2008-2014年中国艾滋病病毒感染者和艾滋病患者随访管理进展

The improvement of follow-up services for people living with HIV/AIDS in China from 2008 to 2014

目的 了解2008-2014年我国艾滋病病毒感染者/艾滋病患者（HIV/AIDS）随访管理工作进展.方法 采用随访干预、CD4＋T淋巴细胞（CD4）检测和配偶/固定性伴HIV抗体检测3个指标分析随访管理工作进展,利用艾滋病综合防治数据信息系统中2008-2014年数据库,分析指标变化情况.结果 全国HIV/AIDS的随访干预率由2008年的55.7％上升到2014年的94.7％,CD4检测率由2008年的48.4％上升到2014年的88.3％,配偶/固定性伴HIV抗体检测率由2008年的48.3％上升到2014年的91.1％.3项指标均逐年增长,经趋势x2检验均有统计学意义（随访干预：x2=180 466.733,P＜0.01;CD4：x2=35 982.374,P＜0.01;配偶检测：x2=43 108.270,P＜0.01）.注射吸毒途径HIV/AIDS随访干预率和配偶检测率较低,监管场所HIV/AIDS的3项指标均较低,感染途径不详者3项指标最低.结论 我国HIV/AIDS随访管理指标显著提高,HIV/AIDS得到有效随访管理服务.今后要加强注射吸毒途径感染以及监管场所HIV/AIDS的随访管理工作,首诊时加强个人信息的收集.

Objective This article endeavors to describe the key indicators of follow-up services for people living with HIV/AIDS （PLWHA） in China from 2008 to 2014.Methods All data were extracted from the National Comprehensive HIV/AIDS database and cleaned,based on three key indicators （proportion of follow-up of PLWHA,CD4 testing of PLWHA and HIV antibody testing of PLWHA＇ s spouse or partner） defined and developed by the National Center for AIDS/STD Control and Prevention for case management.Both key indicators were analyzed and comparisons were performed annually from 2008 through 2014.Results The proportion of follow-up of PLWHA increased from 55.7% to 94.7% and the proportion ofPLWHA＇s CD4 testing increased from 48.4% to 88.3%.The proportion of HIV antibody testing among PLWHA＇ s spouse or partner increased from 48.3% to 91.1%,during this period.The three indicators showed an yearly significant increase （intervention：x2 =180 466.733,P〈 0.01;CD4：x2 =35 982.374,P〈 0.01;partner testing：x2 =43108.270,P〈0.01）.PLWHA with a history of injecting drug use （IDU）,incarceration,as well as unknown infection route appeared significant lower proportion through the follow-up services.Conclusion Both follow-up services and the chosen key indicators set for PLWHA showed dramatic improvement but called for further reinforcement.Information that had been collected from cases when initial diagnosis was made,appeared vital during the follow-up services.