沈阳市15~30岁学生HIV/AIDS患者抗病毒治疗相关因素分析
Factors related to antiretroviral therapy among HIV/AIDS positive students aged 15-30, in a hospital of Shenyang city
目的 探讨沈阳市学生HIV/AIDS患者抗病毒治疗(ART)的影响因素.方法 横断面调查获得2007-2015年沈阳市艾滋病治疗定点医院(中国医科大学附属第一医院)15 ~ 30岁学生HIV/AIDS患者ART相关信息,多因素logistic回归模型探讨ART的影响因素.结果 2007-2015年该医院共收治15 ~ 30岁学生HIV/AIDS患者146例,占累计治疗HIV/AIDS患者的6.1%(146/2 379).患者均为男性,男男性行为传播途径占93.2%(136/146),HIV延迟诊断率[诊断时CD4+T淋巴细胞计数(CD4)≤350个/μl]为52.7%(77/146),患者中ART的构成比为67.1% (98/146).多因素logistic回归分析显示,HIV诊断年份(aOR=1.21,95%CI:1.02 ~ 1.44)、年龄24 ~30岁(aOR=8.15,95%CI:1.46 ~ 45.52)和延迟诊断(aOR=2.22,95%CI:1.05~ 4.71)是学生HIV/AIDS患者ART的独立影响因素.结论 HIV诊断时间越晚、年龄越大及延迟诊断可能增加学生HIV/AIDS患者的ART比例..
更多Objective To investigate the risk factors on antiretroviral therapy (ART) among HIV/AIDS positive students in Shenyang.Methods A cross-sectional study was conducted among HIV/AIDS positive students aged between 15 and 30,in an HIV-treatment-designated hospital in Shenyang city,during 2007-2015.Data were analyzed by multivariate logistic regression mode to identify the risk factors related to ART.Results A total of 2 379 HIV/AIDS patients attended the hospital and 6.1% (146/2 379) of them were students,during 2007-2015.All of the HIV/AIDS positive students were males,with homosexual transmission accounted for 93.2% (136/146).The overall rate on delayed diagnosis was 52.7% (77/146),when at diagnosis of CD4 + T lymphocyte counts ≤350 cells/μl.The proportion of ART was 67.1% (98/146).Factors as:year that the HIV diagnosis was made (aOR=1.21,95%CI:1.02-1.44),age between 24-30 (compared with age below 18-year-old,aOR=8.15,95%CI:1.46-45.52),and delayed diagnosis (aOR=2.22,95%CI:1.05-4.71),appeared independently related to ART among HIV/AIDS positive students.Conclusions Factors as the year that HIV diagnosis was made,age and delayed diagnosis of the patients seemed to be at higher risk for ART among HIV/AIDS positive students.
More- 浏览:181
- 被引:3
- 下载:125
相似文献
- 中文期刊
- 外文期刊
- 学位论文
- 会议论文