首页|2013-2023年广安市HIV感染者及AIDS患者死亡病例分析

2013-2023年广安市HIV感染者及AIDS患者死亡病例分析

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收集 2013-2023 年国家艾滋病综合防治信息系统报告的广安市HIV/AIDS病例资料,运用Logistic回归模型分析HIV/AIDS病例死亡的影响因素.结果示广安市 2013-2023 年累计报告HIV/AIDS病例 8803 例,死亡 2489 例,病死率为 28.27%.死亡病例中,AIDS占 61.91%,男性占 86.86%,确诊年龄在 55 岁及以上占 68.62%,农民占 72.32%,有配偶占 55.56%,小学以下文化程度占 74.25%,异性性传播占 95.22%,医疗机构来源占 73.04%,首次 CD4+T 淋巴细胞未查者和小于 200 个/μL 占62.43%,未行抗病毒治疗(antiretroviral therapy,ART)和ART不及时者占66.05%.多因素Logistic回归分析结果显示,HIV、女性、有配偶、来源于非医疗机构、确诊年龄<35 岁、治疗及时的病例死亡概率较低;文化程度为小学及以下、确诊年龄≥55 岁、首次就诊未检查CD4+T淋巴细胞、未治疗的病例死亡概率较高.不论是HIV感染者还是AIDS患者,治疗组存活时长显著高于未治疗组(P<0.05).
Analysis of death cases of HIV infections and AIDS patients in Guang'an from 2013 to 2023
The data came from the case information of HIV/AIDS cases in Guang'an City reported by the National AIDS Comprehensive Prevention and Control Information System(NACIS)from 2013 to 2023.The influencing factors of deaths of HIV/AIDS cases were analysed by using logistic regression model.The results showed there were 8803 cases of HIV/AIDS in Guang'an City from 2013 to 2023,with 2489 deaths,the case-fatality rate was 28.27%.Of the deaths,AIDS accounted for 61.91%,males for 86.86%,diagnoses at age 55 and above for 68.62%,farmers for 72.32%,individuals with spouses for 55.56%,education levels below primary school for 74.25%,heterosexual transmission for 95.22%,medical institutions for 73.04%,first CD4+T lymphocyte counts not examined or less than 200 cells/μL for 62.43%,and those not receiving an-tiretroviral therapy(ART)or with delayed ART for 66.05%.Results from the multivariate Logistic regression analysis showed that HIV infection,being female,spouse,being from non-medical institutions,age at diag-nosis<35 years old and timely treatment were associated with lower probability of death.Cases with education level of primary school or below,age at diagnosis≥55,without CD4+T lymphocyte examination at the first visit,and untreated had a higher probability of death.Both HIV-infected individuals and AIDS patients in the treatment group had significantly longer survival times than those in the untreated group(P<0.05).

acquired immunodeficiency syndromecharacteristics of death casesantiviral treatment

田彩虹、秦小佳、张军、龚毅、赵智蓉

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广安市疾病预防控制中心,四川 广安,638000

四川省疾病预防控制中心,四川 成都,610000

昆明市第三人民医院,云南 昆明,650200

获得性免疫缺陷综合征 死亡病例特征 抗病毒治疗

2025

中国麻风皮肤病杂志
中国麻风防治协会,山东省皮肤病性病防治研究所

中国麻风皮肤病杂志

影响因子:0.302
ISSN:1009-1157
年,卷(期):2025.41(1)