2013-2017年云南省红河州新报告艾滋病病毒感染者/艾滋病病人晚发现情况分析

目的 了解云南省红河州艾滋病病毒(HIV)感染者晚发现率及其影响因素。方法 通过整理2013 - 2017年“艾滋病综合防治信息系统”历史卡片数据，采用χ2检验及logistic回归法对红河州HIV/AIDS病例晚发现情况进行分析。结果 红河州2013 - 2017年报告HIV/AIDS病例共10 655例，其中，晚发现病例3 685例。历年晚发现比例呈递增趋势（χ趋势2 = 20.019，P＜0.001）。男性晚发现病例占37.4%（2 647/7 074），女性晚发现病例占29.0%(1 038/3 581)，不同性别间晚发现比例差异有统计学意义(χ2 = 74.700，P＜0.001)。多因素logistic回归分析显示，男性医院就诊者样本来源的病例晚发现的风险是咨询检测的1.318倍，女性医院就诊者样本来源的病例晚发现的风险是咨询检测的1.302倍。结论 红河州2013 - 2017年新报告HIV感染者的晚发现率呈现逐年上升趋势，医院就诊者晚发现风险较高，仍需扩大监测检测覆盖面，提高大众主动检测意识。

Analysis of the late detection of newly reported HIV/AIDS cases in Honghe Prefecture of Yunnan Province from 2013 to 2017

Objective To understand the late detection rate of HIV infection and its influencing factors in Honghe Prefecture of Yunnan Province. Methods By sorting out the historical card data of "AIDS Integrated Prevention and Control Information System" from 2013 to 2017, the late detection of HIV/AIDS cases in Honghe Prefecture was analyzed χ2 test and logistic regression. Results A total of 10 655 cases of HIV/AIDS were reported in Honghe Prefecture from 2013 to 2017, of which 3 685 cases were found late. The discovery rate showed an increasing trend (χ2trend=20.019, P<0.001). Late-onset cases in male accounted for 37.4% (2647/7074) and in female for 29.0% (1038/3581), with significant difference between genders (χ2=74.700, P<0.001). Multivariate logistic regression analysis showed that the risk of late detection was 1.318 times that of consulting and testing in male hospitals and 1.302 times that of consulting and testing in female hospitals. Conclusion The late detection rate of newly reported HIV infections in Honghe Prefecture from 2013 to 2017 shows an increasing trend year by year. The risk of late detection of hospital patients is high. It is still necessary to expand the coverage of monitoring and testing and improve the public's awareness of active detection.