Late detection and its impact factors of newly reported HIV/AIDS cases aged≥15 years in Xinxiang of Henan,2013-2022
Objective To analyze the first CD4+T cell count test of newly reported HIV/AIDS cases aged≥15 years in Xinxiang from 2013 to 2022,and understand current situation and influencing factors of late detection HIV/AIDS cases.Methods Data of newly reported HIV/AIDS cards from 2013 to 2022 were collected from the China Disease Prevention and Treatment Information System.The Chi-square test and binary Logistic regression analysis were used to analyze the first CD4+T cell count test and in-fluential factors of late detection.Results A total of 1 858 HIV/AIDS cases received the first CD4+T cell test from 2013 to 2022.The ratio of male to female was 5.54:1,and the average age was(47.59±11.37)years.The total of late detection cases was 421 cases,accounting for 22.66％.Multivariate Binary logistic regression analysis indicated that age was risk factors affecting the risk of late detection;the risk in 30-＜45,45-＜60 and ≥60 years age groups were 2.462 times(95％CI:1.639-3.698),3.076 times(95％CI:1.967-4.811),and 2.398 times(95％CI:1.456-3.947)higher than those in 15-＜30 years age group,respectively;medical institutions were the influencing factors,and the cases reported by CDC,blood stations and apheresis institutions were 0.595 times(95％CI:0.457-0.774)and 0.223 times(95％CI:0.079-0.631)higher than those reported by medical institutions,respectively.The married with spouse and same-sex transmission were the protective factors,and the risk in the married with spouse was 0.669 times(95％CI:0.453-0.990)higher than that in the unmarried,and in the same-sex transmission the risk was 0.731 times(95％CI:0.560-0.955)higher than that in heterosexual transmission.Conclusions The newly reported HIV/AIDS cases aged 15 years and older with older age,being unmarried,heterosexual transmission and being reported by medical institu-tions in Xinxiang city have relatively high risk of late detection.AIDS prevention and treatment knowledge education should be enhanced among ≥30-year-old and unmarried people;HIV testing and counseling provided by medical staff in medical institu-tions should be strengthened to improve the CD4+T cell count test ability and the follow-up management of newly reported cases in Xinxiang.
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