2014—2021年德宏傣族景颇族自治州新报告中国籍和缅甸籍HIV/AIDS病例晚发现状况及影响因素

Late HIV diagnosis and its correlates among newly reported Chinese and Burmese HIV/AIDS cases in Dehong Dai and Jingpo Autonomous Prefecture from 2014 to 2021

目的了解2014—2021年德宏傣族景颇族自治州(德宏州)新报告中国籍和缅甸籍HIV/AIDS病例晚发现状况及其影响因素。方法通过中国“艾滋病综合防治信息系统”,选择2014—2021年德宏州新报告的全部HIV/AIDS病例进行分析,通过logistic回归模型分析病例晚发现的影响因素。结果2014—2021年新报告中国籍HIV/AIDS病例2586例,晚发现病例763例,平均晚发现比例29.5%;新报告境内缅甸籍HIV/AIDS病例4788例,晚发现病例707例,平均晚发现比例为14.8%。多因素logistic回归分析模型分析结果显示:中国籍HIV/AIDS病例中男性、年龄≥30岁、文盲、经异性传播、发现途径为医疗机构检测发现的病例晚发现风险高于其他组别的感染者(均P<0.05);缅甸籍HIV/AIDS病例中年龄≥30岁、文盲、发现途径为医疗机构检测发现病例晚发现风险高于其他组别的感染者(均P<0.05)。结论德宏州应继续加强各类人群的AIDS防治知识及HIV检测的宣传,促进隐匿高危人群的主动检测,减少病例的晚发现。

Objective To investigate the proportions and correlates of late HIV diagnosis among newly reported Chinese and Burmese HIV/AIDS cases in Dehong Dai and Jingpo Autonomous Prefecture,between 2014 and 2021.Methods Data were derived from China"Comprehensive AIDS Prevention and Control Information System",all newly reported HIV/AIDS cases in Dehong Prefecture from 2014 to 2021 were included.Logistic regression models were used to explore the correlates of late diagnosis.Results Among 2586 and 4788 newly reported Chinese and Burmese HIV/AIDS cases,763 cases(29.5%)and 707 cases(14.8%)were late diagnosis,respectively.In multivariable regression models,male gender,aged over 30 years,illiteracy,heterosexual transmission,and cases reported by medical institutions were positively associated with late HIV diagnosis among Chinese HIV/AIDS cases(all P<0.05),whereas aged over 30 years,illiteracy,and cases reported by medical institutions were positively associated with late HIV diagnosis among Burmese HIV/AIDS cases(all P<0.05).Conclusions Dehong Prefecture should continue to strengthen the awareness of HIV/AIDS prevention,treatment and testing among various types of population and promote the active testing among hidden populations to reduce late HIV diagnosis.