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目的了解2014年深圳市新报告男男性接触者(MSM)中艾滋病病毒感染者(HIV)/艾滋病病人(AIDS)晚发现病例,并找出其相关因素。方法对2014年深圳市新报告的所有MSM HIV感染者/AIDS病人,不包括既往报告本年转化为AIDS病例的年龄、婚姻、民族、文化程度、样本来源、晚发现病例情况进行统计分析,不同特征病例晚发现比例比较采用χ2检验。结果 2014年深圳市新报告MSM HIV感染者/AIDS病人826例,年龄中位数29岁。25~29岁占30.1%(249例);未婚占73.7%(609例);大专及以上学历占32.9%(272例);医院来源占21.1%(174例)。新报告病例中,晚发现病例187例。其中,CD4细胞计数<200个/μL169例;25~29岁占21.1%(39例);未婚占63.2%(117例);医院来源占38.9%(72例)。不同特征病例分析发现,离异或丧偶、已婚有配偶和样本来源于医院的病例晚发现比例较高,分别为35.2%、28.7%和41.4%。同时,随着年龄的增加,晚发现比例也越高。结论年龄、婚姻状况及样本来源是2014年深圳市新报告MSM HIV感染者/AIDS病人晚发现的相关因素,应加强对已婚、年龄较大及医院来源MSM的HIV检测发现力度。
Objective To understand the late-onset cases of HIV / AIDS (AIDS) reported in the new report of MSM in Shenzhen in 2014 and to find out the related factors. Methods The data of all MSM HIV / AIDS patients newly reported in Shenzhen in 2014, excluding the historical reports of the age, marital status, ethnic origin, educational level, source of samples and late-onset cases of previous AIDS patients were included in this report. Late detection of characteristic cases were compared using χ2 test. Results In 2014, 826 MSM HIV / AIDS patients were newly reported in Shenzhen City, with a median age of 29 years. 25.29 years old accounted for 30.1% (249 cases), unmarried 73.7% (609 cases), college education accounted for 32.9% (272 cases), and hospital sources accounted for 21.1% (174 cases). Of the newly reported cases, 187 were found late. Among them, there were 169 cases with CD4 count <200 / μL; 21.1% (39 cases) aged 25-29 years; 63.2% (117 cases) unmarried; and 38.9% (72 cases) with hospital origin. Different characteristics of the case analysis found that the proportion of divorced or widowed, married couples with spouses and samples from the hospital were found late, were 35.2%, 28.7% and 41.4%. At the same time, with the increase of age, the later found the higher the proportion. Conclusions Age, marital status and sample source are the related factors of late detection of MSM HIV / AIDS patients in Shenzhen in 2014 and the detection of HIV testing in married, older and hospital MSM patients should be strengthened.