摘要
目的了解2017年广西现存活艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)随访管理工作现状,分析随访管理工作存在问题和相关影响因素,提高随访管理工作质量。方法从"艾滋病防治基本信息系统"下载截至2017年底定时历史数据库,对相关数据进行分析。结果截至2017年底,报告现住址为广西的现存活HIV/AIDS病人79 810例,2017年完成HIV/AIDS病人随访及CD4^+T淋巴细胞(简称CD4细胞)检测率为89.59%(69 111/77 143)、配偶/固定性伴HIV抗体检测率为89.99%(15 596/17 330)、结核筛查率为96.01%(70 081/72 994);2017年随访及CD4细胞检测率高于2015年和2016年,差异有统计学意义(χ~2=37.4,P<0.001),结核筛查率略低于2015年和2016年,差异有统计学意义(χ~2=95.6,P<0.001);AIDS病人随访及CD4细胞检测率(94.62%,40 674/42 987)高于HIV感染者的随访及CD4细胞检测率(83.26%,28 437/34 156),差异有统计学意义(χ~2=2 634.6,P<0.001)。疾病状态为HIV感染者、年龄在15～59岁、报告发现感染HIV年限在2年及以上、婚姻状况为无配偶是导致失访的主要影响因素。结论随着现存活HIV/AIDS病人增多,应加强随访管理,降低二代传播风险,针对容易失访的影响因素采取对策,提高随访服务质量。
Objective To understand the current situation of follow-up management of HIV/AIDS patients in Guangxi in 2017,and analyze the existing problems and the related influence factors to improve the quality of follow-up management.Methods The relevant data of HIV/AIDS patients was collected from the National Information System of HIV/AIDS Control and Prevention,and analysis was made accordingly.Results There were 79 810 HIV/AIDS patients by the end of 2017 in Guangxi.The follow-up and detection rate of CD4 T cells of HIV/AIDS patients was 89.59%(69 111/77 143)in 2017,higher than those in 2015 and 2016,with the difference statistically significant(χ~2=37.4,P<0.001).The HIV antibody detection rate of spouses or fixed partners was 89.99%(15 596/17 330).The tuberculosis screening rate was 96.01%(70 081/72 994)in 2017,lower than those in 2015 and 2016,with the difference statistically significant(χ~2=95.6,P<0.001).The follow-up and detection rate of CD4 T cells in AIDS patients(94.62%,40 674/42 987)was higher than that in HIV-infected patients(83.26%,28 437/34 156),with the difference statistically significant(χ~2=2634.6,P<0.001).The main factors of dropout for follow-up included the disease status in HIV-infection,the age between 15 and 59 years,HIV infection diagnosed for more than 2 years,and marriage without spouse.Conclusion With the increase of living HIV/AIDS patients,we should strengthen the follow-up management to reduce the risks of secondary transmission and take countermeasures against the influencing factors of dropout for follow-up,to improve the quality of follow-up services.
作者
吴秀玲
黄精华
朱秋映
沈智勇
刘玄华
孟琴
WU Xiuling;HUANG Jinghua;ZHU Qiuying;SHEN Zhiyong;LIU Xuanhua;MENG Qin(Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention,Nanning 530028,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2019年第4期368-370,共3页
Chinese Journal of Aids & STD
基金
"八桂学者"--艾滋病防控关键技术项目资助~~
