云南省大理白族自治州2012-2018年HIV/AIDS病例晚发现率及影响因素分析

Delayed HIV/AIDS diagnosis in Dali Bai Autonomous Prefecture from 2012 to 2018 and its influencing factors

目的分析云南省大理白族自治州(以下简称"大理州")近几年新报告HIV/AIDS病例晚发现率及影响因素。方法选取现住址为大理州的2012-2018年HIV/AIDS病例4648例,分析晚发现率及影响因素。结果2012-2018年大理州HIV/AIDS病例晚发现率为31.56%,log-binomial回归分析结果显示:男性(PR=1.18,95%CI:1.07~1.30)高于女性,30岁以上病例高于30岁以下各组病例,汉族(PR=1.13,95%CI:1.02~1.25)高于白族,注射吸毒传播(PR=1.28,95%CI:1.13~1.46)高于异性传播,样本来源为医疗机构(PR=1.15,95%CI:1.02~1.30)高于检测咨询。结论针对大理州HIV/AIDS晚发现的情况,应扩大检测并加强艾滋病主动检测的宣传教育。

Objective To investigate the prevalence of delayed HIV/AIDS diagnosis in Dali from 2012 to 2018 and its influencing factors.Methods Totally 4648 HIV/AIDS cases whose current address was Dali were selected to analyze the prevalence of delayed diagnosis and its influencing factors.Results The prevalence rate of late HIV/AIDS diagnosis in Dali from 2012 to 2018 was 31.56%.Log-binomial regression analysis showed that delayed diagnosis rate was higher in male(PR=1.18,95%CI:1.07-1.30)than in female,higher in over 30 years old group than in other groups below 30 years old,higher in Han nationality(PR=1.13,95%CI:1.02-1.25)than in Bai nationality,higher in injection drug transmission(PR=1.28,95%CI:1.13-1.46)than in heterosexual transmission,higher in medical institutions(PR=1.15,95%CI:1.02-1.30)was higher than in voluntany counselling and testing.Conclusion It is necessary to expand the scope of testing and strengthen the education of HIV active testing.