Abstract：Objective To investigate the late diagnosis phenomena among HIV/AIDS patients in Hubei Province, to analyze its influencing factors, and to provide a basis for formulating prevention and treatment measures. Methods The proportion of late-diagnosed HIV/AIDS cases in Hubei Province from 2014 to 2016 was determined according to the identified case definition. And the differences among different population characteristics and cities were analyzed. Results A total of 8,275 HIV/AIDS cases were reported in Hubei Province from 2014 to 2016, 3,121 were late diagnosed and the proportion of late diagnosis cases was 37.72%. The proportion of late diagnosis cases was higher in females than in males (42.95% vs. 36.63%). The proportion was found to be the highest in the age group of 55-65 years (51.97%), followed by the group above 65 years of age (50.24%). The proportion was seen higher in permanent residents in Hubei Province than in floating population from other provinces (39.37% vs. 25.21%). The proportion was found to be the highest in the retirees (51.68%), followed by farmers (47.57%). The lowest proportion was found in the unmarried (24.38%). The proportion was found to be the highest in elementary education (49.22%), followed by illiteracies (47.55%). The proportion was seen higher in heterosexual transmission than in homosexual transmission (46.46% vs. 26.10%). The highest proportion was found in other patients diagnosed by medical institutions (50.77%), followed by preoperative detection (43.71%). The proportions of late diagnosis cases were found to be the highest in Huanggang City (53.66%), Huangshi City (46.81%) and Ezhou City (45.37%). There were statistically significant differences in the proportions of late diagnosis cases among different populations and different cities (both P<0.01). Conclusions The proportion of late-diagnosed HIV/AIDS cases in Hubei Province during 2014-2016 was high. It is necessary to strengthen the surveillance among populations and cities at high risk for late-diagnosed HIV/AIDS so as to early detect the HIV-infected persons.
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2019, Vol. 26 
