Mobility characteristics of newly reported adult HIV/AIDS cases and their impacts on the first detection of CD4+T lymphocytes in Hunan Province, 2018-2022
Abstract：Objective To analyze the mobility characteristics of newly reported adult HIV/AIDS cases and their influences on CD4+T lymphocytes detection in Hunan Province from 2018 to 2022, and to provide reference information for improving thequality ofwork about follow-up of the cases. Methods The information regarding newly reported adult HIV/AIDS cases and follow-up in Hunan Province during 2018-2022 was downloaded from the General Information System for AIDS Prevention and Control of Chinese Center for Disease Control and Prevention. The mobility characteristics of the cases were analyzed, and the differences in the status of CD4+T lymphocytes detection caused by mobility were compared. Results Among 32,700 cases of HIV/AIDS enrolled into the study, mobile HIV/AIDS cases accounted for 13.29% (4,345/32,700), and the proportion of mobile HIV/AIDS cases decreased after 2020 (χ2=45.734, P<0.001). Changsha reported the highest proportions of inter-provincial (5.38%) and inter-municipal (34.32%) mobile HIV/AIDS cases.Mostofthecross-province mobileHIV/AIDS cases lived in Guangdong Province(20.83%). The high proportions of mobility were found in males (12.45%), the age group 18- years (21.97%), the group with an educational level of high school or above (18.44%), the unmarried/divorced (13.06%), workers/staff (22.25%), the group with homosexual contact as a transmission route (21.23%) and detainees undergoing CD4+T lymphocytes detection (22.22%) (all P<0.05). Multivariate logistic regression analysis displayed that workers/employees (OR=2.409, 95%CI:2.156-2.693), house workers/the unemployed (OR=2.245, 95%CI:2.027-2.486), the group with homosexual transmission (OR=1.129, 95%CI:1.006-1.268) and detainees undergoing CD4+T lymphocytes detection (OR=1.912, 95%CI:1.318-2.774) weremore likely to bemobile. The elderly (OR60- years old=0.394, 95%CI:0.340-0.456) were less likely to be mobile (all P<0.05).The proportion of timely detection of CD4+T lymphocytes was lower in the mobile HIV/AIDS cases than in the non-mobile HIV/AIDS ones, of which the proportion of timely detection in the cross-province mobile HIV/AIDS cases was the lowest (χ2=561.052,P<0.001). Conclusion The mobility of HIV/AIDS cases affects the work about follow-up and detection. Propaganda andinterventions for key groups and the mobile HIV/AIDS cases should be conducted, and supporting testing services should be improved.
2023, Vol. 30 
