摘要
目的分析2012-2021年南阳市艾滋病晚发现状况与影响因素,为制定精准化艾滋病防控策略提供依据。方法病例数据来源于国家艾滋病防治基本信息系统2012年1月1日至2021年12月31日的数据库,用描述性流行病学方法进行计数统计,晚发现的单因素分析用卡方检验,多因素分析采用logistic回归分析。结果2012-2021年南阳市累计报告5827例,晚发现率49.00%(2855例)。单因素分析:性别、年龄、婚姻、文化程度、传播途径、样本来源、病例归属均与晚发现有关(P<0.05)。多因素分析结果显示:20~39岁(OR=1.746,95%CI:1.294~2.355)、40~59岁(OR=2.991,95%CI:2.179~4.105)、≥60岁(OR=2.997,95%CI:2.139~4.105)病例的晚发现风险高于20岁以下;异性传播(OR=1.168,95%CI:1.017~1.342)病例晚发现风险高于同性传播;来源于医疗机构(OR=1.477,95%CI:1.315~1.659)病例的晚发现风险高于检测咨询机构的病例;高中或中专(OR=0.757,95%CI:0.642~0.892)病例的晚发现风险低于初中及以下;外地病例(OR=0.768,95%CI:0.668~0.882)晚发现风险低于本地病例。结论南阳市艾滋病疫情严峻,晚发现比例高,需要针对高年龄组、异性传播、医疗机构报告、本地等影响晚发现的影响因素,对重点人群开展有针对性的防控措施。
Objective To analyze the status and influencing factors of late HIV/AIDS detection in Nanyang from 2012 to 2021,and provide a basis for formulating precise AIDS prevention and control strategies.Methods The cases data were extracted from the National AIDS Basic Information System database from 1 January 2012 to 31 December 2012;descriptive epidemiological methods were used for counting analysis;chi-square test was used for univariate analysis for late detection,and logistic regression was used for multivariate analysis.Results A total of 5827 cases were reported in Nanyang from 2012 to 2021;late detection rate was 49.00%(2855 cases).Univariate analysis:gender,age,marriage,education level,transmission route,sample source and case living location were all associated with late detection(P<0.05).Multivariate analysis:cases aged 20 to 39 years(OR=1.746,95%CI:1.294-2.355),40 to 59 years(OR=2.991,95%CI:2.179-4.105),and≥60 years(OR=2.997,95%CI:2.139-4.105)had a higher risk of late detection than those aged under 20 years;the risk of late detection for heterosexual transmission(OR=1.168,95%CI:1.017-1.342)was higher than that for homosexual transmission;cases from medical institutions(OR=1.477,95%CI:1.315-1.659)had a higher risk of late detection than those from testing and consulting institutions;the risk of late detection in high schools or technical secondary schools(OR=0.757,95%CI:0.642-0.892)was lower than that in middle school or below;foreign cases(OR=0.768,95%CI:0.668-0.882)had a lower risk of late detection than local cases.Conclusions The epidemic situation of HIV/AIDS in Nanyang city is severe,and the proportion of late detection is high.It is necessary to determine the key population and carry out targeted prevention and control measures according to the influencing factors of late detection,such as the older age group,heterosexual transmission,medical institution report and local area.
作者
张小敏
丁琳
薛茜茜
卢千超
ZHANG Xiaomin;DING Lin;XUE Qianqian;LU Qianchao(Nanyang Center for Disease Control and Prevention,Nanyang 473002,China)
出处
《现代疾病预防控制》
2023年第6期434-438,共5页
MODERN DISEASE CONTROL AND PREVENTION
关键词
艾滋病
晚发现
影响因素
AIDS
Late detection
Influencing factors
