本文選題：HIV感染 + 診斷��； 參考：《中華疾病控制雜志》2015年04期

【摘要】：目的研究上海市靜安區(qū)人類(lèi)免疫缺陷病毒(human immunodeficiency virus,HIV)感染者中診斷延遲的比例及危險(xiǎn)因素。方法收集靜安區(qū)自首次報(bào)告(1995年)至2013年管理的HIV感染者和艾滋病病人,研究被動(dòng)檢測(cè)的病例所占比例及人群特征,分別計(jì)算"延遲報(bào)告"(late presentation,LP)和"伴進(jìn)展性HIV感染的報(bào)告"(presentation with advanced HIV disease,PAHD)的比例并進(jìn)行危險(xiǎn)因素分析。結(jié)果 630例感染者和病人納入研究。227例(36.0%)為被動(dòng)檢測(cè),年齡≥50歲(OR=2.767,95%CI:1.661~4.612)是被動(dòng)檢測(cè)的危險(xiǎn)因素,而同性傳播(OR=0.321,95%CI:0.220~0.469)是被動(dòng)檢測(cè)的保護(hù)因素。588例(93.3%)病人的診斷延遲情況明確:其中LP為353例(60.0%),PAHD為212例(36.1%)。被動(dòng)檢測(cè)是LP(OR=1.659,95%CI:1.127~2.442)和PAHD(OR=2.035,95%CI:1.392~2.974)的危險(xiǎn)因素,而同性傳播(OR=0.630,95%CI:0.424~0.938)是PAHD的保護(hù)因素。結(jié)論靜安區(qū)HIV感染者和艾滋病病人診斷延遲情況較嚴(yán)重,被動(dòng)檢測(cè)確診的病例更容易出現(xiàn)診斷延遲。目前亟需創(chuàng)新的防控策略和措施來(lái)加強(qiáng)HIV感染者的早期檢測(cè)。
[Abstract]:Objective to study the proportion and risk factors of delayed diagnosis of HIV infected with human immunodeficiency virus (immunodeficiency) in Jing'an District of Shanghai. Methods the proportion and population characteristics of HIV infected persons and AIDS patients who were managed from the first report (1995) to 2013 in Jing'an District were studied. The proportion of late presentation LPs and presentation with advanced HIV disease with progressive HIV infection were calculated and the risk factors were analyzed. Results in the study of 630 cases of infected persons and patients, 227 cases (36.0) were examined passively, and the age 鈮，

本文編號(hào)：1956128