Survival status and influencing factors of HIV/AIDS cases in Liuzhou, 2008-2018
10.3760/cma.j.cn112338-20200228-00211
- VernacularTitle:柳州市2008-2018年HIV/AIDS生存状况及影响因素分析
- Author:
Hengsheng GUO
1
;
Xianxiang FENG
;
Qi ZHANG
;
Yuansheng FU
;
Tao WEI
;
Li WEI
;
Miaoying YANG
;
Jianguo LAN
;
Yinguang FAN
;
Xuemei LIU
;
Dongqing YE
Author Information
1. 安徽医科大学公共卫生学院流行病与卫生统计学系，合肥 230032
- Keywords:
HIV/AIDS;
Survival time;
Influencing factors
- From:
Chinese Journal of Epidemiology
2020;41(12):2098-2103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the duration of survival and related influencing factors of HIV/AIDS patients in Liuzhou city.Methods:Both life table method and Kaplan-Meier method were used to calculate the average survival time of HIV/AIDS patients aged ≥15 years reported in Liuzhou city from 2008 to 2018. Factors related to the duration of HIV/AIDS patients were analyzed by univariate and multivariate Cox regression models.Results:A total of 14 856 patients with HIV/AIDS were involved in this study and with the average duration of survival time as 98.74 (95 %CI: 97.73-99.75) months. The cumulative survival rates of 1, 3, 5 and 10 years were 77.0%, 72.0%, 68.0%, 61.0% respectively. Results from the multivariate Cox proportional risk regression analysis showed that factors as sex, level of education, age when HIV infection was confirmed, occupation, route of transmission, source of samples, results of the first CD 4 test and antiviral treatment were all related to the duration of survival to the HIV/AIDS patients. Conclusions:Strategies involving early detection of HIV infection, improvement of the CD 4 initial detection rate and early antiviral treatment will help to significantly reduce the risk of death in HIV/AIDS population. Focus should be on male, middle-aged and elderly (over 41 years old), junior high school education or below farmers and migrant worker populations.
