武汉市330 例HIV感染者及艾滋病患者治疗的社会支持现状及影响因素研究

谢年华; 江洪波; 许骏; 王夏; 聂绍发

文章摘要

谢年华,江洪波,许骏,王夏,聂绍发.武汉市330 例HIV感染者及艾滋病患者治疗的社会支持现状及影响因素研究[J].中华流行病学杂志,2015,36(7):677-681

武汉市330 例HIV感染者及艾滋病患者治疗的社会支持现状及影响因素研究

Social support for 330 HIV/AIDS patients under antiretroviral treatment and related factors in Wuhan

收稿日期:2014-12-29 出版日期:2015-07-08

DOI：10.3760/cma.j.issn.0254-6450.2015.07.003

中文关键词: 艾滋病病毒艾滋病社会支持影响因素

英文关键词: HIV AIDS Social support Influencing factor

基金项目:

作者	单位	E-mail
谢年华	430015 武汉市疾病预防控制中心
江洪波	华中科技大学同济医学院公共卫生学院流行病与卫生统计学系
许骏	430015 武汉市疾病预防控制中心
王夏	430015 武汉市疾病预防控制中心
聂绍发	华中科技大学同济医学院公共卫生学院流行病与卫生统计学系	sf_nie@mails.tjmu.edu.cn

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中文摘要:

目的了解武汉市进行抗病毒治疗(ART)的HIV感染者及艾滋病患者(HIV/AIDS) 社会支持现状,并探讨其影响因素。方法应用社会支持评定量表(SSRS)评价武汉市330例进行ART的HIV/AIDS社会支持现状;采用t检验、方差分析和多元线性回归模型分析社会支持的影响因素。结果 HIV/AIDS主观支持、客观支持、对社会支持利用度以及社会支持总体得分均低于中国常模(P<0.05)。多元线性回归分析显示,未婚/离异/丧偶者客观支持(β'=-0.260)、主观支持(β'=-0.196)、社会支持总体(β'=-0.141)得分低于已婚者(P<0.05);文化程度较高者客观支持(β'=0.250)、对支持利用度(β'=0.232)得分高于文化程度低者(P<0.05);近两周没有AIDS相关症状者主观支持得分高于有相关症状者(β'=0.232,P<0.05)。结论武汉市进行ART的HIV/AIDS社会支持状况低于正常人群,应关注未婚/离异/丧偶者、文化程度较低者和伴有HIV相关症状者,提高其社会支持水平。

英文摘要:

Objective To investigate the current status of social support for HIV/AIDS patients under antiretroviral treatment (ART) and related factors in Wuhan. Methods Social Support Rating Scale (SSRS) was used to analyze the current status of social support for HIV/AIDS patients under ART in Wuhan. Student's t test, analysis of variance (ANOVA) and multiple linear regression model were used to identify the related factors. Results The scores of subjective support, objective support, utilization of social support, and overall social support for 330 HIV/AIDS patients were significant lower than the national norm (P<0.05). Multiple linear regression analysis showed that the subjective support (β'=-0.260), objective support (β'=-0.196) and overall social support (β'=-0.141) for the patients who were unmarried, divorced or widowed were worse than those for the patients who were married (P<0.05). The patients with higher educational level had more objective support (β'=0.250) and utilization of social support (β'=0.232) than those with lower educational level (P<0.05). The subjective support for patients without HIV related symptoms in the past two weeks was better than those with HIV related symptoms (β'=0.232, P<0.05). Conclusion The current status of social support for HIV/AIDS patients under ART in Wuhan was worse than that for healthy people. More attention should be paid to HIV/AIDS patients with worse social support.

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