Analysis on influencing factors of late detection for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015 / 中华疾病控制杂志

ABSTRACT

Objective To explore the influencing factors of late diagnosis for newly diagnosed HIV/AIDS positive patients in Guangxi in 2015.Methods The CD4 + T lymphocytes count which was first detection for newly diagnosed HIV/AIDS positive patients in Guangxi during 2015 was collected.Data were statistically analyzed.Results We collected 8 586 newly diagnosed HIV/AIDS whose median CD4+ T lymphocytes counts was 237.5 cells/μl,and 43.12％ of them had less than 200 cells/μl.Gender,age,occupation,marriage,nation,education,route of transmission,types of testing and region had effects on late HIV diagnosis(all P ＜ 0.05).Logistic analysis found that risk factors associated with the late diagnosis of HIV were male(OR =1.851,95％ CI1.673-2.048),migrant worker (OR =1.387,95％ CI1.242-1.549),education below middle and secondary school(OR =1.619,95％ CI1.400-1.873),currently married(OR =1.207,95％ CI1.075-1.354),divorced or widowed(OR =1.508,95％ CI1.309-1.738).Voluntary testing was a protective factor.Conclusions The prevalence the late diagnosis of HIV was high in Guangxi in 2015,it is crucial for related departments to enhance the testing and screening effort for HIV/AIDS.