Proportion of late diagnosis of HIV/AIDS and its influencing factors in Baoshan City, Yunnan Province, 2015-2020,
HU An-yan1, LI Zheng-xu1, DONG Xian-ya1, AN Li1, YANG Xiao-juan1, LI Hong-mei1, MA Qiang1, LI Hong2, ZHANG Teng3,4
1. Baoshan Municipal Center for Disease Control and Prevention, Baoshan, Yunnan 678000, China; 2. Yunnan Provincial Center for Disease Control and Prevention, Kunming, Yunnan 650032, China; 3. Baoshan College of Traditional Chinese Medicine, Baoshan, Yunnan 678000, China; 4. School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
Abstract:Objective To explore the causes and countermeasures of late diagnosis of HIV/AIDS through analyzing the trend of proportion of late diagnosis of HIV/AIDS cases and their general characteristics in Baoshan City of Yunnan Province from 2015 to 2020. Methods We selected newly-reported HIV cases whose current address was Baoshan from January, 2015 to December, 2020, and analyzed the trend of proportion of delayed diagnoses and their general characteristics. Results A total of 2,111 HIV infectors/AIDS patients were reported in Baoshan City from 2015 to 2020, with an average age of (42.05±13.75) years. Among them, 87.7% were Han ethnic group, 87.0% had junior middle school education or below, 55.2% were married, 79.8% were farmers, and the proportion of heterosexual transmission was the highest (89.1%). There were 746 cases with delayed diagnosis in the six years, and the proportion of late diagnosis was 35.3%, without a downward trend (t=-0.300, P=0.803). 44.9% of the late diagnosis cases were patients with other diseases and preoperative population. The proportions of late diagnosis of HIV/AIDS in samples from different sources showed statistically significant differences (χ2=117.539, P<0.001). Multivariate logistic regression analysis showed that male cases(OR=1.373, 95%CI:1.122-1.680), comparing with the group aged below 20 years, 30-39 years old(OR=3.043, 95%CI:1.247-7.426), 40-49 years old(OR=4.606, 95%CI:1.897-11.186) and above 50 years old(OR= 4.596,95%CI:1.892-11.167), comparing with homosexual transmission, heterosexual transmission(OR=1.952,95%CI:1.011-3.767), mother to child transmission(OR=7.163,95%CI:2.147-23.901), and comparing with population undergoing premarital examination, patients with other diseases and preoperative population(OR=2.884,95%CI:1.468-5.668) were risk factors for late diagnosis in the cases. Conclusion The proportion of late diagnosis was still high in Baoshan City, without a downward trend. It is necessary to formulate accurate expanded detection strategy according to the characteristics of late diagnosis population, constantly strengthen the implementation of early detection measures, and consolidate the "three 90%" AIDS prevention and control achievements.
胡安艳, 李正旭, 董贤雅, 安丽, 杨晓娟, 李红梅, 马强, 李洪, 张腾. 2015—2020年云南保山市HIV/AIDS晚发现比例及影响因素分析[J]. 实用预防医学, 2022, 29(5): 523-526.
HU An-yan, LI Zheng-xu, DONG Xian-ya, AN Li, YANG Xiao-juan, LI Hong-mei, MA Qiang, LI Hong, ZHANG Teng. Proportion of late diagnosis of HIV/AIDS and its influencing factors in Baoshan City, Yunnan Province, 2015-2020,. , 2022, 29(5): 523-526.