潍坊市HIV/AIDS患者首次随访后本市内跨县级流动情况及其对随访质量的影响分析

Status of intra-city cross-county mobility and its impacts on the quality of follow-up among HIV/AIDS patients after the first follow-up in Weifang City

目的分析山东省潍坊市HIV/AIDS患者首次随访后的潍坊市内跨县级流动情况,了解其流动特征及其对随访检测及抗病毒治疗的影响。方法收集2015—2020年潍坊市新报告HIV/AIDS患者的人口学特征、流动情况和随访、治疗等信息。采用χ^(2)检验和logistic回归分析首次随访后市内跨县级流动对随访质量的影响。结果首次随访后发生市内跨县级流动的HIV/AIDS患者占42.9%(457/1065)。高中或中专(49.1%)、职业为家政家务及待业(54.7%)、样本来源于无偿献血检测(76.5%)、通过同性性行为感染(46.8%)、首次随访为非户籍地(65.2%)的HIV/AIDS患者市内跨县级流动比例较高。担心个人信息暴露(81.1%)和寻求更好的医疗卫生服务(83.1%)是HIV/AIDS患者发生市内跨县级流动的主要原因。首次随访后未发生市内跨县级流动的HIV/AIDS患者更容易接受CD4^(+)T淋巴细胞检测(OR=1.80,95%CI:1.18~2.75)和配偶/固定性伴检测(OR=2.78,95%CI:1.73~4.47)。结论HIV/AIDS患者首次随访后市内跨县级流动影响其后续随访检测,需要进一步关注流动人口中HIV/AIDS患者的发现和管理,确保后续随访连续性。

Objective To analyze the status of incity cross-county mobility in HIV/AIDS patients after the first follow-up in Weifang City,Shandong Province,and to understand their movement characteristics and their impacts on follow-up testing and antiretroviral therapy(ART).Methods We collected the demographic characteristics,movement status,follow-up and treatment information of newly reported HIV/AIDS patients in Weifang City from 2015 to 2020.χ^(2)test and logistic regression were used to analyze the impacts of intra-city cross-county mobility on the quality of follow-up after the first follow-up.Results HIV/AIDS patients with incity cross-county movement after the first follow-up accounted for 42.9%(457/1,065).Higher proportions of incity cross-county movement were found in HIV/AIDS patients with education level of high school or technical secondary school(49.1%),those with housekeeping and being unemployed as occupation(54.7%),those diagnosed in voluntary blood donation detection(76.5%),those infected through homosexual behavior(46.8%)and those experienced the first follow-up in the non-household registration place(65.2%).Worrying about personal information leakage(81.1%)and seeking for better medical services(83.1%)were the main reasons for occurrence of incity cross-county movement in HIV/AIDS patients.HIV/AIDS patients without incity cross-county movement after the first follow-up were more likely to undergo CD4^(+)T cells detection(OR=1.80,95%CI:1.18-2.75)and accept spouses’/fixed sexual partners’HIV antibody detection(OR=2.78,95%CI:1.73-4.47).Conclusion HIV/AIDS patients’incity cross-county movement after the first follow-up affects their follow-up testing.Further attention needs to be paid to the discovery and management of HIV/AIDS patients in floating population so as to ensure the continuity of subsequent follow-up.