四川省合江县2012-2016年晚发现HIV/AIDS病例的特征及影响因素分析

Characteristics and Influencing Factors of Late Detected HIV/AIDS Cases Between 2012 and 2016 in Hejiang County of Sichuan Province

目的了解合江县2012-2016年晚发现艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)病例分布特征并探究其影响因素,为制定防治策略和措施提供科学依据。方法选取2012-2016年艾滋病疫情系统报告的现住址为合江县的HIV/AIDS病例693人进行分析。结果共选取693个HIV/AIDS病例,晚发现比例为40.69%,男性占73.30%(508例),女性占26.69%(185例);平均年龄(53±16)岁(7～100岁);≥50岁病例占59.16%(410例);已婚占32.32%(224例),离异或丧偶占45.59%(316例);初中及以下占86.87%(602例);异性性传播占91.05%(631例);非婚异性接触史占82.54%(572例),其中商业非婚异性接触史占60.32%(418例);来源于医疗机构检测占69.26%(480例)。多因素Logistic回归分析结果显示,年龄、职业、婚姻状况、样本来源、接触史为其影响合江县艾滋病晚发现的主要因素。结论合江县HIV/AIDS病例晚发现比例较高,应主要针对50岁及以上老年人、农民及民工、离异或丧偶的人群加强艾滋病的宣传教育及科学扩大检测,树立尽早主动检测意识。

Objective To explore the distribution characteristics and influencing factors of late detected HIV/AIDS cases between 2012 and 2016 in Hejiang county and to provide evidences for developing AIDS prevention and control strategiesMethods A total of 693 HIV/AIDS cases were selected from the 2012-2016 HIV/AIDS Epidemic System Report with a registered current address of Hejiang countyResults A total of 693 HIV/AIDS cases were selected,and the percentage of late diagnosis was 4069%,including 508（7330%） males and 185（2669%） females,with a mean age of 53±16 years（range,7~100）The patients aged 50 or older accounted for 5916%（410）The married accounted for 3232%（224）,and the divorced or widowed accounted for 4559%（316）; 8687%（602） had educational level of middle school and below; 9105%（631） were infected with HIV through heterosexual transmission; 8254%（572） had the history of non-marital sexual contact,including 6032%（418）of commercial non-marital sexual contactThe detection by medical institutions accounted for 6926%Multivariate logistic regression analysis showed that the factors such as age,occupation,marital status,sample source and contact history were statistically related to late diagnosisConclusionThe proportion of late detected HIV/AIDS is high in Hejiang countyFor those aged 50 or older,farmers,migrant workers,the divorced or the widowed,publicity and education of AIDS should be strengthened and scientific detection should be expanded,to help them raise the awareness of early and active detection.