21(12):1245-1249.
[6]武培丽,董薇,陈军,等.32名HIV阳性嫖客商业性行为的定性研究[J].中华疾病控制杂志,2015,19(4):367-370.
[7]葛锐,张倩倩,徐文贤,等.2011-2016年嘉兴市新报告HIV/AIDS病人的晚发现情况分析[J].中国艾滋病性病,2017,23(11):1078-1079,1083.
[8]王欣心,刘超,李彦奇,等.2011-2015年丰台区晚发现HIV/AIDS病例的流行病学特征[J].中国艾滋病性病,2017,23(7):606-608.
[9]张维,卢戎戎,吴国辉.重庆市艾滋病疫情网络直报数据库老年人HIV/AIDS特征分析[J].重庆医学,2017,46(6):815-817.
[10]赵万怀,陈艳,王月萍.扬州市江都区艾滋病病毒/艾滋病检测途径与晚发现情况分析[J].中国卫生检验杂志,2017,23(11):1010-1012.
[11]杨跃诚,张星灿,叶润华,等.云南省德宏州2007-2013年HIV感染者晚发现率及其影响因素研究[J].中华流行病学杂志,2015,19(10):971-974.
[12]徐里强,顾艳红,周春娟.江苏省常熟市2010-2015年艾滋病病人晚发现比例及其影响因素研究[J].中国艾滋病性病,2017,23(7):613-615,646.
[13]戴色莺,沈张伟,范引光,等.柳州市不同途径发现的HIV/AIDS的晚发现状况及其相关因素[J].中华疾病控制杂志,2015,21(12):1250-1253,1258.
[14]王险峰,周江,李洁芳,等.石家庄某市VCT室艾滋病自愿咨询检测人群的特征及HIV抗体检测分析[J].中国卫生检验杂志,2015,25(2):265-268.
[15]彭小波,谭毅,叶茂,等.2015年重庆市开县≥60岁乡镇老年男性艾滋病监测结果分析[J].中国艾滋病性病,2017,23(7):669-670.