Objective To identify the reasons for late discovery of HIV/AIDS patients and explore strategies for earlier detection of HIV infection in Liuzhou city. Methods Using qualitative research method, personal in-depth interviews were conducted among 30 HIV/AIDS patients and 21 AIDS-related workers in Liuzhou city.The interviews included the ways of finding HIV/AIDS patients, knowledge of AIDS, spouse/fixed partner notification and HIV testing status, reasons for late detection, and strategies for early detection of HIV-infected persons. Results Of the 30 HIV/AIDS patients interviewed, 21 patients had heard of AIDS prior to diagnosis, while they had very limited knowledge about HIV.27 patients had not been tested for HIV prior to diagnosis.The common reasons listed for late diagnosis were as follows: (1)Knew little about AIDS, and most people thought that AIDS was far away from their own, especially in rural areas.(2)Felt that they were in good health or did not have high-risk behavior, and could not be infected with AIDS.(3)Some people had a sense of luck.(4)Some people were reluctant to admit that they might be HIV-infected, so they did not take HIV testing always.(5)The current HIV testing scale was not enough, it was still dominated by passive testing. Conclusion In view of the causes of late detection, comprehensive measures and countermeasures should be taken to early detect HIV-infected persons.
Key words
HIV/AIDS /
Late HIV diagnosis /
Strategy /
reason /
Qualitative study
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References
[1] 中国疾病预防控制中心性病艾滋病预防控制中心.2016年12月全国艾滋病性病疫情[J].中国艾滋病性病.2017,23(2):93.
[2] 中国人民共和国国家卫生和计划生育委员会,联合国艾滋病规划署,世界卫生组织.2013年中国艾滋病疫情估计[R].北京,2014.
[3] Egger M, May M, Chene G, et al.Prognosis of HIV-1 infected patients starting highly active antiretroviral therapy: a collaborative analysis of prospective studies[J].Lancet, 2002, 360(9327): 119-129.
[4] Phillips A, Pezzotti P, CASCADE Collaboration.Short-term risk of AIDS according to current CD4 cell count and viral load in antiretroviral drug-naive individuals and those treated in the monotherapy era[J].AIDS, 2004, 18(1):51-58.
[5] Lohse N,Obel N.Stable long-term effect of HIV therapy.The Danish Society for Infectious Diseases[J].Ugeskrift for laeger,2007,169(12):1109.
[6] 曹家艳,杨家奇,周彩霞,等.2010-2014年遵义市HIV/AIDS晚发现的病例特征及影响因素分析[J].中国皮肤性病学杂志,2016,30(4):380-383,385.
[7] 曾吉,李洋,叶景荣,等.2013年北京市新报告HIV/AIDS病人中晚发现病例的特征[J].中国艾滋病性病,2015,21(5):388-391.
[8] 杨跃诚,张星灿,叶润华,等.云南省德宏州2007-2013年HIV感染者晚发现率及其影响因素研究[J].中华疾病控制杂志,2015,19(10):971-974.
[9] 范琳娟,林盛智,苏凯.南宁市邕宁区艾滋病病毒感染者/艾滋病患者晚发现状况及影响因素分析[J].中国现代医学杂志,2016,26(14):132-134.
[10] Lo YC, Wu PY, Hsieh CY, et al.Late diagnosis of human immunodeficiency virus infection in the era of highly active antiretroviral therapy: role of socio-behavioral factors and medical encounters[J].J Formos Med Assoc, 2011, 110(5):306-315.
[11] Leutscher PD, Laursen T, Andersen B, et al.HIV late presenters in Denmark: need for increased diagnostic awareness among general practitioners[J].Dan Med Bull, 2011, 58(4):A4253.
[12] Schwarcz S, Richards TA, Frank H, et al.Identifying barriers to HIV testing: personal and contextual factors associated with late HIV testing[J].AIDS Care, 2011, 23(7):892-900.
[13] Dowson L, Kober C, Perry N, et al.Why some MSM present late for HIV testing: a qualitative analysis[J].AIDS Care, 2012, 24(2):204-209.
[14] 邹艳,潘晓红,杨介者,等.相关人群艾滋病自愿咨询和检测影响因素的Logistic回归分析[J].中华预防医学杂志,2008,9(6):491-495.
[15] 中国人民共和国卫生部,联合国艾滋病规划署,世界卫生组织.2009年中国艾滋病疫情估计工作报告[R].2010,18(1) : 1-18.
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