Jin X, Xiong R, Wang L Y, Mao Y R
Division of Integration and Evaluation, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Feb;37(2):218-21. doi: 10.3760/cma.j.issn.0254-6450.2016.02.014.
To analyze the 'late diagnoses' (LD) phenomena among newly identified HIV/AIDS cases in China from 2010 to 2014.
Newly identified HIV/AIDS cases from 2010 to 2014 were selected from the National HIV/AIDS comprehensive information system. Rates related to LD were stratified according to the demographic indicators.
From 2010 to 2014, numbers of newly identified HIV/AIDS cases were reported as 64 338, 74 517, 82 434, 90 119 and 103 501 in China. Among them, proportions of LD were 41.8%, 42.1%, 38.1%, 36.8% and 35.5% respectively. LD proportions appeared high in medical settings, with the minimum proportion as 45% (χ(2)=5 174,P<0.000 1). Proportion of LD among patients who were heterosexually transmitted appeared over 40%, which was significantly higher than that seen among men who have sex with men or injecting drug users (χ(2)=3 066,P<0.000 1). Proportion of LD showed more than 39% in those newly identified cases, and was seen higher in permanent residents than in floating population (less than 30%) (χ(2)=5 265,P<0.000 1).
With the expansion testing coverage on HIV, newly identified HIV/AIDS increased year by year. Among the newly identified cases, late diagnosis was high, especially in medical institutions. More effective strategies and measures are needed to promote the early detection of HIV in high risk population.
分析2010年至2014年中国新发现艾滋病病毒（HIV）/艾滋病（AIDS）病例中的“晚诊断”现象。
从全国HIV/AIDS综合信息系统中选取2010年至2014年新发现的HIV/AIDS病例。与晚诊断相关的比率根据人口统计学指标进行分层。
2010年至2014年，中国新发现HIV/AIDS病例数分别报告为64338例、74517例、82434例、90119例和103501例。其中，晚诊断比例分别为41.8%、42.1%、38.1%、36.8%和35.5%。医疗场所的晚诊断比例较高，最低比例为45%（χ(2)=5174，P<0.0001）。异性传播患者中的晚诊断比例超过40%，显著高于男男性行为者或注射吸毒者中的比例（χ(2)=3066，P<0.0001）。新发现病例中的晚诊断比例超过39%，常住人口中的比例高于流动人口（低于30%）（χ(2)=5265，P<0.0001）。
随着HIV检测覆盖面的扩大，新发现的HIV/AIDS病例逐年增加。在新发现的病例中，晚诊断比例较高，尤其是在医疗机构。需要采取更有效的策略和措施来促进高危人群中HIV的早期检测。
