| 2015年广西壮族自治区新报告HIV感染者/AIDS患者晚发现的影响因素 |
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| 引用本文： | 周崇兴, 胡茜, 沈智勇, 朱秋映, 孟琴, 臧丹艳, 宋丽萍, 蒋俊俊, 黄颉刚, 梁冰玉. 2015年广西壮族自治区新报告HIV感染者/AIDS患者晚发现的影响因素[J]. 中华疾病控制杂志, 2017, 21(9): 888-890,899. doi: 10.16462/j.cnki.zhjbkz.2017.09.007 |
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| 作者姓名： | 周崇兴 胡茜 沈智勇 朱秋映 孟琴 臧丹艳 宋丽萍 蒋俊俊 黄颉刚 梁冰玉 |
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| 作者单位： | 1. 广西壮族自治区疾病预防控制中心性病艾滋病防治科, 广西 南宁 530021;;;2. 广西艾滋病防治研究重点实验室, 广西医科大学公共卫生学院流行病与卫生统计教研室, 广西 南宁 530021;;;3. 桂林医学院公共卫生学院流行病学教研室, 广西 桂林 541004 |
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| 基金项目： | 国家自然科学基金，广西科学研究技术开发计划，广西重点实验室资助计划，“八桂学者”-艾滋病防控关键项目资助(厅发 |
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| 摘 要： | 目的 探讨2015年广西新报告HIV感染者/AIDS患者晚发现情况及其影响因素。方法 收集广西2015年新报告HIV感染/AIDS患者CD4+T淋巴细胞首次检测结果数据，并对其进行统计分析。结果 2015年共收集8 586例新报告的HIV感染者/AIDS患者。研究对象首次CD4+T淋巴细胞计数中位数为237.5个/μl，其中CD4+T淋巴细胞计数<200个/μl占43.12%；单因素分析发现，性别、年龄、职业、婚姻状况、文化程度、传播途径、样本来源及地区均为晚发现的影响因素（均有P<0.05）；Logistic多因素分析结果发现，晚发现的危险因素有男性（OR=1.851，95%CI：1.673~2.048），农民、工人、民工（OR=1.387，95%CI：1.242~1.549），初中及以下文化（OR=1.619，95%CI：1.400~1.873），已婚有配偶（OR=1.207，95%CI：1.075~1.354）、离异或丧偶（OR=1.508，95%CI：1.309~1.738）。结论 广西HIV感染者/AIDS患者晚发现疫情较严重，相关部门应加大对艾滋病的宣传力度与筛查力度。
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| 关 键 词： | HIV/AIDS CD4阳性T淋巴细胞 广西(壮族自治区) |
| 收稿时间： | 2017-03-19 |
| 修稿时间： | 2017-06-02 |
Analysis on influencing factors of late detection for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015 |
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| ZHOU Chong-xing, HU Xi, SHEN Zhi-yong, ZHU Qiu-ying, MENG Qin, ZANG Dan-yan, SONG Li-ping, JIANG Jun-jun, HUANG Jie-gang, LIANG Bing-yu. Analysis on influencing factors of late detection for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2017, 21(9): 888-890,899. doi: 10.16462/j.cnki.zhjbkz.2017.09.007 |
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| Authors: | ZHOU Chong-xing HU Xi SHEN Zhi-yong ZHU Qiu-ying MENG Qin ZANG Dan-yan SONG Li-ping JIANG Jun-jun HUANG Jie-gang LIANG Bing-yu |
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| Affiliation: | 1. Department of AIDS and STD Control, Center for Disease Control and Prevention of Guangxi Zhuang Autonomous Region, Nanning 530021, China;;;2. The Key Laboratory of AIDS Prevention and Research, Department of Epidemiology and Biostatistics, School of Public Health, Guangxi Medical University, Nanning 530021, China;;;3. Department of Epidemiology, School of Public Health, Guilin Medical University, Guilin 541004, China |
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| Abstract: | Objective To explore the influencing factors of late diagnosis for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015.Methods The CD4 + T lymphocytes count which was first detection for newly diagnosed HIV/AIDS positive patients in Guangxi during 2015 was collected.Data were statistically analyzed.Results We collected 8 586 newly diagnosed HIV/AIDS whose median CD4+ T lymphocytes counts was 237.5 cells/μl,and 43.12％ of them had less than 200 cells/μl.Gender,age,occupation,marriage,nation,education,route of transmission,types of testing and region had effects on late HIV diagnosis(all P ＜ 0.05).Logistic analysis found that risk factors associated with the late diagnosis of HIV were male(OR =1.851,95％ CI:1.673-2.048),migrant worker (OR =1.387,95％ CI:1.242-1.549),education below middle and secondary school(OR =1.619,95％ CI:1.400-1.873),currently married(OR =1.207,95％ CI:1.075-1.354),divorced or widowed(OR =1.508,95％ CI:1.309-1.738).Voluntary testing was a protective factor.Conclusions The prevalence the late diagnosis of HIV was high in Guangxi in 2015,it is crucial for related departments to enhance the testing and screening effort for HIV/AIDS. |
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| Keywords: | HIV/AIDS CD4 + T lymphocytes Guangxi (Zhuang Autonomous Region) |
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