Late presentation of HIV/AIDS,detected through various HIV testing types in Jiamusi,Heilongjiang Province,from 2012 to 2021
10.3969/j.issn.1002-2694.2024.00.162
- VernacularTitle:2012-2021年黑龙江省佳木斯市不同检测类型HIV/AIDS晚发现特征分析
- Author:
Jin-rui ZHANG
1
;
Peng XU
;
Jun-jie WANG
;
Ji-min ZHAO
;
Xin CHEN
;
Ling AN
;
Fang-fang CHEN
Author Information
1. 佳木斯市疾病预防控制中心,佳木斯 154007
- Publication Type:Journal Article
- Keywords:
HIV infected person;
AIDS patient;
late presentation;
testing strategy
- From:
Chinese Journal of Zoonoses
2024;40(11):1055-1062
- CountryChina
- Language:Chinese
-
Abstract:
This study aimed to analyze the characteristics of late presentation of HIV/AIDS through various testing strate-gies in Jiamusi,Heilongjiang Province.Data were retrieved from the HIV/AIDS Comprehensive Response Information System,focusing on cases diagnosed with HIV/AIDS in Jiamusi,Heilongjiang Province during from 2012 to 2021,among in-dividuals aged 15 years or older.Baseline and follow-up information were collected.Stratification analysis and logistic regres-sion were used to analyze factors associated with late presentation of HIV/AIDS by HIV testing types.Excel 2019,SPSS 26.0,and Joinpoint 4.9.1.0 software were used for data processing and statistical analysis.Among 956 HIV/AIDS cases,53.24％(509/956),38.81％(371/956)and 7.95％(76/956)were detected through voluntary counseling and testing,medical institution testing,and routine screening testing.The pro-portion of late HIV/AIDS presentation was 35.04％(335/956)overall,and significantly higher with medical institution testing(53.37％,198/371)than voluntary counseling(23.38％,119/509)and routine screening(23.68％,18/76)(P＜0.001).The risk of late presentation was reduced by 67％(aOR=0.33,95％CI:0.24-0.46)for voluntary counseling and tes-ting and by 71％(aOR=0.29,95％CI:0.16-0.52)for routine screening,than medical institution testing.For medical insti-tution testing-detected cases,the risk of late presentation was higher for those with middle school education or below(aOR=3.12,95％CI:1.46-6.68)and high school or technical secondary school education(aOR=3.78,95％CI:1.68-8.53)than those with college education or above.For voluntary counseling and testing-detected HIV/AIDS,the risk of late presentation increased by 50％(aOR=1.50,95％CI:1.18-1.92)with every 10-year increase in age.From 2012 to 2021,the levels of late presentation of HIV/AIDS in Jiamusi were similar to those observed nationally and in other regions during the same peri-od,with no significant decrease noted.Since the proportion of late presentation and its influencing factors differed across differ-ent testing strategies,differentiated intervention measures should be implemented for the target populations by using different testing strategy,to identify key feasures of late presentation,and to promote proactive testing,and enhance early detection and diagnosis.
