瑞丽市外籍艾滋病病毒感染者和病人服务现状与需求调查

发布时间：2018-06-18 16:35

本文选题：艾滋病 + 外籍　；参考：《现代预防医学》2015年03期

【摘要】：目的了解云南瑞丽外籍艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病例)的服务现状和需求,为探索外籍HIV/AIDS病例的有效服务模式提供科学依据。方法网络直报与现场调查结合,通过"艾滋病综合防治信息系统"网络数据比较瑞丽中、外HIV/AIDS病例获得相关服务情况,现场调查采取固定场所连续抽样法调查2013年10-12月瑞丽市所有发现单位发现的所有外籍HIV/AIDS病例,访谈服务人员和HIV/AIDS病例。数据用SPSS15.0进行分析,统计推断采用χ2检验,以P0.01为差异有统计学意义。结果共调查151例,其中获得HIV抗体检测结果告知、随访、获得表达CD4分子的辅助性T淋巴细胞(CD4+T Lymphocyte,CD4)检测、高效联合抗逆转录病毒治疗(Highly Active Antiretrovival Therapy,HAART)、结核病检查、民政救助比例分别为91.4%(138/151)、37.7%(57/151)、74.8%(113/151)、55.0%(83/151)、12.8%(19/151)、6.6%(10/151),在缅甸获得相关服务较在中国均低,差异有统计学意义(P0.01)。外籍HIV/AIDS病例对各项服务需求迫切(64.9%~88.7%),68例未获得HARRT服务的HIV/AIDS病例中51例想治疗。网络直报结果显示,境内获得相关服务外籍较中国HIV/AIDS病例均低,差异有统计学意义(P0.01)。结论随着越来越多的外籍HIV/AIDS病例涌入中国,艾滋病综合服务供需矛盾突显。外籍HIV/AIDS病例进入中国后获得了比在缅甸更多的服务,但仍比境内中国HIV/AIDS病例低,提供综合服务符合外籍HIV/AIDS病例需求。
[Abstract]:Objective to investigate the service status and demand of HIV / AIDS patients (HIV / AIDS cases) in Ruili, Yunnan Province, so as to provide a scientific basis for exploring the effective service model of foreign HIV / AIDS cases. Methods combined with direct online report and field investigation, the related services of HIV / AIDS cases were compared with those of HIV / AIDS cases in Ruili, China, and other HIV / AIDS cases through the "Integrated AIDS Prevention and Control Information system" network data. The field investigation was carried out by using a fixed place continuous sampling method to investigate all foreign HIV / AIDS cases, interview service personnel and HIV / AIDS cases found by all the discovery units in Ruili City from October to December 2013. SPSS 15.0 was used to analyze the data and 蠂 2 test was used for statistical inference. The difference was statistically significant with P0.01. Results A total of 151 patients were investigated, among whom HIV antibody test results were obtained. Following up, CD4 T lymphocyte T ymphocyte CD4) was detected, high effective combined with antiretrovirals was used to treat high Active Antiretrovival Therapyne HAART, and tuberculosis was detected. The proportion of civil assistance was 91.4 / 138 / 151 / 37.70.57 / 151 / 74.8and 113.3 / 151respectively, 55.0 / 151/ 12.8 / 151respectively. In Myanmar, access to related services was lower than that in China (P 0.01), and there was a statistically significant difference in terms of access to relevant services in Myanmar than in China. Among 68 HIV / AIDS cases without HARRT services, 51 of 68 HIV / AIDS cases without HARRT service need to be treated. The results of direct online report showed that the number of foreign nationals receiving related services in China was lower than that of HIV / AIDS cases in China, and the difference was statistically significant (P 0.01). Conclusion with more and more foreign HIV / AIDS cases pouring into China, the contradiction between supply and demand of HIV / AIDS comprehensive services is obvious. Foreign HIV / AIDS cases have received more services than in Myanmar after entering China, but they are still lower than those in China, and the provision of comprehensive services meets the needs of foreign HIV / AIDS cases.
【作者单位】：云南省疾病预防控制中心;德宏州瑞丽市疾病预防控制中心;
【基金】：2013年云南省艾滋病防治创新项目(2013007)
【分类号】：R512.91

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