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目的了解南京市2011—2015年新报告的人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者中男男性行为者(MSM)的晚发现率及其影响因素。方法从AIDS综合防治信息系统中选取南京市2011—2015年新报告的感染途径为同性传播的HIV/AIDS病例,采用趋势χ~2检验分析晚发现率变化趋势,采用多因素logistic回归分析晚发现的影响因素。结果 2011—2015年南京市共报告的MSM病例2 058例,晚发现率为25.7%(528/2 058)。2011—2015年新报告MSM病例晚发现率依次为27.4%(58/212)、24.2%(84/347)、25.1%(99/394)、24.9%(129/518)和26.9%(158/587),未呈现明显的下降趋势(P=0.741)。多因素logistic回归分析结果显示,49岁以上年龄组(a OR=6.245,95%CI:4.254~9.169)、已婚有配偶(a OR=1.571,95%CI:1.195~2.065)、外地户籍(a OR=1.267,95%CI:1.011~1.588)和医疗机构来源(a OR=3.431,95%CI:2.711~4.343)的MSM病例晚发现率较高。结论南京市2011—2015年新报告HIV/AIDS病例中MSM晚发现水平未呈现下降态势,应继续推进各级医疗机构全面开展医务人员主动提供艾滋病检测咨询服务(PITC),促进MSM感染者的早期发现。
Objective To understand the late detection rate and its influential factors of MSM in the newly reported HIV-infected and AIDS-infected patients in Nanjing in 2011-2015. Methods HIV / AIDS cases with the same sexually transmitted HIV infection were selected from AIDS comprehensive prevention and control information system in 2011-2015 in Nanjing. The trend of late detection rate was analyzed by trend χ ~ 2 test. Multivariate logistic regression analysis was used to analyze late detection The impact of factors. Results A total of 2 058 MSM cases were reported in Nanjing from 2011 to 2015, with a late detection rate of 25.7% (528/2 058). In the new report of 2011-2015, the late detection rates of MSM cases were 27.4% (58/212), 24.2% (84/347), 25.1% (99/394), 24.9% (129/518) and 26.9% (158 / 587), did not show a significant downward trend (P = 0.741). Multivariate logistic regression analysis showed that age 49 and older (a OR = 6.245, 95% CI: 4.254-9.169), married spouse (a OR = 1.571, 95% CI: 1.195-2.065) a OR = 1.267, 95% CI: 1.011-1.588) and high incidence of MSM in medical institutions (a OR = 3.431, 95% CI: 2.711-4.333). Conclusion The late detection level of MSM in the newly reported HIV / AIDS cases in 2011-2015 in Nanjing did not show a declining trend. We should continue to promote medical institutions at all levels to take the initiative to provide HIV testing counseling services (PITC) to promote the early stage of MSM infection Find.