四川省遂宁市新报告的艾滋病病毒感染者及艾滋病患者晚发现情况分析

Analysis of late detection of newly reported human immunodeficiency virus infected people and acquired immune deficiency syndrome patients in Suining City of Sichuan Province

目的分析四川省遂宁市新报告的艾滋病病毒(HIV)感染者及艾滋病(AIDS)患者的晚发现情况。方法从中国疾病预防控制信息系统中筛选2019年四川省遂宁市新报告的HIV感染者及AIDS患者,根据目前中国晚发现定义标准,计算不同人口学特征的晚发现患者比率。结果 2019年,四川省遂宁市新报告的HIV感染者及AIDS患者共1 251例,其中晚发现497例。男性晚发现率高于女性;45岁及以上患者晚发现率高于45岁以下者;大专及以上文化程度患者晚发现率低于高中及以下者;农民、民工、工人职业晚发现率高于其他职业,异性传播晚发现率高于其他传播途径,医院来源检测样本晚发现率高于其他样本来源。患者性别、年龄、文化程度、职业、传播途径和样本来源是晚发现率的影响因素(P <0.05),但婚姻状况和地区分布对晚发现率无显著影响(P> 0.05)。结论四川省遂宁市2019年新报告的HIV感染者及AIDS患者总体晚发现率较高,晚发现与性别、年龄、文化程度、职业、传播途径和样本来源等因素有关。

Objective To analyze the late detection of newly reported human immunodeficiency virus( HIV) infected people and acquired immune deficiency syndrome( AIDS) patients in Suining City of Sichuan Province. Methods The newly reported HIV infected and AIDS cases in Suining City of Sichuan Province from Chinese Disease Prevention and Control Information system were screened out,ratios of late detection patients with different demographic characteristics according to the current definition standard of late detection used in China were calculated. Results There were 1 251 newly reported HIV infected people and AIDS patients in Suining City of Sichuan Province in 2019,among whom 497 cases were found to be late discovered. The late detection rates of males and patients aged45 years and above were higher than those of females and aged below 45 years,respectively;the late detection rate of patients with education background of college and above was lower than those with education level of high school and below;farmers,migrant workers and workers had higher late detection rate than the other occupations;heterosexual transmission had higher late detection rate than the other transmission methods;hospital-derived test samples had higher late detection rate than the other sample sources. Gender,age,education level,occupation,transmission route and sample source were influencing factors of late detection rate( P < 0. 05),and marriage status and regional distribution has little effect on the late discovery rate( P > 0. 05). Conclusion The overall late detection rates of newly reported HIV infected and AIDS cases in Suining City of Sichuan Province in 2019 are relatively high.Late detection is related to factors such as gender,age,education,occupation,transmission route and sample source.