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      Analysis on status of follow-up testing among young HIV/AIDS students aged 15–24 in Guangdong Province, 2008–2019

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          Abstract

          Objective To analyze the status of follow-up cell testing of HIV/AIDS cases among young students aged 15–24 in Guangdong Province from 2008 to 2019.

          Methods Using the historical database downloaded from the AIDS Comprehensive Prevention and Control Information System from January 1, 2018 to December 31, 2019, eligible newly discovered cases were screened by year and were linked with follow-up database. Joinpoint regression model and trend test were used to explore the annual changes in the follow-up and CD4 testing status, and Logistic regression was used to analyze relevant influencing factors.

          Results The number of infected students showed a rapid upward trend before 2015 ( APC = 41.7, β = 0.3, P<0.01), and the growth rate slowed down ( APC = 3.6, β = −0.3, P<0.01). The proportion of follow-up and CD4 testing completed within one year increased from 58.3% in 2008 to 93.6% in 2019, and the timely detection rate increased from 33.3% in 2008 to 86.2% in 2019. The Cochran-Armitage trend test was statistically significant. Pairwise comparison test showed time trends of the idnex differed in regions and education groups ( Z = 4.7, 8.7, 9.8, P<0.01). The Pearl River Delta region, cases from other cities in the province, with precise transmission routes, from voluntary counseling and testing, and cases flowing within the province, the proportion of follow-up and testing completed within one year is relatively high ( P<0.05).

          Conclusion The growth rate of HIV/AIDS cases among young students aged 15–24 in Guangdong Province has slowed down in recent years. The route of infection, source and flow of cases affect follow-up and testing compliance. And to do a good job of referrals for off-site mobility, and explore and promote student-friendly VCT service models.

          Abstract

          【摘要】 目的 分析 2008—2019 年广东省新报告的 15~24 岁青年学生HIV/AIDS中随访情况及相关影响因素, 为在学生 病例中开展针对性服务提供科学依据。 方法 下载艾滋病综合防治信息系统中 2018 年 1 月 1 日至 2019 年 12 月 31 日的 数据库, 筛选当年新发现的符合条件的病例, 清洗合并后关联随访数据形成队列数据库。采用 Joinpoint 回归模型和 Cochmn-Arrnitage 趋势检验了解青年学生感染者随访检测指标的年度变化情况, 采用 Logistic 回归分析相关影响因素。 结果 新报告学生感染者在 2015 年之前呈快速上升趋势 ( APC = 41.7, β = 0.3, P<0.01), 此后增速趋缓 ( APC = 3.6, β = −0.3, P< 0.01)。1 年内完成随访与 CD4 检测比例从 2008 年的 58.3% 上升到 2019 年的 93.6%, 检测及时率从 2008 年的 33.3% 上升 到 2019 年的 86.2%, Cochmn-Amiitage 趋势检验均有统计学意义 ( Z 值分别为 4.7, 8.7, 9.8, P 值均<0.01)。珠三角地区、来 自本省其他地市的病例、非其他传播途径、来源于自愿咨询检测、在省内流动的病例, 1 年内完成随访与检测比例较高 ( P 值均<0.05)。 结论 广东省新报告 15~24 岁青年学生 HIV/AIDS 病例数近年来增长速度趋缓, 感染途径、病例来源和流动 影响随访和检测依从性。应进一步做好异地流动的转介工作, 探索和推广学生友好的自愿咨询检测服务模式。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 May 2021
          01 June 2021
          : 42
          : 5
          : 759-763
          Affiliations
          [1] 1Department for HIV/AIDS Control and Prevention, Guangdong Center for Disease Control and Prevention, Guangzhou (511430), China
          Article
          j.cnki.1000-9817.2021.05.028
          10.16835/j.cnki.1000-9817.2021.05.028
          d48aacd1-ae3b-4c3b-a128-d7f8f4e931e2
          © 2021 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Product
          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          HIV,Acquired immunodeficiency syndrome,Regression analysis,Students

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