A cross-sectional study on HIV/AIDS “90-90-90” treatment target in Shandong province, 2015 / 中华流行病学杂志

ABSTRACT

Objective To analyze the status and its factors associated with HIV/AIDS“90-90-90”-treatment-target in Shandong province,China.Methods Data regarding testing,treatment on HIV/AIDS in Shandong province by December 31,2015 was collected.Chi-square test and logistic regression model were used to analyze related factors associated with the “90-90-90”-treatment-target.Results Of the 11 700 estimated HIV/AIDS,61.2％ were diagnosed,of whom 74.4％ had received Highly active antiretroviral therapy (HAART).More than 80％ of the HIV/AIDS on HAART reached the criteria on viral suppression.HIV/AIDS infected by homosexual contacts were less likely to seek for diagnosis (P＜0.05).HIV/AIDS lived in Qingdao city (OR=1.30,95％CI1.05-1.60),Yantai city (OR=1.53,95％CI1.02-2.31) and Weihai city (OR=1.96,95％CI1.07-3.58) were more likely to receive HAART.HIV/AIDS patients that infected through homosexual or (OR=O.12,95％CI0.06-0.24) or heterosexual contacts (OR =0.13,95 ％CI0.07-0.26),through injecting drug use (OR =0.08,95％CI0.03-0.17) or being diagnosed at the custodial institutions (OR=0.29,95％CI0.21-0.41)were less likely to receive HAART.HIV/AIDS patients who received HAART at medical institutions (OR=1.81,95％ CI1.05-3.47) were more likely to meet the level of Viral load (VL) suppression.However,those who were infected through homosexual (OR=0.43,95％ CI0.25-0.75) or heterosexual contacts (OR =0.49,95％CI0.28-0.81) or diagnosed at the custodial institutions (OR =0.48,95％CI0.28-0.80) were less likely to meet the criteria set for VL suppression.Conclusions There was a gap between the status of testing/treatment and the target on HIV/AID “90-90-90”-treatment,especially on the target set for testing,in Shandong Province.Both HIV testing and comprehensive care services need to be strengthened.