摘要:
目的 探讨2015年广西新报告HIV感染者/AIDS患者晚发现情况及其影响因素。方法 收集广西2015年新报告HIV感染/AIDS患者CD4+T淋巴细胞首次检测结果数据，并对其进行统计分析。结果 2015年共收集8 586例新报告的HIV感染者/AIDS患者。研究对象首次CD4+T淋巴细胞计数中位数为237.5个/μl，其中CD4+T淋巴细胞计数<200个/μl占43.12%；单因素分析发现，性别、年龄、职业、婚姻状况、文化程度、传播途径、样本来源及地区均为晚发现的影响因素（均有P<0.05）；Logistic多因素分析结果发现，晚发现的危险因素有男性（OR=1.851，95%CI：1.673~2.048），农民、工人、民工（OR=1.387，95%CI：1.242~1.549），初中及以下文化（OR=1.619，95%CI：1.400~1.873），已婚有配偶（OR=1.207，95%CI：1.075~1.354）、离异或丧偶（OR=1.508，95%CI：1.309~1.738）。结论 广西HIV感染者/AIDS患者晚发现疫情较严重，相关部门应加大对艾滋病的宣传力度与筛查力度。
Abstract:
Objective To explore the influencing factors of late diagnosis for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015. Methods The CD4+ T lymphocytes count which was first detection for newly diagnosed HIV/AIDS positive patients in Guangxi during 2015 was collected. Data were statistically analyzed. Results We collected 8 586 newly diagnosed HIV/AIDS whose median CD4+ T lymphocytes counts was 237.5 cells/μl, and 43.12% of them had less than 200 cells/μl. Gender, age, occupation, marriage, nation, education, route of transmission, types of testing and region had effects on late HIV diagnosis(all P<0.05). Logistic analysis found that risk factors associated with the late diagnosis of HIV were male(OR=1.851,95% CI:1.673-2.048), migrant worker (OR=1.387,95% CI:1.242-1.549), education below middle and secondary school(OR=1.619,95% CI:1.400-1.873), currently married(OR=1.207, 95% CI:1.075-1.354), divorced or widowed(OR=1.508,95% CI:1.309-1.738). Voluntary testing was a protective factor. Conclusions The prevalence the late diagnosis of HIV was high in Guangxi in 2015, it is crucial for related departments to enhance the testing and screening effort for HIV/AIDS.
点击查看大图
下载: