Status of HIV/AIDS antiviral treatment and influencing factors in Ningxia Hui Autonomous Region, 2004-2017
10.3760/cma.j.cn112866-20191224-00207
- VernacularTitle:2004—2017年宁夏AIDS抗病毒治疗现状及影响因素分析
- Author:
Zhonglan WU
1
;
Shi SHEN
;
Jianhua ZHAO
;
Lihua ZHAO
;
Dongzhi YANG
;
Min CAO
;
Xuemin MA
Author Information
1. 宁夏疾病预防与控制中心,银川 750000
- Keywords:
HIV/AIDS patients;
Antiviral therapy;
Affecting factors
- From:
Chinese Journal of Experimental and Clinical Virology
2020;34(5):522-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To Analyze the status of HIV/AIDS antiviral treatment and influencing factors in Ningxia Hui Autonomous Region, 2004-2017.Methods:Data were retrieved from the case reporting cards of Ningxia during the 2004-2017 through National HIV/AIDS Comprehensive Response Information Management System, descriptive and trend tests were used to analyze the trends and main characteristics of HIV/AIDS antiviral treatment over the years in Ningxia, and logistic regression was used to analyze the factors influencing the treatment coverage of this population.Results:Of the 1 365 cases, the ratio of male to female is 4.1∶1. The most of HIV/AIDS were young adults. The proportion of HIV/AIDS whose age were more than 60 years was maintained at 9%, while the proportion of cases less than 20 years increased from none to 5%. The majority of marital status was married/cohabitation, while the unmarried showed an increasing trend. The transmission route is mainly sexual transmission, and the trend of increase of homosexual sexual behavior is obvious. The average baseline CD4+ T lymphocyte count was 346.0 (251.0~564.0)/μl, All the HIV/AIDS cases developed symptoms of AIDS at the beginning of treatment in 2004-2008, decreased gradually from 2009 to 2017. Median of the interval between HIV confirmation and ART initiation was 1 months. Analysis of influencing factors of "Discovery and Treatment" showed that gender, age, route of transmission, clinical staging and CD4 cell result of patients were influencing factors, clinical staging III/IV was the risk factor of " discovery and treatment"Conclusions:There are many influencing factors for "Discovery and Treatment" of AIDS in Ningxia, among which clinical stage III/IV is a risk factor for the implementation of the "Discovery and Treatment" strategy; the population who received treatment tend to be younger; more precise intervention measures of "Prevention and Treatment" measures should be carried out among the different ages and different groups of people for anti-virus services.