Status of late detection of newly reported HIV/AIDS cases and its influencing factors in Jining City, 2012-2021
MA Xipeng1, LI Liming1, YANG Xingguang2
1. Jining Municipal Center for Disease Control and Prevention, Jining, Shandong 272000, China; 2. Shandong Provincial Center for Disease Control and Prevention, Jinan, Shandong 250014, China
Abstract：Objective To understand the status of late detection of newly reported HIV/AIDS cases and its affecting factors in Jining City, and to provide a scientific basis for formulating prevention and control policies suitable for local conditions. Methods Data about newly reported HIV/AIDS cases in Jining City from 2012 to 2021 were collected from the HIV/AIDS Comprehensive Prevention and Control Information System of Chinese Center for Disease Control and Prevention.χ2 test for trend and logistic regression model were used to analyze thechanging trend ofproportion of late detection and its influencing factors. Results A total of 1,683 new cases of HIV/AIDS were reported cumulatively in Jining City during 2012-2021, and the mean age was (36.98±13.47) years. There were 554 cases detected late, and the proportion of late detection was 32.92%. From 2012 to 2021, the proportion of late detection of cases showed a downward trend year by year (χ2trend=5.930, P=0.015). Multivariate logistic regression analysis displayed that risk factors for late detection were children under 15 years old (OR=6.27, 95%CI:2.14-18.36), advanced age (OR45- year old=2.97, 95%CI:2.15-4.11; OR≥60 years old=4.26, 95%CI:2.65-6.85), nonlocal household registration (OR=1.53, 95%CI:1.14-2.06) and farmers (OR=1.31, 95%CI:1.04-1.64). The late detection rate was found to be lower inthe period 2017-2021 as thetime of confirmed diagnosis (OR2017-2021=0.57, 95%CI:0.45-0.72) and key populations (OR=0.33, 95%CI:0.26-0.42). Conclusion The proportion of late-detected HIV/AIDS cases in Jining City has decreased year by year in the past 10 years. It is necessary to take effective measures to enhancethe intensity of propaganda aboutHIV/AIDS among the elderly and farmers, expand the social screening for HIV/AIDS, and improve the rates of early detection and early treatment in HIV-infected patients.
马希鹏, 李黎明, 杨兴光. 2012—2021年济宁市新报告HIV/AIDS病例晚发现情况及影响因素分析[J]. 实用预防医学, 2023, 30(12): 1409-1412.
MA Xipeng, LI Liming, YANG Xingguang. Status of late detection of newly reported HIV/AIDS cases and its influencing factors in Jining City, 2012-2021. , 2023, 30(12): 1409-1412.
[1] 魏秀青,贺健梅,郑军,等.湖南省2014—2018年HIV/AIDS患者免费抗病毒治疗情况及影响因素分析[J].实用预防医学,2020,27(9):1044-1047. [2] Shrosbree J, Campbell LJ, Ibrahim F, et al. Late HIV diagnosis is a major risk factor for intensive care unit admission in HIV-positive patients: a single center observational cohort study[J].BMC Infect Dis,2013,13(1):1-7. [3] 梁娜,唐凯玲,方宁烨,等.2018年广西HIV/AIDS病人抗病毒治疗效果评估及基因型耐药分析[J].中国艾滋病性病,2020,26(2):129-132. [4] 马凯芳,张晓婷,葛琳,等.2015—2019年我国新报告≥50岁HIV/AIDS患者中晚发现情况分析[J].中国艾滋病性病,2022,28(1):16-20. [5] 金霞,熊燃,王丽艳,等.2010—2014年我国HIV感染病例的晚发现情况分析[J].中华流行病学杂志,2016,37(2):218-221. [6] 笪琴,彭国平,汤恒,等.湖北省2014—2016年艾滋病感染者/艾滋病患者晚发现情况分析[J].实用预防医学,2019,26(3):268-270. [7] 施雅莹,余继熙,刘芳,等.成都市2010—2019年新报告HIV/AIDS病例晚发现的影响因素及晚发现病例的生存情况分析[J].现代预防医学,2022,49(12):2143-2148. [8] 丁洁,闫晗,吴斯.武汉市2008—2018年报告HIV/AIDS病人晚发现状况及影响因素[J].中国艾滋病性病,2020,26(3):290-293. [9] 李菊梅,曾亚莉,裴晓迪,等.四川省儿童艾滋病病例特征分析[J].中国艾滋病性病,2020,26(12):1301-1304. [10] 汤洪洋,康旎雯,岑平,等.南宁市农村地区≥50岁人群艾滋病知晓现状及性行为影响因素分析[J].中国预防医学杂志,2022,23(6):430-435. [11] 韦辉,李博,蓝光华.中国老年人群艾滋病流行特征研究进展[J].应用预防医学,2021,27(2):189-192. [12] 刘静静,戚广浩,李乐,等.2013—2020年北京市通州区报告的HIV/AIDS病例晚发现情况及影响因素分析[J].实用预防医学,2022,29(12):1424-1427. [13] 杨俊,李鹏宇,金艳涛,等. 河南省农村地区HIV/AIDS患者生存质量及影响因素研究[J].中国全科医学,2022,25(21):2646-2650. [14] 苏生利,康殿民,李建卓,等.山东省农村外来妇女HIV 感染状况调查[J].现代预防医学,2011,38(8):1545-1546. [15] 石蕾,陈艳,卢园,等.2021年福州市社会组织参与自愿咨询检测HIV感染者发现情况分析[J].实用预防医学,2022,29(12):1428-1431.
2023, Vol. 30 
