辽宁省2015-2018年新报告HIV/AIDS病例晚发现情况及影响因素分析

Analysis on the Influencing Factors of Late Diagnosis of Newly Identified HIV/AIDS Cases in Liaoning Province,China,2015-2018

目的分析辽宁省2015-2018年新报告艾滋病病毒(HIV)感染者/艾滋病(AIDS)患者(简称HIV/AIDS患者)晚发现情况及其影响因素。方法通过中国艾滋病防治基本信息系统,选择辽宁省2015年1月1日-2018年12月31日期间新报告HIV/AIDS病例,按照目前我国使用的晚发现定义标准,分析病例晚发现情况,并采用多因素Logistic回归分析探索其影响因素。结果辽宁省2015-2018年新报告HIV/AIDS病例11043例,其中晚发现病例3566例,晚发现比例32.29%。多因素回归分析结果显示,≥20岁的各年龄组病例晚发现的风险高于<20岁年龄组病例(OR=1.971~5.149);同性传播(OR=1.693)和异性传播(OR=1.574)的病例晚发现风险高于注射毒品病例;术前及受血(制品)前检测(OR=1.311)、其他就诊者检测(OR=2.874)的病例晚发现风险高于检测咨询病例。结论辽宁省艾滋病晚发现比例较高,需全面推动医疗机构主动提供艾滋病检测咨询工作,扩大对重点人群的宣传教育和检测动员,提高早期发现HIV/AIDS病例的能力。

Objective To analyze the late diagnosis(LD)status and its influencing factors of newly reported HIV/AIDS cases in Liaoning Province from 2015 to 2018.Methods Newly identified HIV/AIDS in Liaoning from 2015 to 2018 were selected from the National HIV/AIDS comprehensive information system.Rates related to LD were stratified according to the demographic indicators.The multivariate logistic regression method was used to analyze the influencing factors of LD.Results A total of 11043 HIV/AIDS cases were reported in Liaoning Province from 2015 to 2018,including 3566 late diagnosed cases.The percentage of late diagnosis was 32.29%.Multivariate logistic regression analysis showed that the risk of late diagnosed cases in group aged over 20 years was higher than that in group<20 years(OR=1.971~5.149).Compared with the injecting drug cases,the cases from homosexual transmission(OR=1.693)and from heterosexual transmission(OR=1.574)had higher risk of late diagnoses;The cases from preoperative and pre-transfusion testing(OR=1.311),examination of the"other patients"(OR=2.874)had higher risk of late diagnoses than counseling testing.Conclusion The proportion of late diagnosis of HIV/AIDS cases in Liaoning is relatively high.Therefore,more efforts are urgently needed to promote PITC in medical institutions and expand HIV counseling and testing targeted key populations,and to promote the early detection of HIV eventually.