昆明市HIV感染者及AIDS患者社会支持现状及影响因素分析  

Analysis of the current situation and the influencing factors on social support levels among HIV-infected and AIDS patients in Kunming City

作　　者：杨晶晶[1] 蔡乐[1] 周洪梅 崔文龙[1] 何建辉[1] 宋莹[1] 赵科颖[1] 

机构地区：[1]昆明医科大学公共卫生学院卫生事业管理与卫生经济系,云南昆明650500 [2]云南省卫生厅防治艾滋病综合处

出　　处：《现代预防医学》2013年第20期3726-3728,共3页Modern Preventive Medicine

基　　金：云南省卫生厅资助项目(2011073)

摘　　要：目的了解昆明市HIV感染者及AIDS患者社会支持状况,分析其影响因素。方法通过方便抽样法从云南省CDC、云南省传染病院、昆明市传染病院抽取HIV感染者及AIDS患者,并采用一般情况问卷、MOS-HIV量表和社会支持评定量表对其进行调查,并采用多元线性回归法分析其社会支持得分的影响因素。结果本次共调查昆明市18岁以上的HIV感染者及AIDS患者247例,其社会支持情况总分、主观支持得分、客观支持得分和对支持利用度得分分别为(28.62±7.64)分、(17.20±6.28)分、(5.94±2.24)分和(5.48±1.93)分;男性的客观支持得分高于女性(P﹤0.05)。多元线性回归分析显示,已婚、疼痛得分、健康转换得分、享受免费治疗是社会支持总得分的正向影响因素;已婚和享受免费治疗者,其客观支持得分较高;疼痛得分越高、已婚者、接受免费治疗者、疼痛和健康转换得分越高者,其主观支持得分越高;人均年收入和健康转换得分越高者、未接受抗病毒治疗者,其对支持的利用度得分越高。结论昆明市HIV感染者及AIDS患者社会支持得分状况较低,年龄、婚姻状况、抗病毒治疗和生命质量得分情况是其社会支持得分可能的影响因素。OBJECTIVE The aim of the study was to assess the level of social support among HI^-infected patients and AIDS patients in Kunming City and to analyze the influencing factors for the situation. METHODS Convenient sampling method was used to select HIV-infected patients and AIDS patients from CDC of Yunnan, Yunnan Infectious Disease Hospi- tal, and Kunming Infectious Disease Hospital. The patients were surveyed using general information questionnaire, MOS-HIV assessment, and social support assessment. Multiple linear regression analysis was performed to analyze the influencing factors for scores on social support of the patients. RESULTS A total of 247 HIV-infected or AIDS patients over the age of 18 in Kunming City were surveyed in this study. Overall score on social support and scores on objective support, subjective support, and utilization of support of the patients were 28.62 ± 7.64, 17.20 ± 6.28, 5.94 ± 2.24, and 5.48 ± 1.93, respectively; and scores on objective support among male patients were higher than that among female patients （P 〈 0.05）. Multiple linear regression analysis suggested that marital status （married）, physical pain, health transition, and free medical treatments were among the positive influencing factors for overall score on social support. Patients who received free medical treatments or were married had higher scores on objective social support, whereas married patients or patients who received free medical treatments, or had higher scores on physical pain or physical pain and health transition obtained higher scores on subjective support. Scores on utilization of support were higher among patients who had higher average annual income, scored higher on health transition, or had not received any antiviral therapy. CONCLUSION HIV-infected and AIDS patients in Kunming have poor scores on social support; and age, marital status, antiviral therapy, and score on quality of life are the possible influencing factors for the social support scores of the patients.

关 键 词：艾滋病病毒感染者 病人 社会支持 影响因素 昆明市 

分 类 号：R512.91[医药卫生—内科学]