摘要
目的调查新报告的HIV/AIDS既往HIV检测情况,为干预工作提供依据。方法利用全国艾滋病综合防治信息系统数据库,收集2013年南京市新报告的HIV/AIDS个案信息,包括社会人口学特征、感染途径、检测类型和检测单位等,对既往接受检测情况进行单因素和多因素分析。结果纳入研究577名研究对象中,470人在本次诊断为HIV/AIDS前未做过HIV检测,占81.46%;107人在本次诊断为HIV/AIDS前做过HIV检测,占18.54%。对诊断HIV阳性以前接受过HIV检测的因素进行多因素分析,结果表明样本来源于专题调查(OR=3.69,95%CI 1.02~13.37)和检测咨询(OR=3.63,95%CI1.48~8.91)、疾病状态为HIV的(OR=2.17,95%CI1.08~4.38),是HIV/AIDS既往检测的影响因素。结论南京市新报告的HIV/AIDS既往HIV检测比例较低,急需探索出一套适宜南京市HIV检测咨询、后续服务及管理的模式。
Objective To investigate characteristics and influencing factors of newly identified HIV/AIDS patients’HIV detection history in Nanjing in 2013;to provide scientific basis for carrying out HIV/AIDS prevention and control in the future.Methods Case information of newly identified HIV/AIDS patients was collected using National AIDS comprehensive information data base in Nanjing in 2013,including socio-demographic information,transmission routes,detection types and agencies.Univariate analysis and multivariate logistic regression analysis were used to analyze subjects’HIV detection history.Results Among 577HIV/AIDS patients enrolled in survey,470 had no history of HIV detection before diagnosis in the survey,accounting for 81.46%;while 107 had HIV detection history,accounting for 18.54%.Patients’detection history before diagnosis was analyzed by univariate and multivariate logistic analysis,subjects selected from special investigation projects(OR=3.69,95%CI1.02~13.37)or HIV Voluntary Counseling & Testing(OR=3.63,95%CI1.48~8.91),with disease progression of HIV infection(OR=2.17,95%CI1.08~4.38)were independent influencing factors associated with HIV/AIDS patients’HIV detection history.Conclusion The historical detection rate of newly identified HIV/AIDS patients were low in Nanjing.More attention should be paid to set up a suitable mechanism of HIV detection and counseling with follow up service.
出处
《江苏预防医学》
CAS
2015年第2期36-38,共3页
Jiangsu Journal of Preventive Medicine