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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 12
Dec.  2021
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MA Zhong-hui, GAO Jie, CAO Dong-dong, YANG Yue-cheng, YE Run-hua, WANG Ji-bao, TANG Ren-hai, HE Na, DING Ying-ying, DUAN Song. Prevalence and associated factors of multimorbidity among newly reported HIV-positive individuals in Dehong Dai and Jingpo Autonomous Prefecture[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1380-1386. doi: 10.16462/j.cnki.zhjbkz.2021.12.004
Citation: MA Zhong-hui, GAO Jie, CAO Dong-dong, YANG Yue-cheng, YE Run-hua, WANG Ji-bao, TANG Ren-hai, HE Na, DING Ying-ying, DUAN Song. Prevalence and associated factors of multimorbidity among newly reported HIV-positive individuals in Dehong Dai and Jingpo Autonomous Prefecture[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1380-1386. doi: 10.16462/j.cnki.zhjbkz.2021.12.004

Prevalence and associated factors of multimorbidity among newly reported HIV-positive individuals in Dehong Dai and Jingpo Autonomous Prefecture

doi: 10.16462/j.cnki.zhjbkz.2021.12.004
Funds:

China National Science and Technology Major Projects on Infectious Diseases 2018ZX10721102-004

Shanghai Municipal Health Commission GWV-10.1-XK16

More Information
  • Corresponding author: DING Ying-ying, E-mail: dingyy@fudan.edu.cn; DUAN Song, E-mail: dhduansong@sina.com.cn
  • Received Date: 2021-09-08
  • Rev Recd Date: 2021-11-18
  • Available Online: 2021-12-27
  • Publish Date: 2021-12-10
  •   Objective  To explore the prevalence and associated factors of multimorbidity among the newly reported human immunodeficiency virus (HIV)-positive individuals in Dehong Dai Jingpo Autonomous Prefecture (Dehong).  Methods  From 1 January 2018 to 30 June 2020, a cross-sectional study was conducted to investigate the multimorbidity burden among newly reported HIV-positive individuals in Dehong. Multimorbidity was defined as the presence of at least two chronic diseases.  Results  468 subjects were included, of which 258 (55.1%) were 35- < 50 years old, male to female ratio was about 1.4∶1 and 199 (42.5%) were Han Chinese. Among them, 140 (29.9%) had the multimorbidity. The prevalence of having two, three, four, five, six comorbidities were 19.0%, 8.3%, 1.1%, 0.9% and 0.6%, respectively. The top 5 comorbidities were dyslipidemia, chronic infections, hypertension, anemia and liver fibrosis, accounting for 48.9%, 15.2%, 13.9%, 13.0% and 8.3%, respectively. In multivariate Logistic regression, aged ≥ 50 years old (aOR=4.06, 95% CI: 1.98-8.33, P < 0.001), have history of drug abuse or injection drug use (aOR=2.26, 95% CI: 1.23-4.14, P=0.009) and CD4+T lymphocyte counts < 200 cells/μl (aOR=2.03, 95% CI: 1.23-3.37, P=0.006) were significantly associated with the presence of multimorbidity.  Conclusions  The prevalence of multimorbidity was high among newly reported HIV-positive individuals in Dehong particularly among the elderly, drug users and those with lower CD4 counts. Our data suggested that monitoring and managing multimorbidity should be integrated into regular HIV care.
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