目的 分析2011-2015年我国艾滋病病毒感染者/艾滋病患者(HIV/AIDS)流动、接受随访和CD4+T淋巴细胞(CD4)检测的情况,为减少流动HIV/AIDS的失访,加强流动HIV/AIDS的规范化管理,预防二代传播提供依据.方法 利用艾滋病综合防治数据信息系统,下载2011年1月1日至2015年12月31日的病例报告历史卡片和随访管理定时数据库,对2011-2015年新报告及存活的HIV/AIDS现住址变化情况进行分析.采用SPSS 24.0软件进行数据整理和分析.结果 新报告跨省流动HIV/AIDS的人数和比例逐年上升,从2011年的5 576人(10.0％,5 576/55 805)上升到2015年的15 348人(13.3％,15 348/115 321).在调整了可能的相关因素后发现,上一年接受随访及CD4检测的HIV/AIDS中,当年发生跨省流动和跨市流动的HIV/AIDS接受随访及CD4检测的比例均低于无跨省跨市流动的HIV/AIDS.结论 HIV/AIDS的流动在一定程度上影响其接受规范化的随访及CD4检测,在对HIV/AIDS的随访管理过程中,应加强各地随访管理单位之间的沟通和联系,及时获取其工作和居住地发生变化的信息,在HIV/AIDS发生跨省或者跨市流动时,做好异地流动的转介工作,减少因HIV/AIDS流动而导致的失访、CD4检测的脱失.%Objective To analyze the mobility,status of follow-up and CD4+T cell testing (CD4 testing) programs among people living with HIV (PLHIV) between 2011 and 2015 and to improve the prevention program on HIV secondary transmission.Methods Data were collected from both Case Reporting Cards and Follow-up Cards through the National HIV/AIDS Comprehensive Control and Prevention data system.Changes of residence among the newly reported cases and survival cases between 2011 and 2015 were analyzed by SPSS 24.0 software.Results The number of newly reported inter-provincial mobile PLHIV had been increasing,with proportions of the total reported cases from 10.0％ (5 576/55 805) in 2011 to 13.3 ％ (15 348/115 231) in 2015.After adjusting for related confounders,percentages of follow-up and CD4 testing were lower in inter-provincial and inter-prefectural mobile cases than those without.Conclusion Service regarding the follow-up and CD4 testing programs was affected by mobility of people living with HIV/AIDS.Programs on communication and personal contact should be strengthened in the follow-up management services for PLHIV.Information on potential mobility of PLH1V should be gathered timely by health workers during the subsequent follow-up period to avoid the loss of follow-up and CD4 testing on patients.
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