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目的分析钦州市钦南区2011—2015年艾滋病病毒感染者/艾滋病病例检测晚发现的影响因素,为艾滋病防控工作提供科学依据。方法从钦州市钦南区疾病预防控制中心的国家艾滋病综合防治数据信息专报系统,导出2011—2015年HIV/AIDS病例检测数据信息。按照我国使用的晚发现定义标准,分析不同情况下的晚发现比例及影响因素。结果 2011—2015年钦州市钦南区艾滋病病毒感染者/艾滋病病例检测晚发现比例分别为41.6%、42.1%、46.8%、50.0%和45.5%;晚发现比例最高的人群分别是男性(48.4%)、50~59岁组(50.9%)、文盲及小学(46.8%)、离异或丧偶(52.4%)、海员及长途驾驶员(52.6%)。不同性别、年龄、婚姻和职业间晚发现比例的差异均有统计学意义(P<0.001);异性传播途径感染病例的晚发现比例为46.7%,明显高于其他传播途径(P<0.001);不同样本来源的病例中,其他就诊检测晚发现比例为58.6%,明显高于其他样本来源(P<0.001)。结论钦州市钦南区艾滋病病毒感染者/艾滋病病例检测晚发现比例高于全国同期水平,影响因素是多方面的综合性的,亟需进一步研究和探索科学的行之有效的健康教育和健康促进的策略,让更多有高危行为的人群自觉早期检测。
Objective To analyze the influencing factors of late detection of HIV / AIDS cases from 2011 to 2015 in Qinnan District of Qinzhou City and provide a scientific basis for AIDS prevention and control. Methods Data of HIV / AIDS cases detection in 2011-2015 were derived from National Integrated System for HIV / AIDS Prevention and Control Information System of Qinnan District Center for Disease Control and Prevention in Qinzhou City. According to the standard of late-found definition used in our country, we analyze the late-found proportion and influencing factors in different situations. Results The late detection rates of HIV / AIDS cases in Qinan District of Qinzhou City from 2011 to 2015 were 41.6%, 42.1%, 46.8%, 50.0% and 45.5%, respectively. The highest rates of late detection were male (48.4% , 50-59 years old (50.9%), illiterate and primary (46.8%), divorced or widowed (52.4%), seafarer and long-distance driver (52.6%). There were significant differences in the rates of late detection among different sexes, ages, matrimonies and occupations (P <0.001). The late found percentage of infections with heterosexual transmission was 46.7%, which was significantly higher than that of other routes of transmission (P <0.001). Among cases from different sample sources, 58.6% were found late for other visits, significantly higher than other sample sources (P <0.001). Conclusion The late detection rate of HIV / AIDS cases in Qinan District of Qinzhou City is higher than that of the same period of the whole country. The influencing factors are comprehensive and comprehensive, so it is urgent to further study and explore scientific and effective health education and health promotion Strategy, so that more people with high-risk behavior conscious early detection.