Rates and influencing factors of hospitalization after diagnosis among HIV infection cases in Yinzhou district of Ningbo, 2012-2020.
10.3760/cma.j.cn112338-20210719-00564
- Author:
Zi Hui LI
1
;
Qi ZHAO
1
;
De Guang GONG
2
;
Ye Xiang SUN
2
;
Peng SHEN
2
;
Hong Bo LIN
3
;
Na HE
4
Author Information
1. Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China.
2. Department of Data Center, Ningbo Yinzhou District Center for Disease Control and Prevention, Ningbo 315100, China.
3. Ningbo Yinzhou District Health Bureau, Ningbo 315100, China.
4. Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China Yiwu Research Institute of Fudan University, Yiwu 322001, China.
- Publication Type:Journal Article
- MeSH:
Acquired Immunodeficiency Syndrome/epidemiology*;
HIV Infections/therapy*;
Hospitalization;
Humans;
Retrospective Studies
- From:
Chinese Journal of Epidemiology
2022;43(4):541-547
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To understand the hospitalization rates and influencing factors after diagnosis among HIV infection cases, based on real-world data in Yinzhou district of Ningbo. Methods: A retrospective cohort study was conducted based on the databases of National AIDS Comprehensive Response Information Management System and Yinzhou Health Information Platform. The information about the following-up results, antiviral treatment data, electronic records of inpatient of the HIV cases reported during 2012-2020 were collected to analyze the rates, causes and influencing factors of hospitalization. Results: Among the 763 HIV infection cases reported in Yinzhou from 2012 to 2020, the hospitalization rate was 6.95% (53/763), and the number of inpatient was 2.59 per 100 person years. The hospitalization rate and the number of hospitalization per 100 person years in HIV infection cases were 3.16% (10/316) and 0.81 in those aged <30 years, 6.07% (15/247) and 1.59 in those aged >30 years, 7.86% (11/140) and 4.05 in those aged >45 years and 28.33% (17/60) and 17.40 in those aged ≥60 years respectively. Logistic multivariate regression analysis indicated that being aged ≥60 years was the influencing factor for hospitalizations in HIV infection cases (аOR=14.44, 95%CI:3.57-58.46). The hospitalization rates due to AIDS related diseases, cardiovascular diseases and metabolic diseases, and other diseases were 1.83% (14/763), 1.05% (8/763), and 3.93% (30/763), respectively. Conclusions: The hospitalization burden due to HIV infection was still mainly caused by those aged ≥60 years in Yinzhou, similar to that in general population and less proportion of hospitalizations were due to AIDS related diseases. The overall increase of hospitalizations due to AIDS was not obvious in Yinzhou.