1995-2013年曲靖市HIV感染者发展为AIDS影响因素分析

发布时间：2019-01-30 11:15

【摘要】：目的分析HIV感染者发展为AIDS患者的影响因素。方法从中国疾病预防控制信息系统艾滋病综合防治信息系统下载1995-2013年历史卡片,使用Excel建立数据库,并使用SPSS19.0进行数据处理和统计分析。结果 1995-2013年共有2 187例HIV感染者发展为AIDS患者,转换率为43.71%(2 187/5 003),平均转变时间为(2.132±0.843年);非条件Logistic回归分析显示,有性传播疾病史(OR=1.588,P=0.003,95%CI:1.174~2.149)、注射毒品感染(OR=1.719,P=0.001,95%CI:1.593~3.871)、配偶检测HIV(+)(OR=1.393,P㩳0.001,95%CI:1.176~1.650)这三个因素是HIV进展为AIDS的危险因素(OR㧐1);21~30岁(OR=0.179,P=0.014,95%CI:0.045~0.706)、样本来源检测咨询(OR=0.674,P=0.037,95%CI:0465~0.977)、随访(OR=0.302,P㩳0.001,95%CI:0.207~0.439)这三个因素是HIV进展为AIDS的保护因素(OR㩳1)。结论有性病史、注射毒品感染和配偶HIV(+)的HIV感染者更容易发展为艾滋病患者,青壮年、咨询检测和定期随访是延缓病程发展的因素。
[Abstract]:Objective to analyze the influencing factors of HIV infection in patients with AIDS. Methods the history card from 1995 to 2013 was downloaded from China Disease Control and Prevention Information system, and the database was established with Excel. The data were processed and analyzed by SPSS19.0. Results from 1995 to 2013, a total of 2 187 patients with HIV infection developed into AIDS. The conversion rate was 43.71% (2 1877 / 5 003), and the mean transition time was (2.132 卤0.843) years. Non-conditional Logistic regression analysis showed a history of sexually transmitted diseases (OR=1.588,P=0.003,95%CI:1.174~2.149), injecting drug infections (OR=1.719,P=0.001,95%CI:1.593~3.871), and spouse testing for HIV () (OR=1.393,. These three factors are the risk factors (OR?1) of HIV progression to AIDS; 21 to 30 years old (OR=0.179,P=0.014,95%CI:0.045~0.706), sample source testing consultation (OR=0.674,P=0.037,95%CI:0465~0.977), follow up (OR=0.302,) These three factors are the protective factors (OR?1) of HIV progression to AIDS. Conclusion with sexual history, HIV infected with injecting drug and spouse HIV () are more likely to develop into AIDS patients. Young adults, counseling and regular follow-up are the factors that delay the development of the disease.
【作者单位】：曲靖市疾病预防控制中心性病艾滋病科;
【分类号】：R512.91

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