2013-2020年北京市通州区报告的HIV/AIDS病例晚发现情况及影响因素分析

目的 分析北京市通州区2013-2020年HIV感染者/AIDS病例晚发现情况,为制定通州区艾滋病病例早发现策略提供依据。方法 在“艾滋病综合防治数据信息管理系统”中,筛选出2013-2020年新报告的现住址为通州区的HIV/AIDS病例资料,采用单因素分析和多因素logistic回归分析晚发现的影响因素。结果 2013-2020年通州区共报告HIV/AIDS病例1 799例,晚发现病例219例,晚发现比例为12.17%。不同特征的HIV/AIDS病例晚发现比例不同,且2013-2020年病例晚发现比例呈下降趋势。多因素logistic回归分析结果显示,25-<50岁年龄组病例(OR=1.967,95%CI:1.241-3.117)、≥50岁(OR=2.496,95%CI:1.334-4.673)、异性性途径传播(OR=1.554,95%CI:1.061-2.276)、干部职员(OR=1.863,95%CI:1.161-2.991)、样本来源于医疗机构就诊者(OR=1.495,95%CI:1.054-2.122)为晚发现的危险因素。结论 通州区应继续加大对重点人群的艾滋病宣传教育工作,进一步扩大检测覆盖面,积极推动医疗机构主动提供艾滋病咨询检测服务,提高艾滋病病例的早期发现能力,降低晚发现比例。

Late detection of HIV/AIDS cases and its influencing factors in Tongzhou District of Beijing, 2013-2020

Objective To analyze the status of late detection of HIV infectors/AIDS cases in Tongzhou District, Beijing from 2013 to 2020, and to provide a basis for formulating early detection strategies for AIDS cases in Tongzhou District. Methods We screened out the data regarding newly reported HIV/AIDS cases whose current address was Tongzhou District during 2013-2020 from the Information Management System for AIDS Comprehensive Prevention and Control Data. Single factor analysis and multivariate logistic regression analysis were used to identify factors influencing the late detection. Results A total of 1,799 HIV/AIDS cases were reported in Tongzhou District from 2013 to 2020, including 219 late-detected cases, with the late detection proportion being 12.17%. The late detection proportions of HIV/AIDS cases with dissimilar characteristics were different, and the late detection proportions of cases from 2013 to 2020 showed a downward trend. The results of multivariate logistic regression analysis revealed that 25-50 years old (OR=1.967, 95%CI:1.241-3.117), ≥ 50 years old (OR=2.496, 95%CI:1.334-4.673), heterosexual transmission (OR=1.554, 95%CI:1.061-2.276), cadres and staff (OR=1.863, 95%CI:1.161-2.991) and samples from patients of medical institutions (OR=1.495, 95%CI:1.054-2.122) were risk factors for late discovery. Conclusion Tongzhou District should continue to increase AIDS publicity and education for key populations, further expand the coverage of testing, actively promote medical institutions to actively provide AIDS counseling and testing services, and improve the ability of early detection of AIDS cases so as to reduce the late detection proportion.