云南省德宏州2015年新报告缅甸籍HIV感染者晚发现比例及其影响因素

Proportion and influencing factors of delay on HIV diagnosis among newly reported HIV-infected Myanmar patients in Dehong area of Yunnan Province in 2015

目的 了解云南省德宏州2015年新报告缅甸籍HIV感染者晚发现比例及影响因素。方法 通过“艾滋病综合防治信息系统”收集德宏州2015年新报告缅甸籍HIV感染者社会人口学信息、感染途径及其他相关信息。结果 526例新报告缅甸籍HIV感染者中,110例（20.9%）为晚发现病例。多因素Logistic回归分析显示,与25岁以下年龄组相比,25~34岁（OR=2.72,95%CI：1.33~5.56,P=0.006）以及≥35岁（OR=4.93,95%CI：2.29~10.63,P〈0.001）年龄组晚发现比例较高;与羁押人员相比,由医疗机构（OR=3.15,95%CI：1.48~6.71,P=0.003）和自愿咨询检测门诊（OR=5.48,95%CI：2.66~11.31,P〈0.001）以及阳性者配偶或性伴送检（OR=3.08,95%CI：1.47~6.44,P=0.003）检测发现的感染者中晚发现比例较高。结论 德宏州2015年新报告缅甸籍HIV感染者晚发现比例较高,德宏州艾滋病防治机构需加强对缅甸籍人群的主动检测,以尽早发现HIV感染者并进行抗病毒治疗。

Objective To investigate the proportion and influencing factors of delay on HIV diagnosis among newly reported HIV-infected Myanmar patients in Dehong area of Yunnan Province in 2015. Methods Sociodemographic characteristics, routes of infection and other information of interest for newly reported HIV/AIDS Myanmar patients in Dehong area were collected through the National Information System for Comprehensive AIDS Prevention and Control. Results Among 526 patients, 110（20. 9% ） were subject to late HIV diagnosis. Muhivariable Logistic regression analysis showed that patients aged 25-34 （OR = 2. 72, 95% CI： 1.33-5.56, P = 0. 006） or ≥ 35 years old （OR = 4. 93, 95% CI： 2. 29-10. 63, P 〈 0. 001 ） were more likely to be diagnosed later than those age 〈 25 years old. Patients from medical institutions （ OR = 3. 15, 95% CI： 1.48-6. 71, P = 0. 003）, voluntary counseling and testing clinics （ OR = 5.48, 95% CI： 2. 66-11. 31, P 〈0. 001 ） and those spouses or sex partners with positive HIV（ OR = 3.08,95% CI： 1.47-6.44 ,P = 0. 003 ） had higher proportion of delayed diagnosis compared with detained people. Conclusions The proportion of delayed diagnosis among newly reported HIV-infected Myanmar patients in Dehong area is relatively high in 2015. HIV testing should be scaled up among Myanmar people so as to detect HIV infection early and provide antiviral therapy in time.