云南省德宏州利用PITC策略发现的HIV感染者特征及卫生服务利用分析

项丽芬; 高洁; 刘春馨; 杨世江; 叶润华; 杨跃诚; 李林; 唐仁海; <br/>
王继宝; 杜本丽; 杨忠桔; 聂永英; 段松; 何纳

doi:10.16462/j.cnki.zhjbkz.2016.04.005

文章导航 > 中华疾病控制杂志 > 2016 > 20(4): 341-344

项丽芬, 高洁, 刘春馨, 杨世江, 叶润华, 杨跃诚, 李林, 唐仁海, 王继宝, 杜本丽, 杨忠桔, 聂永英, 段松, 何纳. 云南省德宏州利用PITC策略发现的HIV感染者特征及卫生服务利用分析[J]. 中华疾病控制杂志, 2016, 20(4): 341-344. doi: 10.16462/j.cnki.zhjbkz.2016.04.005

引用本文:

项丽芬, 高洁, 刘春馨, 杨世江, 叶润华, 杨跃诚, 李林, 唐仁海,
王继宝, 杜本丽, 杨忠桔, 聂永英, 段松, 何纳. 云南省德宏州利用PITC策略发现的HIV感染者特征及卫生服务利用分析[J]. 中华疾病控制杂志, 2016, 20(4): 341-344. doi: 10.16462/j.cnki.zhjbkz.2016.04.005

XIANG Li-fen, GAO Jie, LIU Chun-xin, YANG Shi-jiang, YE Run-hua, YANG Yue-cheng, LI Lin, TANG Ren-hai, WANG Ji-bao, DU Ben-li, YANG Zhong-ju, NIE Yong-ying, DUAN Song, HE Na. Characteristics and health service utilization of HIV positive individuals detected through free PITC strategy in Dehong prefecture[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(4): 341-344. doi: 10.16462/j.cnki.zhjbkz.2016.04.005

Citation:

XIANG Li-fen, GAO Jie, LIU Chun-xin, YANG Shi-jiang, YE Run-hua, YANG Yue-cheng, LI Lin, TANG Ren-hai, WANG Ji-bao, DU Ben-li, YANG Zhong-ju, NIE Yong-ying, DUAN Song, HE Na. Characteristics and health service utilization of HIV positive individuals detected through free PITC strategy in Dehong prefecture[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(4): 341-344. doi: 10.16462/j.cnki.zhjbkz.2016.04.005

引用本文:

项丽芬, 高洁, 刘春馨, 杨世江, 叶润华, 杨跃诚, 李林, 唐仁海,
王继宝, 杜本丽, 杨忠桔, 聂永英, 段松, 何纳. 云南省德宏州利用PITC策略发现的HIV感染者特征及卫生服务利用分析[J]. 中华疾病控制杂志, 2016, 20(4): 341-344. doi: 10.16462/j.cnki.zhjbkz.2016.04.005

Citation:

XIANG Li-fen, GAO Jie, LIU Chun-xin, YANG Shi-jiang, YE Run-hua, YANG Yue-cheng, LI Lin, TANG Ren-hai, WANG Ji-bao, DU Ben-li, YANG Zhong-ju, NIE Yong-ying, DUAN Song, HE Na. Characteristics and health service utilization of HIV positive individuals detected through free PITC strategy in Dehong prefecture[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(4): 341-344. doi: 10.16462/j.cnki.zhjbkz.2016.04.005

云南省德宏州利用PITC策略发现的HIV感染者特征及卫生服务利用分析

doi: 10.16462/j.cnki.zhjbkz.2016.04.005

1. 德宏州疾病预防控制中心性病艾滋病防制科, 云南芒市 678400;
2. 复旦大学公共卫生学院流行病学教研室、公共卫生安全教育部重点实验室, 上海 200032;
3. 芒市疾病预防控制中心性病艾滋病防制科, 云南芒市 678400;
4. 瑞丽市疾病预防控制中心性病艾滋病防制科, 云南瑞丽 678600;
5. 盈江县疾病预防控制中心性病艾滋病防制科, 云南盈江 679300

基金项目:

“十二五”国家科技重大专项（2013zx10004-906）；国家重点地区艾滋病防治项目（2004年）

详细信息

作者简介:
项丽芬(1973-),女,傣族,云南德宏人,主管医师。主要研究方向:艾滋病性病防制工作。

中图分类号: R512.91;R181
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出版历程
- 收稿日期: 2015-12-11
- 修回日期: 2016-02-28

Characteristics and health service utilization of HIV positive individuals detected through free PITC strategy in Dehong prefecture

1. Department of STD/AIDS Prevention and Control, Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China;
2. Department of Epidemiology, School of Public Health, Fudan University; Key Laboratory of Public Health Safety, Ministry of Education, Shanghai 200032, China;
3. Department of STD/AIDS Prevention and Control, Mangshi City Center for Disease Control and Prevention, Mangshi 678400, China;
4. Department of STD/AIDS Prevention and Control, Ruili City Center for Disease Control and Prevention, Ruili 678600, China;
5. Department of STD/AIDS Prevention and Control, Yingjiang County Center for Disease Control and Prevention, Yinggjiang 679300, China

摘要

摘要: 目的了解2013年云南省德宏州乡镇卫生院经医务人员主动提供艾滋病检测咨询（provider-initiated HIV testing and counselling, PITC）发现的HIV感染者特征及卫生服务利用状况。方法对PITC新发现HIV感染者与既往感染者特点及艾滋病卫生服务利用状况分析，应用Logistic回归分析HIV早发现影响因素。结果经PITC发现HIV感染者179例，76例（42.5%）为新发现感染者。相对于既往感染者，新发现感染者较年轻、外籍比例较高、AIDS患者比例较低。新发现感染者抗病毒治疗率及咨询服务接受率均低于既往感染者。但两者在是否坚持使用安全套以及是否受到抗机会感染药物支持、经济支持、结核病检查等艾滋病相关卫生服务的比例均无统计学差异（均有P>0.05）。58.8%（97/165）为早发现感染者。多因素回归分析显示，女性早发现率高于男性，具有统计学意义（OR=2.40,P=0.006）；≥45岁年龄组早发现率小于<35岁年龄组，差异有统计学意义（OR=0.25，P<0.001）；外籍人口早发现率低于中国籍，具有统计学意义（OR=0.46，P=0.044）。结论德宏州乡镇卫生院实施免费PITC可发现一定数量的HIV感染者，但对PITC新发现感染者的咨询服务和抗病毒治疗工作有待加强。
- HIV /
- 卫生服务 /
- 因素分析,统计学
Abstract: Objective To examine characteristics and health service utilization of HIV-positive individuals detected through Provider-Initiated HIV Testing and Counselling (PITC) in Dehong Prefecture of Yunan Province in 2013. Methods Newly diagnosed positives detected by PITC and formerly diagnosed positives were compared in terms of characteristics and utilization of health services. Correlates of early diagnosis were also analyzed through Logistic regression analysis. Results A total of 179 individuals were detected positive for HIV by PITC, of whom 76 (42.5%) were newly diagnosed. Compared with the formerly diagnosed infections, the newly diagnosed were younger with more foreigners and less AIDS patients. The proportion of receiving antiretroviral therapy (ART) and counselling were significantly lower among the newly diagnosed infections, but the proportion of consistent condom use, having received antifungal drugs, economic supports or tuberculosis examinations were not significantly different between the two groups. 58.8% (97/165) of the HIV-infected individuals were defined as the early diagnosed infections. Multiple regression analysis indicated that women were more likely to be early diagnosed than men (OR=2.40,P=0.006), ≥45 years old were less likely to be early diagnosed than <35 years old (OR=0.25,P<0.001) and foreigners were less likely to be diagnosed than Chinese (OR=0.46,P=0.044). Conclusions The free PITC strategy implemented in township hospitals in Dehong prefecture can identify a number of HIV infections. But more efforts are needed for providing counselling and ART to newly diagnosed HIV infections by PITC.
- HIV /
- Health service /
- Factor analysis, statistical