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目的了解南宁市艾滋病感染者或病人晚发现病例特征及其影响因素。方法利用艾滋病综合信息系统,选取2014年1月1日-12月31日期间南宁市新报告的艾滋病病例,晚发现患者特征分析采用单因素和多因素Logistic回归分析。结果南宁市2014年新报告病例2 356例中,晚发现病例1 148例(48.7%);死亡病例177例,均为晚发现病例,死亡年龄在50岁以上所占比例61.0%(108例),当天诊断当天死亡占14.1%(25例),多因素分析结果显示性别、确诊年龄、现住址、职业、婚姻状况、样本来源、确诊时长、报告单位是晚发现率的影响因素。结论南宁市艾滋病患者中晚发现率高,晚发现导致死亡且进程迅速现象十分严重,在农村中老年人群中广泛宣传艾滋病咨询检测,医疗机构扩大艾滋病咨询检测,确证实验室优化资源配置,艾滋病治疗“一站式服务”模式推广,可实现HIV/AIDS早发现、早诊断、早治疗,从而降低晚发现率和死亡率。
Objective To find out the late-onset cases of AIDS-infected persons or patients in Nanning and its influencing factors. Methods A total AIDS information system was used to select newly reported cases of AIDS in Nanning City from January 1 to December 31, 2014. Single factor and multivariate logistic regression analysis were used to analyze the characteristics of patients found late. Results A total of 148 cases (48.7%) were newly reported in 2 356 newly reported cases in Nanning City in the late period and 177 cases were fatal cases, both of which were found late. The proportion of those who died over 50 years old was 61.0% (108 cases) , The same day the diagnosis of deaths accounted for 14.1% (25 cases), multivariate analysis showed that gender, age at diagnosis, address, occupation, marital status, source of the sample, the duration of the diagnosis, the reporting unit is the impact of late detection rate. Conclusion The incidence of AIDS in Nanning City is high in the late middle and late stages. It is very serious to find out the cause of death and rapid progress in the later stage of Nanning. AIDS counseling and testing are widely publicized in the rural middle-aged and elderly people. The medical institutions expand AIDS counseling and testing, confirming that the laboratory is optimizing resource allocation and AIDS treatment “One-stop service ” model promotion, can achieve early detection of HIV / AIDS, early diagnosis and early treatment, thereby reducing the late detection rate and mortality.