云南省德宏州缅甸籍HIV感染者随访管理分析

杨世江; 杨跃诚; 叶润华; 项丽芬; 曹艳芬; 唐仁海; 高洁; 王继宝; 张保森; 段松; 何纳

Abstract

杨世江,杨跃诚,叶润华,项丽芬,曹艳芬,唐仁海,高洁,王继宝,张保森,段松,何纳.云南省德宏州缅甸籍HIV感染者随访管理分析[J].Chinese journal of Epidemiology,2015,36(3):265-270

云南省德宏州缅甸籍HIV感染者随访管理分析

Analysis of follow-up and administration of HIV-infected Burmese in Dehong prefecture of Yunnan province

Received:September 11, 2014

DOI：10.3760/cma.j.issn.0254-6450.2015.03.016

KeyWord: 人类免疫缺陷病毒德宏州缅甸籍随访管理

English Key Word: Human immunodeficiency virus Dehong prefecture Burmese Follow-up and administration

FundProject:国家重点地区艾滋病防治项目; 国家科技重大专项(2011ZX10004-903,2012ZX10001001-004)

Author Name	Affiliation	E-mail
Yang Shijiang	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Yang Yuecheng	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Ye Runhua	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Xiang Lifen	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Cao Yanfen	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Tang Renhai	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Gao Jie	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Wang Jibao	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Zhang Baosen	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China
Duan Song	Dehong Prefecture Center for Disease Control and Prevention, Dehong 678400, China	dhduansong@sina.com.cn
He Na	Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University	nhe@shmu.edu.cn

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Abstract:

目的比较云南省德宏州境内历年新报告的本地HIV感染者与缅甸籍HIV感染者随访管理现状,为政府制定相关防控措施提供科学依据。方法以云南省德宏州1989年至2013年12月31日累计发现的14 270例本地HIV感染者以及5 436例缅甸籍HIV感染者为研究对象,比较分析二者在随访管理、CD₄⁺T淋巴细胞计数检测和抗病毒治疗(ART)等艾滋病相关管理现况。结果 1989－2013年德宏州累计报告的HIV感染者中缅甸籍占27.6%(5 436/19 706),其中,1989－2003年为17.1%,2004年为12.4%,2005年为14.7%,2012年为51.4%,2013年为59.4%,呈快速上升趋势(趋势χ²=1 732.84,P<0.000 1)。截止2013年底,历年报告现存活的德宏本地HIV感染者共8 095例,当前随访比例为95.8%,CD₄⁺T淋巴细胞计数检测比例为88.5%,ART比例为78.3%。历年报告现存活的缅甸籍HIV感染者共5 326例,当前随访比例为19.2%,CD₄⁺T淋巴细胞计数检测比例为13.0%,ART比例为6.1%。缅甸籍HIV感染者当前随访、CD₄⁺T淋巴细胞计数检测以及ART比例均低于德宏本地HIV感染者,差异有统计学意义(P<0.000 1)。结论缅甸籍HIV感染者随访比例、CD₄⁺T淋巴细胞计数检测比例以及ART比例均较低,需要探索更加有效的随访管理模式。

English Abstract:

Objective To compare follow-up and administration of HIV-infected local Chinese and Burmese in Dehong prefecture of Yunnan province,for scientific development of prevention and control measures. Methods 14 270 HIV-infected local Chinese and 5 436 HIV- infected Burmese reported from 1989 to December 31,2013 in Dehong prefecture were recruited as the subjects of study,comparing the differences of follow-up and management,CD₄⁺T lymphocyte count tests and antiretroviral therapy (ART) between the two groups. Results The proportion of HIV-infected Burmese identified in Dehong prefecture was 27.6% (5 436/19 706) during 1989-2013. The number had been growing rapidly from 17.1% in 1989-2003,12.4% in 2004 and 14.7% in 2005 to over 51.4% in 2012,hitting 59.4% in 2013 (trends χ²=1 732.84,P<0.000 1). The proportion of HIV-infected Burmese among case reports of various characteristics kept rising over the years. By the end of 2013,8 095 HIV-infected local Dehong residents and 5 326 HIV-infected Burmese were still alive. 95.8% of them were under follow-up,88.5% having CD₄⁺T lymphocyte count tests,and 78.3% under ART. Among the HIV-infected B urmese, only 19.2% of them were under follow-up,13.0% having CD₄⁺T lymphocyte count tests, and 6.1% under ART,significantly lower than the local Dehong residents(P<0.000 1). Conclusion The proportion of follow-up and administration,CD₄⁺T lymphocyte count tests,and ART of HIV-infected Burmese was low in Dehong prefecture,Yunnan province,which called for more effective follow-up and administration measures.

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