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目的了解天津市2004-2015年6月报告的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人),首次CD4+T淋巴细胞(简称CD4细胞)检测及其影响因素。方法收集2004-2015年6月全国艾滋病防治信息系统中天津市新报告的全部HIV/AIDS病例,统计首次随访CD4细胞检测比例、检测及时性和均值,同时运用多因素Logistic回归对晚发现的影响因素进行相关分析。结果 2004-2015年6月,天津市报告3447例HIV/AIDS病人,首次随访中CD4细胞检测比例为78.4%,检测时间平均为(15.16±154.81)天,CD4细胞均值(360.87±246.22)个/μL。已婚、异性性传播和医疗机构发现的病人晚发现风险高。结论天津市近年来HIV/AIDS病人CD4细胞检测比例和及时性有显著提高,晚发现比例受多重因素影响,需要进一步降低。
Objective To understand the HIV / AIDS patients (HIV / AIDS patients) and the first CD4 + T lymphocytes (CD4 cells) reported in Tianjin from June 2004 to June 2015 and its influencing factors. Methods All HIV / AIDS cases newly reported in Tianjin from June 2004 to June 2015 were collected. The proportion of CD4 cells detected at the first follow-up, the timeliness and mean time of detection, and the influence of multivariate Logistic regression on late-onset Factors related analysis. Results From 2004 to June 2015, 3447 HIV / AIDS patients were reported in Tianjin. The percentage of CD4 cells detected at the first follow-up was 78.4%, the average test time was (15.16 ± 154.81) days, the average CD4 cell count (360.87 ± 246.22) μL. Patients found to be married, heterosexually transmitted and medical institutions are at a later risk of being found. Conclusion The detection rate and timeliness of CD4 cells in HIV / AIDS patients in Tianjin have been significantly increased in recent years. The proportion of late detection is affected by multiple factors and needs to be further reduced.