云南省保山市1998—2019年缅籍HIV感染者/AIDS病人随访管理情况分析

Analysis of follow-up and administration of HIV infection and AIDS patients Burmese in Baoshan,Yunnan,1998—2019

目的分析云南省保山市境内(1998—2019)年新报告的缅籍HIV感染者/AIDS病人(HIV/AIDS)随访管理现状,为政府制订相关防控措施提供科学依据。方法以云南省保山市1998年至2019年底累计发现的1 075例缅籍HIV/AIDS为研究对象,分析该人群在随访管理、CD_4^+T淋巴细胞计数检测和抗病毒治疗(ART)等艾滋病相关管理现况。结果 (1998—2019)年保山市累计报告缅籍HIV/AIDS 1 075例,呈快速上升趋势。当前随访比例为22.3%,CD_4^+检测比例为24.8%,ART比例为8.9%,均低于保山本地HIV/AIDS,差异有统计学意义(P<0.001)。曾经做过1次或以上检查者占44.7%;曾接受过ART的占16.6%,ART脱失率达42.1%,配偶/固定性伴检测率为57.5%,配偶检出阳性率为38.3%。多因素分析发现,性别、治疗情况、样本来源对随访的影响有统计学意义(P<0.05)。结论缅籍HIV/AIDS随访比例、CD_4^+T淋巴细胞计数检测比例以及ART比例均较低,配偶检出阳性率较高,随访管理质量不高,需要进一步加强对该人群的随访并探索有效的管理模式。

Objective To provide evidence for the government to make measures for HIV prevention and control by analyzing the characteristic of follow-up management with HIV infection and AIDS patients in Burmese in Baoshan City of Yunnan Province(1998-2019).Methods A total of 1075 cases of Burmese HIV/AIDS from 1998 to 2019 in Baoshan City were recruited as the subjects of study,and the status of AIDS related management such as follow-up management,CD_4^+T lymphocyte count test and anti viral treatment(ART)were compared and analyzed.Results A total of 1075 cases of Burmese HIV infection and AIDS patients were reported in Baoshan City from 1998 to 2019,that situation showing a rapid upward trend.The current follow-up rate was 22.3%,the detection rate of CD_4^+T lymphocyte count was 24.8%,and the rate of ART was 8.9%.which were significantly lower than that of HIV/AIDS in Baoshan respectively(P<0.001),44.7%had been detected for CD_4^+once or more,16.6%had got ART,Among them,42.1%had lost ART,the detection rate of their spouse/fixed partner was 57.5%,and the positive rate was 38.3%.Multivariate unconditional Logistic regression indicated that gender,treatment status and sample source were main factors associated with follow-up rate(P<0.05).Conclusion The proportion of follow-up,CD_4^+T lymphocyte count test proportion of of Burmese HIV infection and AIDS patients very low,the positive rate of spouse detection is high,the quality of follow-up management is not high,so it is necessary to strengthen the follow-up of this population and explore a more effective follow-up management mode.