TY -非盟的罗Ganfeng AU - Su,凌云AU -冯安平AU -林,Yi-Fan盟——周Yiguo盟——元,Tanwei AU -胡,余庆AU -风扇,歌曲非盟- Lu,永盟——赖Yingsi AU -史,钱非盟-李,君非盟-汉,Mengjie盟——邹Huachun PY - 2022 DA - 2022/10/4 TI -艾滋病毒自我测试套件的时空分布,在网上购买中国的艾滋病预防和影响:基于人群的研究JO - JMIR公共卫生监测SP - e35272 VL - 8 IS - 10kw -艾滋病毒自检KW -时空格局KW -中国KW -电子商务平台AB -背景:艾滋病毒自检(HIVST)对扩大艾滋病毒检测具有很大的前景。然而,关于艾滋病病毒行为的大规模数据却很少。每年通过电子商务平台销售数百万个艾滋病毒检测试剂盒。目的:分析中国hiv试剂盒购买人群(HIVSTKPP)的时空分布。方法:从中国领先的电子商务平台检索未识别的交易数据。通过计算年平均百分比变化,使用连接点回归模型来检查HIVSTKPP发病率的年度趋势。采用贝叶斯时空分析方法定位HIVSTKPP发病率高的热点。通过空间自相关分析和时空聚类分析鉴定HIVSTKPP的聚类。通过空间自相关分析可以识别出高-高聚类,高-高聚类表明一个地区及其周边地区共同具有高于平均水平的HIVSTKPP发病率。 Spatial regression analysis was used to elucidate the association between the number of HIV testing facilities, urbanization ratio (the proportion of urban population in the total population), and gross domestic product per capita and the HIVSTKPP. Results: Between January 1, 2016, and December 31, 2019, a total of 2.18 million anonymous persons in China placed 4.15 million orders and purchased 4.51 million HIVST kits on the web. In each of these 4 years, the observed monthly size of the HIVSTKPP peaked in December, the month of World AIDS Day. HIVSTKPP rates per 100,000 population significantly increased from 20.62 in 2016 to 64.82 in 2019 (average annual percentage change=48.2%; P<.001). Hot spots were mainly located in municipalities, provincial capitals, and large cities, whereas high-high clusters and high-demand clusters were predominantly detected in cities along the southeast coast. We found positive correlations between a region’s number of HIV testing facilities, urbanization ratio, and gross domestic product per capita and the HIVSTKPP. Conclusions: Our study identified key areas with larger demand for HIVST kits for public health policy makers to reallocate resources and optimize the HIV care continuum. Further research combining spatiotemporal patterns of HIVST with HIV surveillance data is urgently needed to identify potential gaps in current HIV-monitoring practices. SN - 2369-2960 UR - https://publichealth.www.mybigtv.com/2022/10/e35272 UR - https://doi.org/10.2196/35272 UR - http://www.ncbi.nlm.nih.gov/pubmed/36194453 DO - 10.2196/35272 ID - info:doi/10.2196/35272 ER -
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