title: [Analysis on the ' late diagnosis' (LD) phenomena among newly identified HIV/AIDS cases in China, 2010-2014].
abstract: OBJECTIVE
  To analyze the 'late diagnoses' (LD) phenomena among newly identified HIV/AIDS cases in China from 2010 to 2014.
  
  
  METHODS
  Newly identified HIV/AIDS cases from 2010 to 2014 were selected from the National HIV/AIDS comprehensive information system. Rates related to LD were stratified according to the demographic indicators.
  
  
  RESULTS
  From 2010 to 2014, numbers of newly identified HIV/AIDS cases were reported as 64 338, 74 517, 82 434, 90 119 and 103 501 in China. Among them, proportions of LD were 41.8%, 42.1%, 38.1%, 36.8% and 35.5% respectively. LD proportions appeared high in medical settings, with the minimum proportion as 45% (χ(2)=5 174,P<0.000 1). Proportion of LD among patients who were heterosexually transmitted appeared over 40%, which was significantly higher than that seen among men who have sex with men or injecting drug users (χ(2)=3 066,P<0.000 1). Proportion of LD showed more than 39% in those newly identified cases, and was seen higher in permanent residents than in floating population (less than 30%) (χ(2)=5 265,P<0.000 1).
  
  
  CONCLUSIONS
  With the expansion testing coverage on HIV, newly identified HIV/AIDS increased year by year. Among the newly identified cases, late diagnosis was high, especially in medical institutions. More effective strategies and measures are needed to promote the early detection of HIV in high risk population.
authors.affiliation: Division of Integration and Evaluation, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: X
authors.initials: X
authors.lastname: Jin
authors.affiliation: Division of Integration and Evaluation, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: R
authors.initials: R
authors.lastname: Xiong
authors.affiliation: Division of Epidemiology, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: L Y
authors.initials: LY
authors.lastname: Wang
authors.affiliation: Division of Integration and Evaluation, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Y R
authors.initials: YR
authors.lastname: Mao
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis*; D002681:China; D057210:Delayed Diagnosis / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D008297:Male