2011-2020年河南省三门峡市HIV/AIDS病例晚发现情况及影响因素

Late diagnosis of HIV/AIDS cases and its influencing factors in Sanmenxia,Henan,2011-2020

目的分析2011-2020年三门峡市新报告艾滋病病毒感染者及艾滋病(HIV/AIDS)病例晚发现情况及影响因素,为制定三门峡市HIV/AIDS病例的早发现措施提供参考依据。方法通过全民健康保障疾控信息系统下载2011-2020年三门峡市HIV/AIDS病例信息,按照中国疾病预防控制中心(CDC)制定的晚发现定义,计算晚发现情况,并利用二分类Logistic回归分析其影响因素。结果2011-2020年,三门峡市新报告HIV/AIDS病例1040例,其中晚发现382例,晚发现比例为36.8%,各年晚发现比例分别为50.7%、53.1%、48.2%、35.8%、31.2%、34.9%、30.8%、31.5%、32.5%和39.9%,呈下降趋势(χ_(趋势)^(2)=7.319,P=0.007)。单因素分析发现,报告单位、年龄、职业、婚姻状况、文化程度、感染途径、样本来源的晚发现比例差异有统计学意义(P<0.05);多因素分析发现,医疗机构报告、异性性传播、样本来源为医疗机构和检测咨询、≥45岁年龄组人群晚发现比例高。结论2011-2020年三门峡市HIV/AIDS病例晚发现比例较高,呈逐年下降趋势,今后应继续加强扩大检测策略,鼓励医疗机构多开展主动监测,同时加强对重点人群的宣传和检测以降低晚发现比例。

Objective To analyze the late diagnosis of newly reported HIV/AIDS cases in Sanmenxia from 2011 to 2020 and its influencing factors,and to provide reference for further developing measures to improve the early detection of HIV cases in Sanmenxia.Methods The annual history cards of Sanmenxia from 2011 to 2020 were downloaded through the national health insurance disease control information system.According to the definition of late diagnosis of newly reported HIV/AIDS made by the Chinese Center for Disease Control and Prevention,the late diagnosis of newly reported HIV/AIDS situation was calculated,and the influencing factors were analyzed by binary Logistic regression.Results Among the 1040 newly discovered HIV/AIDS cases in Sanmenxia from 2011 to 2020,382 cases were late diagnosed,accounting for 36.8%.The rates of late diagnosed were50.7%,53.1%,48.2%,35.8%,31.2%,34.9%,30.8%,31.5%,32.5% and 39.9%,respectively.The univariate analysis showed that there were significant differences in the late diagnosis of HIV/AIDS cases of different reporting institution,age,occupation,marital status,education level,route of infection,sources of sample(P<0.05).Multivariate analysis found higher rates of late diagnosis of newly reported HIV/AIDS in health care reporting,heterosexual transmission,samples collected from medical institutions and testing consultants,and age groups older than 45 years.Conclusion The proportion of late diagnosis of newly reported HIV/AIDS in Sanmenxia city is high and shows a decreasing trend year by year.In the future,we should continue to strengthen the expansion of detection strategy,encourage medical institutions to carry out more active monitoring,and pay attention to the intervention detection of key population to reduce the proportion of late diagnosis.