论文部分内容阅读
目的分析HIV感染者和AIDS病人随访影响因素,为促进艾滋病防治工作提供理论依据。方法从中国疾病预防控制信息系统艾滋病综合防治信息系统下载历史卡片,使用Excel建立数据库,并使用SPSS19.0进行数据处理和统计分析。结果非条件Logistic回归分析显示,同性性接触感染(OR=4.94,P=0.001,95%CI:1.917~12.728)、病程为艾滋病(OR=6.857,P<0.001,95%CI:4.162~11.298)、配偶检测为阳性(OR=9.896,P<0.001,95%CI:4.779~20.493)是失访的危险因素(OR﹥1);已婚有配偶(OR=0.437,P=0.001,95%CI:0.272~0.704)、大专及以上学历(OR=0.205,P=0.006,95%CI:0.066~0.640)、样本源于检测咨询(OR=0.444,P=0.029,95%CI:0.275~0.816)是失访的保护因素(OR<1)。结论随访状态受多种因素的影响,病程为艾滋病、配偶检测为阳性和同性性接触感染是失访的主要影响因素;已婚有配偶、大专及以上学历以及样本来源于检测咨询的HIV感染者和AIDS病人有较好的随访依从性。
Objective To analyze the influential factors of follow-up of HIV-infected and AIDS-infected patients and provide a theoretical basis for AIDS prevention and treatment. Methods Download historical cards from AIDS prevention and control information system in China, set up database by Excel, and use SPSS19.0 for data processing and statistical analysis. Results The unconditional logistic regression analysis showed that the homosexual contact infection (OR = 4.94, P = 0.001, 95% CI: 1.917-12.728) and the course of disease was AIDS (OR = 6.857, P <0.001, 95% CI: 4.162-1.298) (OR = 9.896, P <0.001,95% CI: 4.779-20.493) were the risk factors for follow-up (OR> 1). Married spouses (OR = 0.437, P = 0.001, 95% CI (OR = 0.205, P = 0.006, 95% CI: 0.066-0.640). The samples were from the testing counseling (OR = 0.444, P = 0.029, 95% CI: 0.275-0.816) Is a protective factor for lost follow-up (OR <1). Conclusions The follow-up status is affected by many factors, the course of the disease is AIDS, spouse detection is positive and same-sex contact infection is the main factor of loss of follow-up. Married couples with spouse, college degree or above and samples from HIV-infected patients And AIDS patients have better follow-up compliance.