本文選題：艾滋病病毒 + 危險(xiǎn)因素��； 參考：《中華疾病控制雜志》2015年10期

【摘要】：目的了解云南省德宏州艾滋病病毒(human immunodeficiency virus,HIV)感染者晚發(fā)現(xiàn)率及其影響因素。方法下載"艾滋病綜合防治信息系統(tǒng)"2007年1月~2013年12月的歷史卡片,將新報(bào)告即為艾滋病病人(CD4~+T淋巴細(xì)胞200/mm~3或臨床癥狀診斷為艾滋病病人)且既往從未報(bào)告過(guò)的患者或當(dāng)年新報(bào)告HIV感染者并且當(dāng)年即轉(zhuǎn)為艾滋病病人定義為發(fā)現(xiàn)晚�，F(xiàn)住址為德宏州的HIV感染者和艾滋病病人6 785例,剔除確診HIV感染三個(gè)月內(nèi)未進(jìn)行CD4~+T淋巴細(xì)胞計(jì)數(shù)檢測(cè)者1164例(17.1%)信息不完全29例,共納入研究對(duì)象5 592例。結(jié)果5 592例研究對(duì)象平均年齡(35.6±12.1)歲,男性占62.4%;初中及以下占91.7%;農(nóng)民占75.4%;異性傳播(78.7%)為主。2007年德宏州HIV感染者的晚發(fā)現(xiàn)率為46.4%,2013年為33.8%,卡方檢驗(yàn)差異有統(tǒng)計(jì)學(xué)意義(χ~2_(趨勢(shì))=34.92,P0.001)。多因素Logistic回歸分析顯示,男性50歲以上年齡組,經(jīng)異性傳播,性病門(mén)診來(lái)源病例晚發(fā)現(xiàn)率高于其他組別的感染者。結(jié)論德宏州2007-2013年新報(bào)告HIV感染者的晚發(fā)現(xiàn)率呈現(xiàn)逐年下降趨勢(shì),但仍維持在較高水平,應(yīng)加強(qiáng)重點(diǎn)人群宣傳教育,擴(kuò)大檢測(cè),提高感染者的早發(fā)現(xiàn)能力。
[Abstract]:Objective to investigate the late detection rate and its influencing factors of HIV / immunodeficiency infection in Dehong Prefecture, Yunnan Province. Methods the history card from January 2007 to December 2013 was downloaded from the Integrated AIDS Prevention and treatment Information system. The new report was defined as 200/mm~3 of CD4- T lymphocytes or clinical symptoms of AIDS patients, which had never been reported before, or newly reported HIV infection in those years and then turned to AIDS patients, which was defined as late discovery. The present address is 6 785 cases of HIV infection and AIDS patients in Dehong state. 1164 cases without CD4 ~ T lymphocyte count examination within 3 months after HIV infection were excluded, 29 cases with incomplete information, 5 592 cases were included in the study. Results the average age of 5592 subjects was 35.6 鹵12.1 years old, male accounted for 62.4%, junior middle school and lower 91.7%, farmers 75.4% and heterosexual transmission 78.7%. In 2007, the late detection rate of HIV infection in Dehong was 46.4%, and that in 2013 was 33.8.The chi-square test showed significant difference (蠂 2). Multivariate Logistic regression analysis showed that the rate of late detection of STD outpatient cases in males over 50 years old was higher than that in other groups. Conclusion the late detection rate of HIV infection in Dehong from 2007 to 2013 is decreasing year by year, but it is still at a high level. It is necessary to strengthen the propaganda and education of the key population, expand the detection, and improve the ability of early detection of HIV infection.
【作者單位】： 德宏州疾病預(yù)防控制中心性病防治科;復(fù)旦大學(xué)公共衛(wèi)生學(xué)院流行病學(xué)教研室、公共衛(wèi)生安全教育部重點(diǎn)實(shí)驗(yàn)室;
【基金】：“十二五”國(guó)家科技重大專(zhuān)項(xiàng)(2011zx10004-903) 國(guó)家重點(diǎn)地區(qū)艾滋病防治項(xiàng)目(2004年)
【分類(lèi)號(hào)】：R512.91

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