Abstract：Objective To explore the causes of death of HIV-infected persons and AIDS patients in a city of Guangxi Province so as to take targeted measures for reducing the mortality rate. Methods We analyzed the data of HIV/AIDS death cases selected from the National AIDS Comprehensive Prevention and Control Information System and reported by a city of Guangxi Province in 2015. Results A total of 586 death cases were reported in this city of Guangxi Province in 2015, of which the top 3 counties with the death cases were HX, BYX and LAX, accounting for 55.97%. Male and female cases accounted for 83.96% and 16.04% respectively. The death cases aged 50 years and above, with junior middle school educational background or below, from rural areas and with heterosexual transmission accounted for 69.97%, 90.96%, 71.16% and 83.28% respectively. The mortality rate was 5.29%. The death cases caused by AIDS-related symptoms, other diseases and accidental injuries accounted for 18.60%, 72.53% and 8.53% respectively, and the ones without clear death causes for 0.34%. 62.63% of the death cases did not receive antiviral therapy. 89.93% of the death cases received the CD4 count test, of which 60.72% cases’ CD4 count was less than 200 cells/μl. 48.64% of the death cases died within 1 year after the confirmation, and the cases with survival time over 2 years only accounted for 36.5%. Conclusions Most of the death cases are the rural males aged above 50 years and with junior middle school educational background or below. The late discovery, later initiation of antiviral therapy and even no antiviral treatment are the main reasons for the death of HIV/AIDS patients. It is necessary to further establish and refine the monitoring, detection and treatment system, increase its coverage and accessibility and improve HIV/AIDS patients’ active and constant treatment, especially the middle-aged and elderly patients from the top 3 counties with death cases. Early detection and timely treatment are the most important means of decreasing the mortality rate.
农丽萍, 农全兴, 姚敏, 李斯斯, 孙恒, 徐红, 邓小芳, 覃威翱, 林倩. 广西某市2015年HIV/AIDS死亡病例特征分析[J]. 实用预防医学, 2017, 24(5): 614-616.
NONG Li-ping, NONG Quan-xing, YAO Min, LI Si-si, SUN Heng, XU Hong, DENG Xiao-fang, QIN Wei-ao, LIN Qian. Characteristics of HIV/AIDS death cases in a city of Guangxi Province, 2015. , 2017, 24(5): 614-616.
2017, Vol. 24 
