Late detection of new HIV/AIDS cases in Qinghai Province from 2017-2022 and its influencing factors
Objective To analyze the late detection status of newly reported cases of human immunodeficiency virus/acquired immune deficiency syndrome(HIV/AIDS)in Qinghai Province from 2017 to 2022 and the related influencing factors,so as to provide the basis for formulating the early detec-tion strategy of HIV/AIDS cases in Qinghai Province.Methods The ewly reported HIV/AIDS data was download from the AIDS integrated prevention and control information management system in Qinghai Province from 2017 to 2022.We described the basic demographic characteristics of its late detection cases and analyzed the influencing factors of late detection using single factor analysis and multivariable logistic regression models.Results There were a total of 2 299 newly reported HIV/AIDS cases in Qinghai Province from 2017 to 2022,of which 1 015 were late detected cases,corresponding to a late detection rate of 44.15％.There was no statistically significant difference in the proportion of HIV/AIDS cases detected late across different years(x2=6.817,P=0.230).Multivariable logistic regression analysis showed that age,nationality,registered residence and sample source were the main factors influencing the late detection of HIV/AIDS cases at diagnosis.The older the age,the higher the rate of late detection of cases(x2=85.613,P＜0.001).The risk of late detection in the age group ≥ 60 years old was 6.459 times higher than that in the age group 0-＜20 years old(OR=6.459,95％CI:2.577-16.190).The risk of late detection of HIV/AIDS cases among Hui ethnicity was 1.289 times higher than that of the Han ethnicity(OR=1.289,95％CI:1.024-1.623),while the risk of late detection for cases from other ethnicities was lower than that of the Han ethnicity(OR=0.638,95％CI:0.441-0.924).The risk of late detection for cases with household registration from other provinces was lower than that of cases with local household registration(OR=0.548,95％CI:0.332-0.934).Cases detected through testing consultation(OR=0.506,95％CI:0.409-0.627)and other methods(OR=0.660,95％CI:0.508-0.857)had a lower risk of late detection compared to those detected in medical institutions.Conclusions The proportion of late detection of newly reported HIV/AIDS cases in Qinghai Province from 2017 to 2022 was higher than the national level.The next step is to increase the coverage of HIV testing,actively carry out HIV mobilization testing for middle-aged and elderly people and local residents,focus on strengthening HIV testing promotion for ethnic minoritiy populations,expand the coverage of voluntary counseling and testing(VCT)outpatient testing,and increase the enthusiasm of key departments in medical institutions to actively provide HIV testing and consulting services.
Human immunodeficiency virusLate discoveryInfluencing factor
万方数据
维普
