Xu J, Han J, Tang H L, Li J, Zang C P, Mao Y R
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. 2018 Apr 10;39(4):495-499. doi: 10.3760/cma.j.issn.0254-6450.2018.04.022.
To determine the prevalence and relative factors on those who missed the follow-up service among newly reported HIV/AIDS cases that were infected by homosexual behavior. Data were extracted from both HIV/AIDS case-reporting and follow-up cards on HIV/AIDS in the Comprehensive Response Information Management System, between December 2008 and December 2015. Data was analyzed, using the generalized estimating equations (GEE) to explore the relative factors of influence. Among the newly reported HIV infection among MSM, the proportion of those who missed the follow-up services was 5.06% (6 037/119 358), and decreased dramatically, from 37.57% (1 261/3 356) to 0.84% (267/31 935) (trend (2)=103.43, <0.01). In MSM population, the younger than 20-year olds (=1.30, 95%: 1.11-1.52), 20-year olds (=1.52, 95%: 1.36-1.69), 30-year olds (=1.22, 95%: 1.12-1.34), 40-year olds (=1.10, 95%: 1.01-1.20) were receiving less follow-up services than those 50-year olds. Those who had received either junior (=1.52, 95%: 1.37-1.69) or senior high school education (=1.35, 95%: 1.23-1.49) were receiving less follow-up service than those who were more educated. MSM with the following characteristics as unspecified occupation (=2.06, 95%: 1.49-2.87),unemployed (=1.54, 95%: 1.30-1.83), working in commercial service (=1.31, 95%: 1.15-1.49) or being student (=1.34, 95%: 1.18-1.52) were more difficult to be traced or followed than the cadres. Cases being identified on site (=2.99, 95%: 2.26-3.95) or under special investigation (=1.43, 95%: 1.29-1.59) had received less follow-up service than those being identified through voluntary counsel testing service. Floating population (=1.46, 95%: 1.28-1.66) were getting less follow-up service than local residents. The prevalence of those who had missed the follow-up services in the newly discovered MSM HIV cases declined dramatically. Among the MSM HIV cases, those having the following characteristics as: younger than 50-year old, with less school education, with unspecified occupation or unemployment, working in commercial service, being student, having history of incarceration, recruited from special investigation, and floating population were prone to miss the follow-up program, suggesting that the follow-up service should be targeting on these patients.
旨在确定男男性行为感染的新报告艾滋病病毒/艾滋病病例中失访者的患病率及相关因素。数据取自2008年12月至2015年12月综合防治信息管理系统中的艾滋病病毒/艾滋病病例报告卡和随访卡。采用广义估计方程（GEE）进行数据分析，以探索影响因素。在新报告的男男性行为者艾滋病病毒感染者中，失访者比例为5.06%（6037/119358），并从37.57%（1261/3356）急剧降至0.84%（267/31935）（趋势检验χ²=103.43，P<0.01）。在男男性行为者人群中，20岁以下（比值比=1.30，95%可信区间：1.11-1.52）、20岁（比值比=1.52，95%可信区间：1.36-1.69）、30岁（比值比=1.22，95%可信区间：1.12-1.34）、40岁（比值比=1.10，95%可信区间：1.01-1.20）的人群接受随访服务的比例低于50岁人群。接受初中（比值比=1.52，95%可信区间：1.37-1.69）或高中教育（比值比=1.35，95%可信区间：1.23-1.49）的男男性行为者接受随访服务的比例低于受教育程度更高者。具有以下特征的男男性行为者，即职业未明确（比值比=2.06，95%可信区间：1.49-2.87）、失业（比值比=1.54，95%可信区间：1.30-1.83）、从事商业服务工作（比值比=1.31，95%可信区间：1.15-1.49）或为学生（比值比=1.34，95%可信区间：1.18-1.52），比干部更难追踪或随访。现场发现的病例（比值比=2.99，95%可信区间：2.26-3.95）或专项调查发现的病例（比值比=1.43，95%可信区间：1.29-1.59）接受随访服务的比例低于通过自愿咨询检测服务发现的病例。流动人口（比值比=1.46，95%可信区间：1.28-1.66）接受随访服务的比例低于本地居民。新发现的男男性行为者艾滋病病毒病例中失访者患病率急剧下降。在男男性行为者艾滋病病毒病例中，具有以下特征的人群，即年龄小于50岁、受教育程度较低、职业未明确或失业、从事商业服务工作、为学生、有监禁史、专项调查发现、流动人口，容易错过随访项目，提示应针对这些患者开展随访服务。
