HIV感染者及艾滋病患者就医告知情况及影响因素分析

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

Abstract

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].Chinese journal of Epidemiology,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

Received:March 11, 2015

DOI：10.3760/cma.j.issn.0254-6450.2015.10.016

KeyWord: 艾滋病病毒就医告知影响因素

English Key Word: Human immunodeficiency virus Seeking medical advice inform Influential factors

FundProject:国家自然科学基金(71373008)

Author Name	Affiliation	E-mail
Ma Ling	Urumqi Center for Disease Control and Prevention, Urumqi 830026, China
Xu Peng	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
Rui Baoling	Urumqi Center for Disease Control and Prevention, Urumqi 830026, China
Ju Lahong	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
Ma Liping	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
He Huijing	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
Huang Lihua	Dali Prefecture Center for Disease Control and Prevention
Sun Dingyong	Henan Provincial Center for Disease Control and Prevention
Jiang Honglin	Hubei Provincial Center for Disease Control and Prevention
Huan Xiping	Jiangsu Provincial Center for Disease Control and Prevention
Chang Wenhui	Shaanxi Provincial Center for Disease Control and Prevention
Qiu Baihong	Jilin Provincial Center for Disease Control and Prevention
Yang Jinyuan	Inner Monglia Autonomous Region Center for Disease Control and Prevention
Lyu Fan	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention	fanlv@vip.sina.com

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Abstract:

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。

English Abstract:

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.

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