Effects of standardized follow-up program among newly diagnosed HIV/AIDS cases in 2010 / 中华流行病学杂志

ABSTRACT

Objective To analyze the effects of a follow-up program among newly diagnosed HIV/AIDS cases in 2010 in China.Methods Database was downloaded on January,2016 from both HIV/AIDS Case Reporting and Follow-up Cards.Information related to newly diagnosed HIV/AIDS cases in 2010 was extracted from the database.Information on follow-up intervention programs,CD4 testing,antiretroviral treatment,sexual behavior and mortality from 2010 to 2015 were analyzed.Results Of the newly diagnosed HIV/AIDS cases in 2010,70.4％ were men and 72.0％ with Han ethnicity.Heterosexual transmission accounted for 65.8％.The proportion of having received standardized follow-up increased significantly,with an annually upward trend (trend x2=3 749.77,P＜0.01).The proportions of sexual risk behaviors decreased significantly,with safe sexual behaviors over 90％,and having yearly upward trend (trend x2=16 971.98,P＜0.01).Among those eligible for antiretroviral therapy,the proportion of initiation the therapy increased from 56.5％ in 2010 to 83.2％ in 2015,with significant upward trend,annually (trend x2=2 504.86,P＜0.01).Over the same period,the proportion of deaths decreased from 12.4％ in 2010 to 2.4％ in 2015,with significant annual downward trend (trend x2=4 935.89,P＜0.01).Conclusion The standardized follow-up intervention program included the contents ofCD4 testing;counseling and timely referrals to receive antiretroviral therapy etc.,which were correlated to the reduction on both high risk sexual behaviors and deaths.