Analysis of the characteristics and related factors of HIV/AIDs patients who died in the same year of reporting in Sichuan Province from 2013 to 2022
Objective To analyze the epidemiological characteristics and related factors of HIV/AIDS patients who died in the same year of newly reported in Sichuan province from 2013 to 2022,so as to provide scientific basis for formulating prevention and control measures to reduce premature deaths of newly reported cases.Methods HIV/AIDS patients who died in the same year of the newly reported from 2013 to 2022 were screened through the infectious disease reporting database,analysis was conducted by using SPSS 23.0 software,and differences in patient characteristics were analyzed with x2 test,binary,and unordered multiclass Logistic regression models were used to analyze the related factors of death.Results From 2013 to 2022,total of 18 191 of HIV/AIDS patients died in the same year of reported in Sichuan Province,accounting for 8.2％of the total reported cases;The main cause of death was unrelated to AIDS(67.4％),of which respiratory diseases(30.8％)and tumors(20.9％)accounted for a high proportion,and AIDS related deaths accounted for 18.4％;The median time of death was 31 days(IQR:8-86 days);Multivariate logistic regression analysis showed that patients aged ≥30 years(all with OR＞1,P＜0.001),male(OR=1.60,P＜0.001),and heterosexual transmission(OR=1.60,P＜0.001)had a higher probability of death;And with higher education levels(all with OR＜1,P＜0.001),housekeeping/household chores/unemployed(OR=0.81,P＜0.001),voluntary counseling and testing(OR=0.53,P＜0.001),first CD4 test results ≥200cells/μl(all with OR＜1,P＜0.001),and received antiviral therapy(OR=0.22,P＜0.001)had a lower probability of death;The unordered multiclass logistic regression model showed that compared to non deceased patients,the risk factors for death from different causes were basically the same,except for marital status,ethnicity,and transmission routes.Conclusions In Sichuan Province,the deceased patients'interval from diagnosis to death is short who died within the same year,and the influencing factors are complex.There are personal factors such as age and gender,as well as HIV infection related factors such as transmission routes and testing sources.Comprehensive prevention and treatment measures need to be taken,which including early detection,diagnosis,and treatment,so that to reduce the risk of deaths for newly reported HIV/AIDS patients.
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