钦州市钦南区2011—2015年HIV/AIDS病例检测晚发现影响因素分析

Analysis of factors about late diagnosis of HIV/AIDS cases in Qinnan District, Qinzhou,2011-2015

目的分析钦州市钦南区2011—2015年艾滋病病毒感染者/艾滋病病例检测晚发现的影响因素,为艾滋病防控工作提供科学依据。方法从钦州市钦南区疾病预防控制中心的国家艾滋病综合防治数据信息专报系统,导出2011—2015年HIV/AIDS病例检测数据信息。按照我国使用的晚发现定义标准,分析不同情况下的晚发现比例及影响因素。结果 2011—2015年钦州市钦南区艾滋病病毒感染者/艾滋病病例检测晚发现比例分别为41.6%、42.1%、46.8%、50.0%和45.5%;晚发现比例最高的人群分别是男性（48.4%）、50~59岁组（50.9%）、文盲及小学（46.8%）、离异或丧偶（52.4%）、海员及长途驾驶员（52.6%）。不同性别、年龄、婚姻和职业间晚发现比例的差异均有统计学意义（P〈0.001）;异性传播途径感染病例的晚发现比例为46.7%,明显高于其他传播途径（P〈0.001）;不同样本来源的病例中,其他就诊检测晚发现比例为58.6%,明显高于其他样本来源（P〈0.001）。结论钦州市钦南区艾滋病病毒感染者/艾滋病病例检测晚发现比例高于全国同期水平,影响因素是多方面的综合性的,亟需进一步研究和探索科学的行之有效的健康教育和健康促进的策略,让更多有高危行为的人群自觉早期检测。

Objective To analyze the factors about late diagnosis of HIV/AIDS cases in Qinnan District from 2011 to2015, so as to provide the evidence for improving prevention and control strategies of AIDS. Methods The data of detectionof HIV/AIDS cases in Qinnan District were downloaded from the National Information System for Comprehensive AIDSPrevention and Control. The proportion of late diagnostic HIV/AIDS cases and influencing factors were analyzed according tothe diagnostic criteria of late diagnosis of HIV/AIDS cases. Results The proportions of late diagnostic HIV/AIDS cases from2011 to 2015 were 41.6%, 42.1%, 46.8%, 50.0%, and 45.5%, respectively. The proportions of late diagnostic cases were highamong the man（48.4%）, 50~59 years old group（50.9%）, illiteracy and primary school degree group（46.8%）, divorced orwidowhood group（52.4%）, sailor and long-distance truck driver group（52.6%）. The proportions of late diagnostic HIV/AIDScases among（between） different gender groups, age groups, marriage status groups, and occupation groups had statisticallysignificant differences, respectively（P〈0.001）. The proportion of late diagnostic HIV/AIDS cases infected via heterosexualtransmission was 46.7%, significantly higher than that of other transmission routes（P〈0.001）. The proportion of late diagnosticHIV/AIDS cases who visit doctors because of other diseases was 58.6%, significantly higher than that of other way detection（P〈0.001）. Conclusion The proportion of late diagnostic HIV/AIDS cases in Qinnan District is higher than the national level atthe same time. The influencing factors are comprehensive, and we should explore some scientific and practical health educationstrategies to help high risk population to improve the awareness of early detection.