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目的了解2014年广西新报告的艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)中,晚发现病例的流行病学特征,为防控策略制定提供依据。方法利用艾滋病综合防治信息系统的数据,采用描述性流行病学方法,对2014年广西艾滋病晚发现病例的流行病学特征进行分析。结果 2014年广西新报告HIV/AIDS病人9526例,其中晚发现病例4926例(51.71%)。不同流行病学特征病例的晚发现比例的差异有统计学意义,其中男性、离异或丧偶、农民、异性性传播感染和样本来自临床就诊的病例晚发现比例较高,分别为56.66%(3878/6844)、60.05%(1096/1825)、55.24%(3787/6855)、53.37%(4722/8847)和59.30%(3342/5636)。结论 2014年广西HIV/AIDS病人晚发现比例较高,应加强主动监测力度,扩大对高危和重点人群的宣传和检测,从而及早发现感染病例,降低晚发现比例。
Objective To understand the epidemiological characteristics of late-found cases among HIV-infected and AIDS patients (newly-reported HIV / AIDS patients) in Guangxi in 2014 and provide basis for prevention and control strategies. Methods Using the data of AIDS Integrated Prevention and Control Information System, the descriptive epidemiological method was used to analyze the epidemiological characteristics of late-onset HIV / AIDS cases in Guangxi in 2014. Results In 2014, 9,526 HIV / AIDS cases were newly reported in Guangxi, of which 4926 were found late (51.71%). There were significant differences in the late detection rates of cases with different epidemiological characteristics. Among them, male, divorced or widowed, farmer, heterosexual transmission infection and samples were found to have a higher percentage of late cases, accounting for 56.66% (3878 / 6844), 60.05% (1096/1825), 55.24% (3787/6855), 53.37% (4722/8847) and 59.30% (3342/5636). Conclusion In 2014, HIV / AIDS patients in Guangxi showed a high late detection rate. Active monitoring should be strengthened in 2014 to expand the publicity and detection of high-risk and key populations so that early detection of infectious cases and reduction of late-onset detection rates can be achieved.