柳州市1996-2010年“查无此人”HIV/AIDS病例特征分析

目的 对柳州市1996-2010年病例报告数据库中“查无此人”病例的基本情况进行分析.方法 分析资料来源于“全国艾滋病综合防治信息系统”柳州市1996-2010年度疫情信息库中的病例随访管理“查无此人”数据资料,采用SPSS 13.0进行统计分析.结果 柳州市1996-2010年报告的病例中有2 405例随访状态为“查无此人”,其中艾滋病病毒(human immunodeficiency virus,HIV)感染者2 217例,艾滋病(acquired immunodeficiency syndrome,AIDS)病例188例.报告的“查无此人”病例以21～40岁青壮年为主(80.6％),男性1 731例(72.0％)；病例主要分布在2003 -2007年(66.4％)；1996-2009年主要来源是广西其他地市(53.45％)和柳州市(41.83％)；感染途径主要为注射毒品(38.03％)和异性性传播(19.10％),传播途径不详占40.33％;“查无此人”病例的工作单位、身份证号、联系方式、民族、文化程度等信息缺失较多；自2010年柳州市全面开展实名制检测后,“查无此人”病例数明显下降,且各类常见缺失变量的缺失率均低于实名制检测实施前(均有P＜0.001).结论 “查无此人”病例与个人信息缺失、艾滋病网络监测系统、人群特征等多种因素有关,应针对这些因素采取措施,减少“查无此人”病例的再次出现.

"Cases not found" of HIV/AIDS cases analysis in Liuzhou City, 1996-2010

Objective To analyze the ＂cases not found＂ of HIV/AIDS cases in Liuzhou City from 1996 to 2010.Methods The HIV/AIDS cases reporting cards of ＂follow up＂cards from 1996 to 2010 were obtained from national HIV/AIDS database and process,all the data was processed by SPSS 13.0.Results 2 405 ＂cases not found＂ of HIV/AIDS cases in Liuzhou City from 1996 to 2010,2 217 HIV infectors and 188 AIDS cases were found,80.6% cases aged from 21 to 40,72.0% cases were male,66.4% cases were found from 2003 to 2007.From 1996 to 2009,most cases came from other cities of Guangxi（53.45%）and Liuzhou City（41.83%）,main infection routes were injection drugs（38.03%）,heterosexual sex（19.10%）and unrevealed routes（40.33%）,besides these,most basic information（work unit,ID number,contact information,nation and education level） were absent.After the real name system testing carried in 2010,the number of ＂cases not found＂ of HIV/AIDS and the incidence of important information absent were declined（all P0.001）.Conclusions ＂cases not found＂ of HIV/AIDS cases were caused by many factors,comprehensive measures should be taken to reduce the＂cases not found ＂cases recurrence.