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The rate of late diagnosis of newly identified HIV/AIDS cases and influencing factors among men who have sex with men in Nanjing City from 2011-2015
Pages: 2518-2521
Year: Issue:  18
Journal: Occupation and Health

Keyword:  People living with HIV/AIDSLate diagnosisInfluencing factors;
Abstract: [Objective] To understand the late diagnosis (LD) rate of newly reported HIV/AIDS cases and its influencing factors among men who have sex with men (MSM) in Nanjing City from 2011-2105.[Methods] Newly identified HIV/AIDS cases infected via homosexual transmission in Nanjing from 2011 to 2015 were selected from the National HIV/AIDS comprehensive information system.x2 test was used to analyze the change trend on LD rate and multivariate logistic regression was conducted to explore the factors associated with LD.[Results] A total of 2 058 newly identified HIV/AIDS cases among MSM were reported in Nanjing City from 2011-2015,with the LD rate of 25.7% (528/2 058).The LD rate of newly HIV/AIDS cases among MSM from 2011 to 2015 was respectively 27.4% (58/212),24.2% (84/347),25.1% (99/394),24.9% (129/518) and 26.9% (158/587),without a decreasing trend (P=0.741).Multiple logistic regression analysis indicated that those who were over 49 years old (a OR=6.245,95%CI:4.254-9.169),married (a OR=1.571,95%CI:1.195-2.065),nonlocal census register(a OR=1.267,95%CI:1.011-1.588),found from medical institutions (a OR=3.431,95%CI:2.711-4.343) were more likely to be diagnosed lately among MSM.[Conclusion] There is no decreasing trend of late diagnosis among newly reported HIV/AIDS cases among MSM in Nanjing from 2011 to 2015.It is urgent to promote medical institutions to carry out provider initiated HIV testing and counseling (PITC) to improve the early detection of HIV/AIDS among MSM.
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