云南省德宏州艾滋病病毒感染者中早发现率及其影响因素研究

Prevalence and correlates of earlier diagnosis of HIV infection in Dehong Prefecture,Yunnan Province

目的了解云南省德宏州HIV感染者早发现率及其影响因素。方法利用艾滋病综合防治信息系统,对2009年1月～2010年6月期间德宏州新报告的HIV感染病例进行分析。结果多因素Logistic回归分析显示,外地或外籍、景颇族和已婚的HIV感染者中早发现率显著低于本地、汉族和未婚的HIV感染者;而20～29岁年龄组HIV感染者中早发现率较50岁以上者高;经由自愿咨询检测、戒毒所人员检测、婚前检查、孕产期检查发现的HIV感染者中早发现率均较医院就诊检测的早发现率高。结论德宏州HIV感染者中早发现率较低,必须继续推进在自愿咨询检测门诊、戒毒所、婚前体检和孕产妇体检中全面开展HIV检测工作,重点加强对外地或外籍、景颇族和已婚人群的HIV检测监测工作。

Objective To examine prevalence and correlates of earlier diagnosis of HIV infection in Dehong Prefecture of Yunnan Province.Methods Through the National Information System for Comprehensive AIDS Prevention and Control,all newly reported HIV cases during January,2009 to June,2010 in Dehong Prefecture of Yunnan Province were included for the present analysis.Results Multiple Logistic regression analysis indicated that HIV cases who were migrants or foreigners,ethnic Jingpo and married were less likely to be early diagnosed with HIV than those who were local residents,ethnic Han or single,whereas HIV cases who were aged 20-29 years or diagnosed through voluntary counseling and testing（VCT）,testing at detention centers for drug users,premarital examinations,and antenatal examinations were more likely to be early diagnosed with HIV.Conclusions The prevalence of early diagnosis of HIV infection in Dehong Prefecture was relatively low.This underscores the importance of continuous efforts for promotion of HIV testing at VCT sites,detention centers,premarital and antenatal examinations,and in particular much more efforts for promotion of HIV testing and surveillance among migrants,foreigner,Jingpo ethnic minorities and married people.