Analysis of late detection of HIV/AIDS cases aged 50 years and above in Jilin Province
Journal Title: Shanghai Journal of Preventive Medicine - Year 2022, Vol 34, Issue 12
Abstract
ObjectiveTo investigate the late detection of HIV/AIDS cases in the elderly in Jilin Province and analyze its influencing factorsï¼ to provide theoretical basis for improving their life quality.MethodsThe first CD4 values of HIV/AIDS patients aged 50 years and above living in Jilin Province were used to estimate late detectionï¼ and the influencing factors of late detection in elderly cases were analyzed.ResultsThe average CD4 cell count of newly reported HIV/AIDS cases aged 50 and above in Jilin Province from 1996 to 2021 was ï¼230.55±191.97ï¼ï¼ the low value group accounted for the largest proportion ï¼50.8%ï¼ï¼ and the late detection rate was 59.3% ï¼1397/2325ï¼. The late detection cases were mainly from sexual transmission ï¼46.8% for same-sex and 48.2% for heterosexual contactï¼. From the perspective of sample sourcesï¼ most of the late detection patients were diagnosed while testing for other illnessesï¼ followed by testing and consulting. In terms of contact historyï¼ the late detection of cases of men who have sex with men was higher. The binary logistic regression analysis showed that genderï¼ marriageï¼ sample source and report year were the factors affecting the late detection of AIDS. The late detection rate of males was higherï¼ and cases of married couples were more likely to be late detection. With the increase of report yearï¼ the late detection rate decreasedï¼ and testing and counseling could effectively reduce the late detection rate of AIDS.ConclusionThe CD4 cell count in the first detection of HIV/AIDS in the elderly in Jilin Province is lowï¼ and the late detection rate of male cases is high. In recent yearsï¼ the expansion of voluntary counseling and testing in Jilin Province has effectively reduced the late detection rate of HIV/AIDS. At the same timeï¼ sex education should be strengthened for the elderlyï¼ healthy marital relationships should be advocated and more attention should be paid to the mental health of the elderly.
Authors and Affiliations
HU Yan,FAN Jixiang,QIU Baihong,HUANG Lining,LI Zixuan,LI Na,WU Dan,
Keywords
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