Programs on mobility, status of follow-up and CD4+T cell testing among people living with HIV/AIDS, in China 2011-2015 / 中华流行病学杂志

ABSTRACT

Objective To analyze the mobility,status of follow-up and CD4+T cell testing (CD4 testing) programs among people living with HIV (PLHIV) between 2011 and 2015 and to improve the prevention program on HIV secondary transmission.Methods Data were collected from both Case Reporting Cards and Follow-up Cards through the National HIV/AIDS Comprehensive Control and Prevention data system.Changes of residence among the newly reported cases and survival cases between 2011 and 2015 were analyzed by SPSS 24.0 software.Results The number of newly reported inter-provincial mobile PLHIV had been increasing,with proportions of the total reported cases from 10.0％ (5 576/55 805) in 2011 to 13.3 ％ (15 348/115 231) in 2015.After adjusting for related confounders,percentages of follow-up and CD4 testing were lower in inter-provincial and inter-prefectural mobile cases than those without.Conclusion Service regarding the follow-up and CD4 testing programs was affected by mobility of people living with HIV/AIDS.Programs on communication and personal contact should be strengthened in the follow-up management services for PLHIV.Information on potential mobility of PLH1V should be gathered timely by health workers during the subsequent follow-up period to avoid the loss of follow-up and CD4 testing on patients.