2017年贵州省新报告HIV/AIDS病例晚发现比例及其影响因素

Late diagnosis and the influencing factors of newly reported HIV/AIDS in Guizhou province,2017

目的了解2017年贵州省新报告艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)晚发现比例及其影响因素。方法通过"艾滋病综合防治信息系统",按照报告地下载2017年1月1日至12月31日期间,贵州省新报告的全部HIV/AIDS病例进行分析。结果2017年贵州省新报告HIV/AIDS病人共7843例,平均年龄(48.27±16.85)岁,其中男性占70.3%;本省户籍占95.2%;初中及以下文化程度占84.0%;汉族占70.0%;农民与农民工占64.7%;异性性传播占90.6%;医疗机构检测发现占71.5%。病例的晚发现比例为39.7%(3117/7843),多因素Logistic回归分析发现,女性、<25岁年龄组、外省户籍、已婚有配偶、服务业人员、检测咨询及羁押人员检测来源病例晚发现比例较低。结论2017年贵州省晚发现比例较高。继续加强全人群艾滋病的宣传教育,提高人群的HIV主动检测意识;积极推动医疗与疾病预防控制机构艾滋病主动检测咨询工作,提升病例的尽早发现水平对贵州省降低艾滋病的晚发现比例具有重要的意义。

Objective To understand the late diagnosis and its influencing factors of newly reported HIV/AIDS in Guizhou province,2017.Methods Data were collected through the National Information System for Comprehensive AIDS Prevention and Control,and all newly reported HIV/AIDS cases during Jan 1-Dec 31,2017 in Guizhou province were analyzed.Results In 2017,out of total 7843 HIV/AIDS cases reported,the average age was 48.27+16.85 years old,with 70.3%males,95.2%local residents,84.0%receiving the education of junior high schools and below,70.0%HAN ethnic,64.7%farmers,90.6%infected via heterosexual transmission,and 71.5%blood samples collected from hospitals.The proportion of HIV/AIDS late diagnosis was 39.74%(3117/7843).Multiple logistic regression analysis showed that those of females,the age group<25 years old,provincial household registration,being divorced or widowed,unmarried,the blood samples collected from VCT clinics or prisons were more likely to have early diagnosis.Conclusion The HIV/AIDS late diagnosis rate in Guizhou province in 2017 is higher.It is of great significance to continue to strengthen the health publicity and education for the whole population in Guizhou,in order to improve the awareness of HIV early detection,and to promote the active detection both in hospital and CDC.