文章摘要
许娟,韩晶,汤后林,李健,臧春鹏,毛宇嵘.中国2008-2015年新报告男男性行为HIV/AIDS未接受随访干预情况及相关因素分析[J].中华流行病学杂志,2018,39(4):495-499
中国2008-2015年新报告男男性行为HIV/AIDS未接受随访干预情况及相关因素分析
Situation and reasons for missed follow-up services among newly reported HIV/AIDS cases transmitted by homosexual behavior in China, 2008-2015
收稿日期:2017-08-21  出版日期:2018-04-18
DOI:10.3760/cma.j.issn.0254-6450.2018.04.022
中文关键词: 艾滋病病毒感染者;男男性行为者;随访;干预
英文关键词: HIV/AIDS cases;Men who have sex with men;Follow-up;Intervention
基金项目:
作者单位E-mail
许娟 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心综合防治与评估室  
韩晶 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心综合防治与评估室  
汤后林 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心综合防治与评估室  
李健 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心综合防治与评估室  
臧春鹏 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心综合防治与评估室  
毛宇嵘 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心综合防治与评估室 maoyr@chinaaids.cn 
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中文摘要:
      目的 分析我国2008-2015年新报告的男男性行为艾滋病病毒感染者(MSM感染者)未接受随访干预情况及其相关因素,为提高该人群随访干预工作质量提供依据。方法 利用艾滋病综合防治数据信息系统,分析2008-2015年新报告的MSM感染者未接受随访干预情况,用广义估计方程分析其相关因素。结果 2008-2015年新报告MSM感染者的未随访干预的比例为5.06%(6 037/119 358),由2008年的37.57%(1 261/3 356))下降到2015年的0.84%(267/31 935),呈逐年递减趋势(趋势χ2=103.43,P<0.01)。年龄<20(OR=1.30,95% CI:1.11~1.52)、20~(OR=1.52,95% CI:1.36~1.69)、30~(OR=1.22,95% CI:1.12~1.34)和40~(OR=1.10,95% CI:1.01~1.20)岁组未随访干预的比例均比50~岁组高;初中及以下(OR=1.52,95% CI:1.37~1.69)、高中或中专(OR=1.35,95% CI:1.23~1.49)文化程度者未随访干预的比例比大专及以上者高;职业为不详者(OR=2.06,95% CI:1.49~2.87)、家政家务及待业(OR=1.54,95% CI:1.30~1.83)、商业服务(OR=1.31,95% CI:1.15~1.49)及学生(OR=1.34,95% CI:1.18~1.52)未随访干预的比例比干部职员高;样本来源于羁押场所(OR=2.99,95% CI:2.26~3.95)和专题调查(OR=1.43,95% CI:1.29~1.59)未随访干预的比例比来源于检测咨询点高;流动人口(OR=1.46,95% CI:1.28~1.66)未随访干预的比例比常住人口高。结论 新报告MSM感染者未随访干预比例逐年降低。年龄<50岁、文化程度为高中及以下、职业不详、家政家务及待业、商业服务及学生、源于羁押场所及专题调查、流动人口的未随访干预比例高,要加强这些特征的MSM感染者的随访干预工作。
英文摘要:
      Objective To determine the prevalence and relative factors on those who missed the follow-up service among newly reported HIV/AIDS cases that were infected by homosexual behavior. Methods Data were extracted from both HIV/AIDS case-reporting and follow-up cards on HIV/AIDS in the Comprehensive Response Information Management System, between December 2008 and December 2015. Data was analyzed, using the generalized estimating equations (GEE) to explore the relative factors of influence. Results Among the newly reported HIV infection among MSM, the proportion of those who missed the follow-up services was 5.06% (6 037/119 358), and decreased dramatically, from 37.57% (1 261/3 356) to 0.84% (267/31 935) (trend χ2=103.43, P<0.01). In MSM population, the younger than 20-year olds (OR=1.30, 95% CI:1.11-1.52), 20-year olds (OR=1.52, 95% CI:1.36-1.69), 30-year olds (OR=1.22, 95% CI:1.12-1.34), 40-year olds (OR=1.10, 95% CI:1.01-1.20) were receiving less follow-up services than those 50-year olds. Those who had received either junior (OR=1.52, 95% CI:1.37-1.69) or senior high school education (OR=1.35, 95% CI:1.23-1.49) were receiving less follow-up service than those who were more educated. MSM with the following characteristics as unspecified occupation (OR=2.06, 95% CI:1.49-2.87), unemployed (OR=1.54, 95% CI:1.30-1.83), working in commercial service (OR=1.31, 95% CI:1.15-1.49) or being student (OR=1.34, 95% CI:1.18-1.52) were more difficult to be traced or followed than the cadres. Cases being identified on site (OR=2.99, 95% CI:2.26-3.95) or under special investigation (OR=1.43, 95% CI:1.29-1.59) had received less follow-up service than those being identified through voluntary counsel testing service. Floating population (OR=1.46, 95% CI:1.28-1.66) were getting less follow-up service than local residents. Conclusions The prevalence of those who had missed the follow-up services in the newly discovered MSM HIV cases declined dramatically. Among the MSM HIV cases, those having the following characteristics as:younger than 50-year old, with less school education, with unspecified occupation or unemployment, working in commercial service, being student, having history of incarceration, recruited from special investigation, and floating population were prone to miss the follow-up program, suggesting that the follow-up service should be targeting on these patients.
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