四川省男男性行为HIV感染者随访检测影响因素分析

Analysis on the Influencing Factors of Follow-up Detection of HIV-infected Men Who Have Sex with Men in Sichuan Province

目的了解四川省男男性行为HIV感染者随访检测情况,并分析其相关影响因素。方法数据来源于艾滋病综合防治信息系统中截止2018-12-31四川省病例报告历史卡片,利用卡方检验、二元Logistic回归等方法进行分析。结果2018年,四川省男男性行为感染者的随访检测率为94.06%(14548/15466)。单因素结果显示年龄、婚姻状况、职业、疾病名称、诊断时间、地区类别、样本来源、是否接受抗病毒治疗、是否始终羁押等9种因素与是否完成随访检测有统计学关联(P<0.05)。多因素分析显示,诊断时间在2005年之后是随访检测的保护因素(OR<1);婚姻状况为未婚、本省其他地市、其他省、未接受抗病毒治疗是随访检测的危险因素(OR>1)。结论未婚、本省其他地市、其他省、未接受抗病毒治疗的感染者完成随访检测的比例较低,在今后的随访工作中,要根据不同人群的特点采取针对性措施,加强随访依从性教育,保证后续随访工作顺利开展。

Objective To understand the follow-up detection of HIV-infected men who have sex with men(MSM)in Sichuan province,so as to analyze the relevant influencing factors.Methods The data were obtained from the history cards of the reported cases in National HIV/AIDS Comprehensive Response Information Management System by the end of December 31 st,2018.Chi-square test and binary logistic regression analysis were performed.Results The follow-up detection rate of HIVinfected MSM was 94.06%(14548/15466)in 2018.Univariate analysis showed that age,marital status,occupation,disease type,diagnosis time,regional type,sample source,whether to receive antiviral treatment,whether to remain in custody and other 9 factors were statistically correlated with the completion of follow-up detection(P<0.05).Multivariate analysis showed the time of diagnosis after 2005 was the protective factor of follow-up detection(OR<1).Unmarried marital status,living in other cities of Sichuan Province,living in other provinces,and receive no antiviral treatment were the risk factors for follow-up detection(OR>1).Conclusion The HIV-infected MSM who were unmarried,living in other cities of Sichuan province or other provinces,receiving no antiviral treatment were more likely to not complete the follow-up detection.Targeted measures should be taken according to the characteristics of different populations,and follow-up compliance education should be strengthened to ensure the follow-up work to carry out smoothly.