南宁市2015-2019年晚发现HIV/AIDS病例特征及影响因素分析

The Characteristics and Influencing Factors of Late Diagnosis HIV/AIDS Patients in Nanning,from 2015 to 2019

目的了解南宁市2015-2019年新报告的艾滋病病毒(HIV)感染者和艾滋病(AIDS)患者(HIV/AIDS)晚发现情况及影响因素。方法从艾滋病防治基本信息系统中搜集2015年1月-2019年12月南宁市新报告的HIV/AIDS患者相关资料,采用单因素回归分析、χ2检验和多因素Logistic回归分析方法,分析艾滋病晚发现的影响因素。结果2015-2019年南宁市新报告HIV/AIDS病例12165例,其中晚发现病例6047例(49.71%),2015-2019年历年报告的晚发现比例分别为48.18%、50.59%、49.74%、48.44%和51.38%,各年晚发现率差异无统计学意义(P>0.05)。晚发现病例死亡比例(24.63%)高于非晚发现病例死亡比例(5.78%),两组人群病死率差异具有统计学意义(P<0.01)。多因素分析结果显示,性别、年龄、地区类别、职业、婚姻状况、文化程度、感染途径是病例晚发现的影响因素。结论南宁市2015-2019年新报告的HIV/AIDS病例晚发现率较高,应进一步扩大检测,促进艾滋病病例的早发现、早治疗,降低晚发现比例。

Objective To explore the influencing factors of late diagnosis and newly diagnosed HIV/AIDS patients in Nanning from 2015 to 2019.Methods Newly diagnosed HIV/AIDS patients were collected from the National HIV/AIDS Comprehensive Information System from January 2015 to December 2019.The univariate analysis,Chi-square test and Logistic multivariate regression analysis were used.Results A total of 12165 cases of HIV/AIDS were diagnosed in Nanning from 2015 to 2019,6047 cases(49.71%)of which were late diagnosed.The proportions of late diagnosis reported from 2015 to 2019 were 48.18%,50.59%,49.74%,48.44%and 51.38%respectively,there was no statistically significant difference in each year(all P>0.05).The mortality rate of late diagnosis cases(24.63%)was higher than that of non-late diagnosis cases(5.78%),the difference was statistically significant(P<0.01).Multivariate Logistic regression analysis showed that gender,age,region,profession,marriage,educational level and infection route were the influencing factors of late diagnosis.Conclusion The proportion of late diagnosis among newly diagnosed HIV/AIDS patients in Nanning from 2015 to 2019 was high,further detection should be done to promote diagnosis and treatment of HIV/AIDS cases timely.