衡阳市HIV感染长期不进展者保护性社会机制研究  

Study on Social Protective Mechanisms in HIV Long-term Non-progressors in Hengyang City

作　　者：吴剑阁[1] 李桀[1] 罗小成[1] 邓荣婧[1] 于坤平[1] 郑军[2] 

机构地区：[1]湖南省衡阳市疾病预防控制中心,湖南衡阳421001 [2]湖南省疾病预防控制中心

出　　处：《实用预防医学》2012年第8期1141-1143,共3页Practical Preventive Medicine

基　　金：湖南省卫生厅科研课题(B2011-108)

摘　　要：目的对确证的长期不进展HIV感染者(LTNP)进行回顾性调查分析,试图发现HIV感染长期不进展者保护性社会机制发挥的作用。方法从艾滋病综合防治信息数据库筛选出2007年10月-2011年10月在衡阳市疾病预防控制中心检测CD4+T细胞的HIV感染者中LTNP者40例,同时随机选取快速进展者47例作为对照组。对两组人群进行问卷调查,调查内容包括社会人口学特征、HIV感染者性行为近五年满意度、心理因素、经济状况、健康情况及主动参加社会活动等方面,通过卡方检验分析相关性。结果共调查87例HIV感染者,平均47.4岁,其中40～50岁占45.98%。通过卡方检验,两组之间经济因素、社会活动、心理状况等因素差异有统计学意义(P<0.05)。结论本研究得出HIV长期不进展者相对HIV感染组的生活质量较好,诸多因素中工作及经济收入、防艾知识、医疗保障、社会活动和AIDS耻辱等是保护因素,可应用于制定针对性的保护措施。Objective The long- term non- progressors （LTNPs） with confirmed HIV infection were retrospectively in- vestigated and analyzed to find the role of social protective mechanisms in the development of long - term non - progress. Methods Using AIDS comprehensive prevention and control information database, 40 LTNPs were selected from the HIV pa- tients who regularly visited Hengyang Center for Disease Control and Prevention for detection of CD4＋ T cells from October, 2007 to October, 2011. Meanwhile, 47 HIV cases with rapid prog4ess were randomly selected as controls. A questionnaire sur- vey was conducted. The investigation items included social demographic characteristics, sexual behavior satisfaction in recent five years, psychological factors, economic status, health condition and participation of social activities, etc. The correlation was sta- tistically analyzed by chi - square test. Results Eighty seven HIV patients were investigated, with an average age of 47.4 years, among which patients aged 40 to 50 years accounted for 45.98 %. Economic factors, participation in social activities and psychological factors were statistically different between LTNPs and controls （ P 〈 0.05 ）. Conclusions HIV long - term non-progrexsors have better quality of life than HIV rapid progressors. Among many influencing factors, economic income, AIDS prevention knowledge, medical insurance, social activities and AIDS stigma are protective factors, which can be used to formulate pertinent protection measures.

关 键 词：HIV 长期不进展者 社会因素 保护机制 

分 类 号：R512.91[医药卫生—内科学]