保山市1989-2016年艾滋病晚发现影响因素非条件Logistic回归分析

Unconditional Logistic Regression Analysis on the Influencing Factors of Delayed Diagnosis of AIDS from 1989 to 2016 in Baoshan City

目的分析保山市艾滋病(AIDS)晚发现的影响因素,为提高艾滋病的早发现率提供理论依据。方法从中国疾病预防控制信息系统选择现住址是保山市的1989-2016年报告的艾滋病病毒感染者/艾滋病病人,对AIDS病例用Excel 2007(12.0.4518.1014)建立数据库,用SPSS19.0软件进行描述性统计、χ~2检验、非条件Logistic回归分析等处理;统计指标包括年龄、性别、婚姻状况等人口学资料的描述性统计、AIDS晚发现的单因素分析和多因素分析。结果截至2016年底,保山市AIDS晚发现病例占22.70%(724/3 190),年龄(37.22±12.80)岁,30~39岁病例占35.08%(254/724);晚发现AIDS中男性(60.36%,437/724)多于女性(39.64%,287/724);农民居多(68.92%,499/724)。非条件Logistic回归分析结果显示,已婚有配偶(OR=0.672,P=0.01,95%CI:0.497~0.908)、样本来源于检测咨询(OR=2.459,P=0.015,95%CI:1.191~5.076)、非婚异性性接触史(OR=2.421,P=0.016,95%CI:1.178~4.973)、异性传播(OR=9.154,P<0.01,95%CI:4.004~20.926)、配偶未检测HIV(结果不详)(OR=1.984,P=0.007,95%CI:1.204~3.27)是AIDS晚发现的影响因素。结论保山市AIDS晚发现的构成比较高,应针对相应影响因素进行健康教育和干预,早发现HIV感染病例。

Objective To analyze the influencing factors of delayed diagnosis of AIDS in Baoshan City. Methods The data of HIV/AIDS case were choiced according to the address in Baoshan City from 1989 to 2016, from the information system of Chinese disease prevention and control. Manage the data of the cases that were found to be in the course of AIDS. The database was created by Excel 2007（12.0.4518.1014）, and data was analyzed by SPSS19.0 software. Analytical Methods include descriptive statistics, χ2 test, and unconditional Logistic regression analysis. Statistical indicators included descriptive statistics of demographic data as age, gender, marital status, and so on,single factor analysis and multivariate analysis of AIDS delayed diagnosis.Results 22.70%（724/3 190）of the AIDS cases were delayed diagnosis, the age was（37.22 ± 12.80）years old, 35.08%（254/724）in 30 ～ 39 years old; men（60.36%, 437/724）were more than women（39.64%, 287/724）; farmers accounted for 68.92%（499/724）. Non-conditional Logistic regression analysis showed that married（OR=0.672, P= 0.01, 95% CI： 0.497～0.908）, the sample comes from the consultation test（OR=2.459, P=0.015,95%CI：1.191～5.076）,non-marital sexual contact history（OR=2.421, P=0.016,95%CI：1.178～4.973）,heterosexual transmission（OR=9.154,P〈0.01,95%CI：4.004～20.926）,the spouse did not detect HIV or the results were unknown（OR=1.984,P=0.007,95%CI：1.204～3.27）were influencing factors of delayed diagnosis of AIDS. Conclusion The constituent ratio of delayed diagnosis of AIDS is relatively high, so it is necessary to enhance health education and intervention to diagnose early discover the HIV infection cases.