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

发布时间：2018-06-03 06:24

本文选题：艾滋病病毒 + 危险因素　；参考：《中华疾病控制杂志》2015年10期

【摘要】：目的了解云南省德宏州艾滋病病毒(human immunodeficiency virus,HIV)感染者晚发现率及其影响因素。方法下载"艾滋病综合防治信息系统"2007年1月~2013年12月的历史卡片,将新报告即为艾滋病病人(CD4~+T淋巴细胞200/mm~3或临床症状诊断为艾滋病病人)且既往从未报告过的患者或当年新报告HIV感染者并且当年即转为艾滋病病人定义为发现晚。现住址为德宏州的HIV感染者和艾滋病病人6 785例,剔除确诊HIV感染三个月内未进行CD4~+T淋巴细胞计数检测者1164例(17.1%)信息不完全29例,共纳入研究对象5 592例。结果5 592例研究对象平均年龄(35.6±12.1)岁,男性占62.4%;初中及以下占91.7%;农民占75.4%;异性传播(78.7%)为主。2007年德宏州HIV感染者的晚发现率为46.4%,2013年为33.8%,卡方检验差异有统计学意义(χ~2_(趋势)=34.92,P0.001)。多因素Logistic回归分析显示,男性50岁以上年龄组,经异性传播,性病门诊来源病例晚发现率高于其他组别的感染者。结论德宏州2007-2013年新报告HIV感染者的晚发现率呈现逐年下降趋势,但仍维持在较高水平,应加强重点人群宣传教育,扩大检测,提高感染者的早发现能力。
[Abstract]:Objective to investigate the late detection rate and its influencing factors of HIV / immunodeficiency infection in Dehong Prefecture, Yunnan Province. Methods the history card from January 2007 to December 2013 was downloaded from the Integrated AIDS Prevention and treatment Information system. The new report was defined as 200/mm~3 of CD4- T lymphocytes or clinical symptoms of AIDS patients, which had never been reported before, or newly reported HIV infection in those years and then turned to AIDS patients, which was defined as late discovery. The present address is 6 785 cases of HIV infection and AIDS patients in Dehong state. 1164 cases without CD4 ~ T lymphocyte count examination within 3 months after HIV infection were excluded, 29 cases with incomplete information, 5 592 cases were included in the study. Results the average age of 5592 subjects was 35.6 卤12.1 years old, male accounted for 62.4%, junior middle school and lower 91.7%, farmers 75.4% and heterosexual transmission 78.7%. In 2007, the late detection rate of HIV infection in Dehong was 46.4%, and that in 2013 was 33.8.The chi-square test showed significant difference (蠂 2). Multivariate Logistic regression analysis showed that the rate of late detection of STD outpatient cases in males over 50 years old was higher than that in other groups. Conclusion the late detection rate of HIV infection in Dehong from 2007 to 2013 is decreasing year by year, but it is still at a high level. It is necessary to strengthen the propaganda and education of the key population, expand the detection, and improve the ability of early detection of HIV infection.
【作者单位】：德宏州疾病预防控制中心性病防治科;复旦大学公共卫生学院流行病学教研室、公共卫生安全教育部重点实验室;
【基金】：“十二五”国家科技重大专项(2011zx10004-903) 国家重点地区艾滋病防治项目(2004年)
【分类号】：R512.91

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