文章摘要
倪明健,陈学玲,胡晓远,马媛媛.新疆维吾尔自治区伊犁哈萨克自治州艾滋病报告病例传播途径误报及其影响因素分析[J].中华流行病学杂志,2016,37(1):90-93
新疆维吾尔自治区伊犁哈萨克自治州艾滋病报告病例传播途径误报及其影响因素分析
Misreporting rate and influencing factors regarding the routes of transmission among reported HIV patients in Yili Kazakh Autonomous Prefecture of Xinjiang Uygur Autonomous Region of China
收稿日期:2015-06-12  出版日期:2016-01-12
DOI:10.3760/cma.j.issn.0254-6450.2016.01.019
中文关键词: 艾滋病;报告病例;传播途径;错误报告
英文关键词: AIDS;Reported cases;Transmission route;Incorrect report
基金项目:新疆维吾尔自治区科技支撑计划(201433107)
作者单位E-mail
倪明健 830011 乌鲁木齐, 新疆维吾尔自治区疾病预防控制中心性病艾滋病预防控制中心 xjnmj@126.com 
陈学玲 830011 乌鲁木齐, 新疆维吾尔自治区疾病预防控制中心性病艾滋病预防控制中心  
胡晓远 830011 乌鲁木齐, 新疆维吾尔自治区疾病预防控制中心性病艾滋病预防控制中心  
马媛媛 830011 乌鲁木齐, 新疆维吾尔自治区疾病预防控制中心性病艾滋病预防控制中心  
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中文摘要:
      目的 对新疆维吾尔自治区(新疆)伊犁哈萨克自治(伊犁)州艾滋病报告病例的传播途径进行系统的整理及校正,为艾滋病防治资源的投入与分配提供依据。方法 对伊犁州2011-2014年报告的HIV感染者通过访谈开展传播途径现场核查并详细了解传播途径误报者误报原因。结果 调查对象总体误报率为10.8%,异性传播途径构成由63.8%被高估为72.0%,注射吸毒途径构成由27.5%被低估为22.2%。异性传播途径误报人数远高于其他途径,占82.6%。误报者主要经异性传播流向注射吸毒及其他,占误报总人数的79.5%。logistic多因素分析结果显示:男性误报风险为女性的3.64倍;无预期检测者误报风险为有预期检测者的2.23倍;年龄越高误报风险越高,与≤16岁者比较,17~30岁、31~45岁、46~60岁和60岁以上年龄组的误报风险依次为3.511、4.053、4.415和6.524倍。结论 新疆伊犁州艾滋病报告病例传播途径构成中,异性传播被高估,注射吸毒被低估,但总体趋势已由以往的注射吸毒传播为主转为异性传播为主。建议对男性、无预期检测者和高龄者进行首次随访时投入更多的关注。
英文摘要:
      Objective To understand the misreporting rate regarding the routes of transmission among the reported HIV patients in Yili prefecture of Xinjiang, since 2011. Methods An investigation focusing on the route of transmission among people living with HIV/AIDS was carried out to clarify the responsible reasons for the situation. Results The overall incorrect reporting rate on the route of transmission was 10.8%.The proportion of heterosexual transmission route was over estimated by 63.8% to 72.0%. However, the proportion of injecting drug was underestimated by 27.5% to 22.2%. The number of cases being confirmed as through heterosexual transmission but incorrectly reported was quite high, contributing 82.6% of all the incorrectly reported cases. Most of the patients that incorrect reported, were moved from injecting drug use to heterosexual transmission, which contributed 79.5% of all the total incorrectly reported cases. Results from multi-factor analysis showed that the risk related to incorrect reporting was 3.64 times in males than in females. People who anticipated to receive HIV testing were 2.23 times more than those who had not. Old-age groups were 3.511, 4.053, 4.415 and 6.524 times higher than those people who were aged below 16 years. Conclusions The proportion of heterosexual transmission route was over- estimated while the proportion on injecting drug use was underestimated. However, the transmission pattern had changed from injecting drug use at the early epidemic stage, to current sexual transmission mode. We recommended that more attentions should be paid to patients who were males, at older age or those who had no expectation in receiving the HIV testing, during the initial following-up stage.
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