广西南宁市新报告艾滋病患者晚发现影响因素研究

发布时间：2018-05-11 05:27

本文选题：艾滋病 + 晚发现　；参考：《现代预防医学》2017年16期

【摘要】：目的了解南宁市艾滋病感染者或病人晚发现病例特征及其影响因素。方法利用艾滋病综合信息系统,选取2014年1月1日-12月31日期间南宁市新报告的艾滋病病例,晚发现患者特征分析采用单因素和多因素Logistic回归分析。结果南宁市2014年新报告病例2 356例中,晚发现病例1 148例(48.7%);死亡病例177例,均为晚发现病例,死亡年龄在50岁以上所占比例61.0%(108例),当天诊断当天死亡占14.1%(25例),多因素分析结果显示性别、确诊年龄、现住址、职业、婚姻状况、样本来源、确诊时长、报告单位是晚发现率的影响因素。结论南宁市艾滋病患者中晚发现率高,晚发现导致死亡且进程迅速现象十分严重,在农村中老年人群中广泛宣传艾滋病咨询检测,医疗机构扩大艾滋病咨询检测,确证实验室优化资源配置,艾滋病治疗"一站式服务"模式推广,可实现HIV/AIDS早发现、早诊断、早治疗,从而降低晚发现率和死亡率。
[Abstract]:Objective to investigate the characteristics and influencing factors of the late discovery of HIV / AIDS cases in Nanning. Methods A comprehensive AIDS information system was used to select the newly reported AIDS cases from January 1 to December 31, 2014 in Nanning City. The characteristics of the patients found late were analyzed by univariate and multivariate Logistic regression analysis. Results among the 2 356 newly reported cases in Nanning in 2014, 1 148 cases were found late, while 177 cases died. The proportion of deaths over 50 years old was 61.0%, and the death rate was 14.1 cases on the day of diagnosis. Multivariate analysis showed that sex, age of diagnosis, current address, occupation, marital status, source of samples, time of diagnosis, and length of diagnosis. The reporting unit is the influencing factor of the late discovery rate. Conclusion the prevalence rate of AIDS patients in Nanning is high, the late discovery results in death and the rapid progress is very serious. AIDS counseling and testing are widely publicized in the rural middle and old people, and the medical institutions expand the AIDS counseling and testing. By optimizing the allocation of resources in the laboratory and popularizing the model of "one-stop service" for AIDS treatment, HIV/AIDS can be detected, diagnosed and treated early, thus reducing the rate of late detection and mortality.
【作者单位】：南宁市疾病预防控制中心性病艾滋病防制科;
【基金】：广西卫生与计划生育委员会科研课题(Z2015652)
【分类号】：R512.91

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