摘要
目的 了解广西壮族自治区北海市现存艾滋病病毒(Human immunodeficiency virus,HIV)感染者和艾滋病(acquired immunodeficiency syndrome, AIDS)病例(简称HIV/AIDS)随访检测现状及相关影响因素。方法 从传染病监测系统中艾滋病防治基本信息系统下载艾滋病疫情数据,采用描述性统计、t检验、χ2检验、多因素logistic回归模型等方法,对北海市HIV/AIDS进行随访检测影响因素分析。结果 截至2020年底,北海市现存HIV/AIDS 1 320例,北海市艾滋病随访检测比例从2016年的88.30%上升至2020年的94.09%。单因素分析显示年龄、报告年限、婚姻状况、传播途径、病程阶段、样本来源、户籍地、抗病毒治疗等对随访检测比例的差异有统计学意义。多因素分析显示接受抗病毒治疗(OR=175.512,95%CI:71.989-427.908)、高年龄(OR=1.025,95%CI:1.002-1.048)、病程阶段为AIDS(OR=2.450,95%CI:1.135-5.285)、外地户籍(OR=5.922,95%CI:1.765-19.867)是促进艾滋病随访检测的影响因素,报告年限长(OR=0.885,95%CI:0.816-0.960)是降低随访检测的影响因素。结论 应进一步加强北海市艾滋病随访检测工作力度,提高工作质量,防止艾滋病疫情扩散。
Objective To understand the situation and related factors of follow-up testing for existing Human immunodeficiency virus(HIV) infected persons/acquired immunodeficiency syndrome(AIDS) patients in Beihai, the Guangxi Zhuang Autonomous Region.Methods The AIDS epidemic data were downloaded from Basic Information System for AIDS Prevention and Control in the Infectious Disease Surveillance System, and descriptive statistics, t-test, χ~2 test, multivariate logistic regression model were used to analyze the influencing factors for follow-up testing of HIV/AIDS patients in Beihai.Results There were 1 320 survived HIV/AIDS patients in Beihai till the end of 2020,the proportion of AIDS follow-up testing in Beihai increased from 88.30% in 2016 to 94.09% in 2020.Univariate analysis showed that differences in the age, reported years, marital status, transmission route, disease course stage, sample source, place of household registration, antiviral therapy etc, for the follow-up testing proportion were statistically significant.Multivariate logistic regression analysis showed that antiviral therapy received(OR=175.512,95%CI:71.989-427.908),advanced age(OR=1.025,95%CI:1.002-1.048),and confirmed AIDS during the disease course stage(OR=2.450,95%CI:1.135-5.285),non-local household registration(OR=5.922,95%CI:1.765-19.867)were factors to promote follow-up testing, and long reporting period(OR=0.885,95%CI:0.816-0.960) was the factor to lower follow-up testing.Conclusion The work strength of follow-up testing for HIV/AIDS patients in Beihai should be further strengthened, and the quality of follow-up testing work should be improved to control the spread of AIDS.
作者
刘宣谷
茅乃玲
郭伟贵
蒙小婷
潘菊鲜
苏媛
陈秋兰
LIU Xuan-gu;MAO Nai-ling;GUO Wei-gui;MENG Xiao-ting;PAN Ju-xian;SU Yuan;CHEN Qiu-lan(Beihai Center for Disease Control and Prevention,Guangxi Zhuang Autonomous Region 536000,China)
出处
《医学动物防制》
2023年第2期174-177,共4页
Journal of Medical Pest Control
基金
北海市科技计划项目(2020165013)。
关键词
HIV
艾滋病
随访检测
现状
影响因素
分析
HIV
AIDS
Follow-up testing
Current status
Influencing factors
Analysis
