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2013-2022年上城区新报告HIV/AIDS病例晚发现及影响因素分析

Late identification and its influencing factors of newly reported HIV/AIDS cases in Shangcheng District from 2013 to 2022

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目的 了解2013-2022年杭州市上城区新报告艾滋病病毒感染者和艾滋病患者(HIV/AIDS)晚发现情况及影响因素,为制定HIV/AIDS病例早检测和早发现策略提供依据.方法 通过中国疾病预防控制信息系统收集2013-2022年上城区新报告HIV/AIDS病例基本信息、检测发现途径和CD4+T淋巴细胞检测资料,分析HIV/AIDS病例晚发现比例,采用多因素logistic回归模型分析晚发现的影响因素.结果 2013-2022年上城区新报告HIV/AIDS病例1 052例,年龄为(32.90±12.39)岁,其中男性1 011例,占96.10%.HIV/AIDS晚发现病例333例,占31.65%,2013-2022年晚发现比例未见明显变化趋势(P>0.05).多因素logistic回归分析结果显示,年龄≥25岁(25~<50岁,OR=1.894,95%CI:1.350~2.658;≥50岁,OR=3.010,95%CI:1.838~4.928)的HIV/AIDS病例晚发现风险较高;大专及以上文化程度(OR=0.655,95%CI:0.459~0.936)、经VCT检测发现(OR=0.542,95%CI:0.380~0.772)的HIV/AIDS病例晚发现风险低.结论 2013-2022年上城区新报告HIV/AIDS病例晚发现比例为31.65%,年龄、文化程度和检测发现途径是影响上城区HIV/AIDS病例晚发现的重要因素.
Objective To investigate the late identification and its influencing factors of newly reported HIV/AIDS cases in Shangcheng District,Hangzhou City,so as to provide insights into the development of strategies for early detection and identification of HIV/AIDS cases.Methods Basic information,identification routes and CD4+T lymphocyte counts among newly reported HIV/AIDS cases in Shangcheng District from 2013 to 2022 were collected through the Chinese Disease Prevention and Control Information System.The proportion of late identification of newly reported HIV/AIDS cas-es was analyzed,and factors affecting late identification was analyzed by a multivariable logistic regression model.Re-sults Totally 1 052 HIV/AIDS cases were newly reported in Shangcheng District from 2013 to 2022,including 1 011 males(96.10%),and had a mean age of(32.90±12.39)years.There were 333 cases with late identification,accounting for 31.65%.The proportions of late identification have no significant changing trend from 2013 to 2022(P>0.05).Multi-variable logistic regression analysis showed that HIV/AIDS cases aged 25 years and older(25 to 49 years,OR=1.894,95%CI:1.350-2.658;50 years and older,OR=3.010,95%CI:1.838-4.928)had a higher risk of late identification,while HIV/AIDS cases with college degree and above(OR=0.655,95%CI:0.459-0.936)and identified by voluntary counseling and testing(OR=0.542,95%CI:0.380-0.772)had a lower risk of late identification.Conclusions The proportion of late identification of newly reported HIV/AIDS cases in Shangcheng District from 2013 to 2022 was 31.65%.Age,edu-cational level and identification route were important factors affecting late identification of HIV/AIDS cases in Shangcheng District.

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徐一梅、陈亚妮、胡锦峰、陈婉君

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杭州市上城区疾病预防控制中心结核病艾滋病性病防制科,浙江 杭州 310002

浙江省疾病预防控制中心,浙江 杭州 310051

艾滋病 晚发现 影响因素

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(3)
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