云南省大理白族自治州2012-2018年HIV/AIDS病例晚发现率及影响因素分析

Delayed HIV/AIDS diagnosis in Dali Bai Autonomous Prefecture from 2012 to 2018 and its influencing factors

  • 摘要: 目的 分析云南省大理白族自治州(以下简称"大理州")近几年新报告HIV/AIDS病例晚发现率及影响因素。方法 选取现住址为大理州的2012-2018年HIV/AIDS病例4 648例,分析晚发现率及影响因素。结果 2012-2018年大理州HIV/AIDS病例晚发现率为31.56%,log-binomial回归分析结果显示:男性(PR=1.18,95% CI:1.07 ~ 1.30)高于女性,30岁以上病例高于30岁以下各组病例,汉族(PR=1.13,95% CI:1.02 ~ 1.25)高于白族,注射吸毒传播(PR=1.28,95% CI:1.13 ~ 1.46)高于异性传播,样本来源为医疗机构(PR=1.15,95% CI:1.02 ~ 1.30)高于检测咨询。结论 针对大理州HIV/AIDS晚发现的情况,应扩大检测并加强艾滋病主动检测的宣传教育。

     

    Abstract: Objective To investigate the prevalence of delayed HIV/AIDS diagnosis in Dali from 2012 to 2018 and its influencing factors. Methods Totally 4 648 HIV/AIDS cases whose current address was Dali were selected to analyze the prevalence of delayed diagnosis and its influencing factors. Results The prevalence rate of late HIV/AIDS diagnosis in Dali from 2012 to 2018 was 31.56%.Log-binomial regression analysis showed that delayed diagnosis rate was higher in male (PR=1.18,95% CI:1.07-1.30) than in female,higher in over 30 years old group than in other groups below 30 years old,higher in Han nationality (PR=1.13,95% CI:1.02-1.25) than in Bai nationality,higher in injection drug transmission (PR=1.28,95% CI:1.13-1.46) than in heterosexual transmission,higher in medical institutions (PR=1.15,95% CI:1.02-1.30) was higher than in voluntany counselling and testing. Conclusion It is necessary to expand the scope of testing and strengthen the education of HIV active testing.

     

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