| 广州市2019年新报告HIV/AIDS病例确诊后30天内接受抗病毒治疗分析 |
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| 引用本文： | 蔡衍珊,罗业飞,樊莉蕊,赵宇腾,陈希,陈韵聪,古羽舟,刘方华,徐慧芳,韩志刚. 广州市2019年新报告HIV/AIDS病例确诊后30天内接受抗病毒治疗分析[J]. 现代预防医学, 2020, 0(23): 4366-4369 |
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| 作者姓名： | 蔡衍珊 罗业飞 樊莉蕊 赵宇腾 陈希 陈韵聪 古羽舟 刘方华 徐慧芳 韩志刚 |
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| 作者单位： | 广州市疾病预防控制中心，广东 510440 |
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| 摘 要： | 目的评价广州市"发现即治疗"实施情况,分析相关影响因素,为进一步优化HIV/AIDS病例管理提供科学依据。方法通过艾滋病防治基本信息模块,收集广州市2019年新报告的HIV/AIDS病例信息,采用单因素和多因素logistic回归,分析HIV/AIDS病例确诊后30天内开始治疗的相关影响因素。结果 2019年广州市新报告HIV/AIDS病例确诊后30天内接受抗病毒治疗1 185例,占71.6%。与确诊后30天内未治疗的病例相比,确诊后30天内接受抗病毒治疗的病例女性较多[aOR(95%CI):1.61(1.08～2.39)](男性作为参照),已婚有配偶的比例高[aOR(95%CI):1.51(1.04～2.17)](未婚作为参照),文化程度高,初中[aOR(95%CI):1.58(1.08～2.30)],高中或中专[aOR(95%CI):2.24(1.49～3.37)],大专及以上[aOR(95%CI):2.66(1.74～4.08)](小学及以下作为参照),同性传播的比例高[aOR(95%CI):1.45(1.10～1.92)](异性传播作为参照),自愿检测发现的比例高[aOR(95...
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| 关 键 词： | 艾滋病病毒 抗病毒治疗 影响因素 |
Initiation of antiretroviral therapy within 30 days of diagnosis among newly diagnosed HIV/AIDS cases in Guangzhou, 2019 |
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| CAI Yan-shan,LUO Ye-fei,FAN Li-rui,ZHAO Yu-teng,CHEN Xi,CHEN Yun-cong,GU Yu-zhou,LIU Fang-hua,XU Hui-fang,HAN Zhi-gang. Initiation of antiretroviral therapy within 30 days of diagnosis among newly diagnosed HIV/AIDS cases in Guangzhou, 2019[J]. Modern Preventive Medicine, 2020, 0(23): 4366-4369 |
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| Authors: | CAI Yan-shan LUO Ye-fei FAN Li-rui ZHAO Yu-teng CHEN Xi CHEN Yun-cong GU Yu-zhou LIU Fang-hua XU Hui-fang HAN Zhi-gang |
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| Affiliation: | Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong 510440, China |
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| Abstract: | Objective To evaluate the implementation of treat all policies in Guangzhou City,so as to analyze factors associated with rapid initiation of antiretroviral therapy (ART), thus to improve HIV/AIDS case management. [WTHZ]Methods From the Basic Information Module for AIDS Prevention and Treatment, the information of the newly diagnosed HIV/AIDS cases in Guangzhou City in 2019 were collected. Univariate and multivariate logistic regression analysis were applied to identify factors associated with initiation of ART within 30 days of diagnosis.[WTHZ]Results A total of 1185 (71.6%) HIV/AIDS cases newly diagnosed in Guangzhou City in 2019 initiated ART within 30 days of diagnosis. Compared with the HIV/AIDS cases who did not initiate ART within 30 days of diagnosis, those who did were more likely to be females ［adjusted odds ratio (aOR)(95%CI): 1.61(1.08-2.39)］(males as reference), married ［aOR(95%CI): 1.51(1.04-2.17)］(single as reference), hada higher education level , junior high school ［aOR(95%CI): 1.58(1.08-2.30)］, senior high school or technical secondary school［aOR(95%CI): 2.24(1.49-3.37)］, junior college and above ［aOR(95%CI): 2.66(1.74-4.08)］,(primary school and below as reference),infected through homosexual behavior ［aOR(95%CI): 1.45(1.10-1.92)］(heterosexual transmission as reference), detected by HIV voluntary counseling and testing ［aOR(95%CI): 1.86(1.41-2.45)］ (provider-initiated HIV testing and counseling as reference), hadprogressed to AIDS by the time of HIV diagnosis ［aOR(95%CI): 1.66(1.29-2.15)］(HIV carrier as reference).[WTHZ]Conclusion A high proportion of HIV/AIDS cases newly diagnosed in Guangzhou City receive ART within 30 days of diagnosis. HIV/AIDS cases who are males, single, with a low education level, infected through heterosexual behavior, detected by provider-initiated HIV testing and counseling require additional attention to further improve rapid ART initiation. |
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| Keywords: | HIV Antiretroviral therapy Influencing factor |
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