2016-2020年河南省许昌市新报告HIV/AIDS病例晚发现情况及影响因素

Late diagnosis and influencing factors of newly reported HIV/AIDS cases in Xuchang,Henan,2016-2020

目的分析2016-2020年许昌市HIV/AIDS病例晚发现情况及其影响因素,为制定早期发现HIV/AIDS措施提供参考依据。方法从中国疾病预防控制信息系统中获得新报告HIV/AIDS病例信息,采用Logistic回归分析,探讨影响HIV/AIDS病例晚发现的相关因素。结果2016-2020年许昌市新发现1621例HIV/AIDS中,晚发现病例有520例,占32.08%。多因素分析显示,年龄、报告地、样本来源与晚发现有关,以<30岁年龄组为参照,30~49岁年龄组OR=2.343,95%CI:1.679~3.269,≥50岁年龄组OR=3.474,95%CI:2.495~4.836;以本地报告为参照,外地报告OR=1.696,95%CI:1.329~2.164;以检测咨询为参照,样本来源为医疗机构检测OR=1.518,95%CI:1.186~1.943。结论2016-2020年许昌市HIV/AIDS晚发现比例仍然较高,加大宣传力度,提高检测服务可及性,促进早检测、早发现、早治疗是今后艾滋病防治工作的重点。

Objective To analyze the base situation and influential factors of late diagnosis among newly identified HIV/AIDS cases in Xuchang city from 2016 to 2020,and to provide reference for the formulation of early detection measures of HIV/AIDS.Methods The information of the newly reported HIV/AIDS cases in Xuchang from 2016 to 2020 were collected from the national basic information system of HIV/AIDS.Univariate and multivariate Logistic regression analyses were applied to analyze factors associated with initiation of late diagnosis.Results Among the 1621 HIV/AIDS cases,the proportion of late diagnosis was32.08%(520/1621).Multivariate analysis showed that age,reporting location and sample source were associated with late diagnosis.The adjusted OR(95%CI)was 2.343(1.679-3.269)for the group aged 30-49 years old and 3.474(2.495-4.836)for the group aged over 50 years old with the group aged under 30 years as the reference,1.696(1.329-2.164)for the group reported outside the local area with the group reported in local as the reference,1.518(1.186-1.943)for the group tested in medical institutions with the group tested with consultation as the reference.Conclusion The proportion of late diagnosis of among newly identified HIV/AIDS cases in Xuchang was relatively high from 2016 to 2020.Increasing publicity,improving the accessibility of testing services and promoting early testing,early diagnosis and early treatment are the focus of AIDS prevention and control in the future.