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目的了解伊宁市2010-2015年新报告的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)中,晚发现病例的情况及影响因素,为开展监测检测和尽早发现HIV/AIDS病人提供依据。方法使用艾滋病综合防治数据信息系统中的病例报告卡片数据库进行统计分析。结果 2010-2015年共新报告HIV/AIDS病人2 449例,其中HIV感染者1 789(73.05%)例,AIDS病人660(26.95%)例。新报告的2 449例HIV/AIDS病人中,晚发现病例500例,占总报告数的20.42%。高年龄和样本来源为医疗机构检测是晚发现的危险因素,而婚前检查、孕产检查、监管场所检测以及有效的高危人群干预、咨询检测,是促进早发现的主要因素。结论应加大对大众人群和高危人群艾滋病检测相关知识的宣传,加强高危人群的有效干预,继续实施有效的“逢婚必检”、“逢孕必检”和“逢住院手术必检”。同时加大对门诊就诊病人的检测,尽早发现HIV/AIDS病人。
Objective To understand the late-onset cases and their influencing factors in newly reported HIV-infected (AIDS / AIDS) patients (referred to as HIV / AIDS patients) in Yining 2010-2015 for the purpose of monitoring and early detection HIV / AIDS patients provide the basis. Methods The case report card database in AIDS Integrated Prevention and Control Information System was used for statistical analysis. Results A total of 2 449 HIV / AIDS cases were reported in 2010-2015, including 1 789 (73.05%) cases of HIV infection and 660 cases (26.95%) of AIDS cases. Of the 2,449 newly reported HIV / AIDS patients, 500 were found late, accounting for 20.42% of the total reported. High age and sample source are the risk factors for late detection by medical institutions. Premarital examination, maternity examination, regulatory site testing and effective high-risk group intervention and counseling and testing are the main factors that promote early detection. Conclusion Publicity on HIV / AIDS-related knowledge in the general population and high-risk groups should be increased, effective intervention should be strengthened in high-risk groups, and effective implementation of effective “check every marriage”, “every pregnancy must check” and “every hospitalization” Surgery will be seized ". At the same time increase the detection of outpatient visits, early detection of HIV / AIDS patients.