Analysis of late-diagnosis and associated factors in newly reported HIV infections among men who have sex with men in Guangxi Zhuang Autonomous Region, 2005-2021
10.3760/cma.j.cn112338-20230412-00232
- VernacularTitle:广西壮族自治区2005-2021年新报告男男性行为人群HIV感染者晚发现及影响因素分析
- Author:
Wenxuan HOU
1
;
He JIANG
;
Qiuying ZHU
;
Jinghua HUANG
;
Jianjun LI
;
Xiuling WU
;
Xuanhua LIU
;
Nengxiu LIANG
;
Shuai TANG
;
Qin MENG
;
Bo LI
;
Ni CHEN
;
Guanghua LAN
Author Information
1. 广西中医药大学，南宁 530028
- Keywords:
AIDS;
Late-diagnosis;
Men who have sex with men;
Associated factors
- From:
Chinese Journal of Epidemiology
2023;44(10):1646-1652
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the trend of late-diagnosis of HIV-infected men who have sex with men (MSM) before and after the AIDS Conquering Project in Guangxi Zhuang Autonomous Region (Guangxi) and its influencing factors, in order to find out the population groups that need priority intervention at the present stage.Methods:The HIV-infected MSM in Guangxi from 2005-2021 were selected from the National Integrated HIV/AIDS Control and Prevention Data System. The Joinpoint 4.9.1.0 software was used to test the time trend of late-diagnosis and non-late-diagnosis cases, and logistic regression was applied to analyze the factors influencing the proportion of late-diagnosis at each stage.Results:From 2005 to 2021, 5 764 HIV-infected MSM were reported in Guangxi from 2005 to 2021, with an overall late-diagnosis of 28.45% (1 640 cases). Under the 2015 baseline data as the boundary, the proportion of late-diagnosis cases showed a trend of sharp decline followed by stabilization from 2005 to 2015, average annual percent change= -6.90% ( P<0.001). The effect of factors such as resident population, occupation as a farmer or worker, and sample originating from medical consultation on late-diagnosis changed considerably before and after the implementation of the project, and the factors influencing late-diagnosis at this stage were age, resident population, occupation as a farmer, worker or student. The factors influencing late-diagnosis at this stage are age, resident population, and occupation as a farmer, worker and a student. Conclusions:The proportion of late diagnosis cases of HIV-infected MSM in Guangxi decreased significantly before and after the project. However, late-diagnosis should not be neglected and precise prevention and control should be carried out for the resident population, farmers, workers or students.
