2015年广西壮族自治区新报告HIV感染者/AIDS患者晚发现的影响因素

Analysis on influencing factors of late detection for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015

目的探讨2015年广西新报告HIV感染者/AIDS患者晚发现情况及其影响因素。方法收集广西2015年新报告HIV感染/AIDS患者CD4^+T淋巴细胞首次检测结果数据,并对其进行统计分析。结果 2015年共收集8 586例新报告的HIV感染者/AIDS患者。研究对象首次CD4^+T淋巴细胞计数中位数为237.5个/μl,其中CD4^+T淋巴细胞计数<200个/μl占43.12%;单因素分析发现,性别、年龄、职业、婚姻状况、文化程度、传播途径、样本来源及地区均为晚发现的影响因素(均有P<0.05);Logistic多因素分析结果发现,晚发现的危险因素有男性(OR=1.851,95%CI:1.673~2.048),农民、工人、民工(OR=1.387,95%CI:1.242~1.549),初中及以下文化(OR=1.619,95%CI:1.400~1.873),已婚有配偶(OR=1.207,95%CI:1.075~1.354)、离异或丧偶(OR=1.508,95%CI:1.309~1.738)。结论广西HIV感染者/AIDS患者晚发现疫情较严重,相关部门应加大对艾滋病的宣传力度与筛查力度。

Objective To explore the influencing factors of late diagnosis for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015.Methods The CD4 ＋ T lymphocytes count which was first detection for newly diagnosed HIV/AIDS positive patients in Guangxi during 2015 was collected.Data were statistically analyzed.Results We collected 8 586 newly diagnosed HIV/AIDS whose median CD4＋ T lymphocytes counts was 237.5 cells/μl,and 43.12% of them had less than 200 cells/μl.Gender,age,occupation,marriage,nation,education,route of transmission,types of testing and region had effects on late HIV diagnosis（all P 〈 0.05）.Logistic analysis found that risk factors associated with the late diagnosis of HIV were male（OR =1.851,95% CI：1.673-2.048）,migrant worker （OR =1.387,95% CI：1.242-1.549）,education below middle and secondary school（OR =1.619,95% CI：1.400-1.873）,currently married（OR =1.207,95% CI：1.075-1.354）,divorced or widowed（OR =1.508,95% CI：1.309-1.738）.Voluntary testing was a protective factor.Conclusions The prevalence the late diagnosis of HIV was high in Guangxi in 2015,it is crucial for related departments to enhance the testing and screening effort for HIV/AIDS.