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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。
Objective To investigate the late findings and influencing factors of newly reported HIV / AIDS patients in Guangxi in 2015. Methods The data of the first detection of CD4 ~ + T lymphocytes from HIV / AIDS patients in Guangxi in 2015 were collected and statistically analyzed. Results A total of 8 586 newly reported HIV / AIDS patients were collected in 2015. The first CD4 ~ + T lymphocyte count was 237.5 / μl, of which CD4 ~ + T lymphocyte count <200 / μl accounted for 43.12%. Univariate analysis showed that gender, age, occupation, marital status, The level of education, route of transmission, source of samples and regions were the late found factors (all P <0.05). Logistic multivariate analysis showed that the late risk factors were male (OR = 1.851, 95% CI: 1.673 ~ (OR = 1.197, 95% CI: 1.242-1.549), junior high school and below (OR = 1.619, 95% CI: 1.400-1.873), married couples with spouses % CI: 1.075-1.354), divorced or widowed (OR = 1.508, 95% CI: 1.309-1.738). Conclusion The HIV / AIDS patients in Guangxi were found to have a late onset of epidemics. Relevant departments should step up publicity and screening of AIDS.