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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) (trendx2=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.
RESUMO
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) (trendx2=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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Objective@#To analyze the proportion of late HIV diagnosis and the factors associated with late HIV diagnosis of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) cases newly reported by medical institutions in China from 2009 to 2017.@*Methods@#Data of adult HIV/AIDS cases newly reported by medical institutions in China from 2009 to 2017 were downloaded from the AIDS prevention and control information system of China′s disease prevention and control information system. The basic information, sample source, transmission route, flow of HIV/AIDS patients and the first CD4+ T lymphocyte count were analyzed in 293 187 cases who had been tested for CD4+ T lymphocyte count within 91 days of diagnosis. The multivariate logistic regression was used to analyze the late HIV diagnosis relevant factors.@*Results@#A total of 293 187 newly reported HIV/AIDS cases in medical institutions were analyzed, and the mean age was (44.7±15.6) years. The proportion of late diagnosis in all cases was 68.4% (200 503 cases). From 2009 to 2017, the proportions of late diagnosis were 71.7% (6 263/8 737), 69.5% (8 283/11 917), 69.2% (13 230/19 116), 67.0% (17 186/25 669), 66.5% (21 833/32 834), 66.4% (26 541/39 944), 67.2% (31 257/46 536), 69.6% (35 920/51 646) and 70.4% (39 990/56 789) respectively. Compare with female cases, the OR (95%CI) of male cases with late diagnosis was 1.18 (1.15-1.20). Compared with the 18 to 29 years old group, the 30 to 39 years, 40 to 49 years, 50 to 59 years and 60 years old and over groups have higher risk of late diagnosis with OR (95%CI) values about 1.65 (1.61-1.69), 2.13 (2.08-2.19), 2.25 (2.18-2.31) and 2.33 (2.26-2.39) respectively. Compared with the college education level and above group, OR (95% CI) values of junior middle school and below group was 1.11 (1.08-1.14); and OR (95%CI) values of senior high school and equal level education group was 1.08 (1.04-1.11). Compared with the migrant population, the resident population has higher risk of late diagnosis (OR=1.06, 95%CI: 1.04-1.08). Compared with other national minorities, Han nationality has higher risk of late diagnosis (OR=1.33, 95%CI: 1.30-1.36). Compared with divorce, widowed and other marital status, married spouse have higher risk of late diagnosis (OR=1.08, 95%CI: 1.06-1.10). Compared with patients receiving other testing services, the OR (95%CI) values of examination before blood transfusion or blood products, pregnancy and childbirth examination, STD clinic and preoperative examination were 1.16 (1.08-1.25), 0.52 (0.50-0.54), 0.63 (0.61-0.64), 0.66 (0.65-0.68) respectively.@*Conclusion@#The proportion of late HIV diagnosis of newly reported HIV/AIDS cases in medical institutions in China was relatively high from 2009 to 2017 and the factors associated with late HIV diagnosis included male, Han nationality, old age group, low educational level, married spouse, other testing services and resident population.