| 马玲,徐鹏,芮宝玲,琚腊红,马丽萍,何慧婧,黄丽花,孙定勇,蒋洪林,还锡萍,常文辉,邱柏红,杨景元,吕繁.HIV感染者及艾滋病患者就医告知情况及影响因素分析[J].中华流行病学杂志,2015,36(10):1109-1112 |
| HIV感染者及艾滋病患者就医告知情况及影响因素分析 |
| Prevalence of informing of HIV infection status during medical care seeking and influential factors among people living with HIV/AIDS |
| 收稿日期:2015-03-11 出版日期:2015-10-14 |
| DOI：10.3760/cma.j.issn.0254-6450.2015.10.016 |
| 中文关键词: 艾滋病病毒 就医告知 影响因素 |
| 英文关键词: Human immunodeficiency virus Seeking medical advice inform Influential factors |
| 基金项目:国家自然科学基金(71373008) |
|
| 摘要点击次数: 3298 |
| 全文下载次数: 2149 |
| 中文摘要: |
| 目的 了解HIV感染者及艾滋病患者(HIV/AIDS)在就医过程中,向医生告知其感染HIV情况及其影响因素。方法 依托HIV/AIDS随访方式,在7个省份的疾病预防控制中心、社会组织活动场所以及抗病毒定点治疗医院对目标人群进行调查,采用SAS 9.2软件进行统计学分析,率的比较采用χ2检验,应用非条件logistic回归进行单因素和多因素分析。结果 共调查HIV/AIDS 2 432例,就医时未主动告知率为49.7%(716/1 442),其中男性、18~30岁年龄组、小学以上文化程度、民营/三资/个体职业、居住地为小型城市的调查对象不主动告知率分别为51.9%(559/1 077)、62.9%(212/337)、58.1%(555/955)、65.7%(241/367)和62.5%(197/315),传播途径中性传播未主动告知率最高,达66.3%(275/415)。多因素logistic回归分析表明,既往非法采供血传播途径的调查对象在就医时更愿意主动告知(OR=0.083,95%CI:0.049~0.141);民营/三资/个体职业患者在就医时更不愿意主动告知(OR=1.531,95%CI:1.017~2.304)。结论 HIV/AIDS就医时未主动告知率高,应对HIV/AIDS、医务工作者和社会公众进行针对性宣传教育,以提高HIV/AIDS就医时主动告知率。 |
| 英文摘要: |
| Objective To understand the prevalence of informing doctors of the HIV infection status during medical care seeking and influential factors among people living with HIV/AIDS. Methods The study was conducted among people living with HIV/AIDS in 7 provinces in China,including those receiving HIV tset,HIV counsel and HIV infection treatment. The data were analyzed with software SAS 9.2. Chi-square test was used to compare the informing rates in patients with different characteristics. Univariate ansd multivariate logistic regression analyses were conducted to identify the influential factors. Results Of the 2 432 HIV/AIDS patients,49.7%(716/1 442) didn't inform the doctors of their HIV infection status actively. The non-active informing rate was 51.9%(559/1 077) in males,62.9%(212/337)in age group 18-30 years old,58.1%(555/955) in those with a educational level>primary school,65.7%(241/367) in those working in private/joint companies or the self employed and 62.5%(197/315) in those living in small cities. The non active informing rate was highest in those infected through sexual contact (66.3%,275/415). Multivariate logical regression analysis indicated that those infected through illegal blood donation would like to inform of the HIV infection status actively(OR=0.083,95%CI:0.049-0.141),but those working in private/joint companies or the self employed would like not to inform of the HIV infection status actively (OR=1.531,95%CI:1.017-2.304). Conclusion The non active informing rate of HIV infection status was high in people living with HIV/AIDS. It is necessary to conduct the targeted health education to encourage people living with HIV/AIDS to inform of their HIV infection status actively. |
|
查看全文
Html全文
查看/发表评论 下载PDF阅读器 |
|
| 关闭 |
|
|
|
