摘要
目的 了解云南省大理市现存活HIV/AIDS患者随访检测情况及相关影响因素。方法 从“中国疾病预防控制信息系统”下载现住址为大理市且存活的HIV/AIDS患者疫情和随访干预资料,应用描述性分析、卡方检验、Logistic回归等方法,对患者的随访检测情况及影响因素进行单因素和多因素分析。结果 截至2022年底,大理市现住址存活HIV/AIDS患者2937例,患者接受随访检测率为93.43%,已接受艾滋病抗病毒治疗且在治的患者随访检测率高于未治或治疗失访患者(χ~2=1955.558,P <0.001)。多因素分析显示:报告病程阶段为AIDS(OR=3.035,95%CI:2.151~4.283)、性别为女性(OR=1.837,95%CI:1.300~2.596)是促进患者接受随访检测的影响因素;外地报告转入(OR=0.639,95%CI:0.419~0.976)、报告年限小于3年(OR=0.393,95%CI:0.233~0.666)、综合医院报告(OR=0.555,95%CI:0.374~0.825)、私立及其他医院报告(OR=0.622,95%CI:0.390~0.992)是降低患者接受随访检测的影响因素。结论 大理市HIV/AIDS患者随访检测率受多种因素的影响,应根据主要影响因素采取针对性防控措施,推动主管部门出台详细的考核细则,加强基层医务人员培训,稳定随访责任人队伍,积极寻找失访患者并动员其进行艾滋病患者抗病毒治疗。
Objective To investigate the follow-up detection status and related influencing factors of living HIV/AIDS patients in Dali City,Yunnan Province,China.Methods Download the epidemic and follow-up intervention data of surviving HIV/AIDS patients with currently living in Dali City from China Disease Prevention and Control Information System,and conduct univariate and multivariate analysis of the follow-up test status of the patients and influencing factors through descriptive analysis,Chi-square test,logistic regression and other methods.Results By the end of 2022,there were 2,937 surviving HIV/AIDS patients in Dali City,and the follow-up test rate of the patients was 93.43%.The follow-up testing rate of patients who had received HIV antiviral treatment and were currently on treatment was higher than that of patients who had not been treated or lost to follow-up(χ2=1955.558,P<0.001).Multivariate analysis showed that the reported disease stage being AIDS(OR=3.035,95%CI:2.151~4.283)and female gender(OR=1.837,95%CI:1.300~2.596)were the influencing factors to promote follow-up test.While transferring reports from other places(OR=0.639,95%CI:0.419~0.976),the reporting period is less than 3 years(OR=0.393,95%CI:0.233~0.666),reports from general hospitals(OR=0.555,95%CI:0.374~0.825),private and other hospital reports(OR=0.622,95%CI:0.390~0.992)were the factors that reduced the patients'acceptance of follow-up test.Conclusion The follow-up test rate of HIV/AIDS patients in Dali City is affected by several factors.Targeted prevention and control measures should be taken based on the main influencing factors,the competent departments should be encouraged to issue detailed assessment rules,strengthen the training of grassroots medical staff,and keep stable follow-up team,and actively search for patients who have been lost to follow-up and mobilize them for HIV antiviral therapy.
作者
孙忠杏
杨竹梅
杨鹏伟
SUN Zhongxing;YANG Zhumei;YANG Pengwei(Dali City Center for Disease Control and Prevention,Dali671000,Yunnan Province,China)
出处
《皮肤病与性病》
2024年第1期10-14,共5页
Dermatology and Venereology
关键词
HIV
艾滋病
随访检测
现状
影响因素
HIV
AIDS
Follow-up test
Current situation
Influencing factors
