重庆市HIV感染者免费抗病毒治疗接受度影响因素调查  

Influencing factor investigation of acceptability of highly active anti-retroviral therapy in people living with human immunodeficiency virus in Chongqing city

作　　者：陈曦[1,2] 吴国辉[3] 周超[3] 李勤[3] 朱保平[2] 申涛[2] 施国庆[2] 曾光[2] 

机构地区：[1]自贡市疾病预防控制中心,四川自贡643000 [2]中国疾病预防控制中心,现场流行病学培训项目北京100050 [3]重庆市疾病预防控制中心,重庆404100

出　　处：《中国艾滋病性病》2014年第8期567-570,共4页Chinese Journal of Aids & STD

基　　金：中国现场流行病学培训专项经费~~

摘　　要：目的了解重庆市满足免费高效抗反转录病毒治疗(HAART)条件的艾滋病病毒(HIV)感染者,接受治疗的影响因素,为提高治疗覆盖率提供参考。方法以符合我国免费HAART的条件,但调查时未接受过HAART的HIV感染者为调查对象,由调查员进行一对一提纲式问卷调查,并在调查结束后提供知识咨询。结果共调查32名HIV感染者,接受治疗的前3位顾虑包括:药物不良反应(46.9%),自觉健康状况良好(28.1%),害怕隐私暴露(21.9%)。接受知识咨询干预后,调查前主观不愿意接受治疗的感染者中,有57.7%表示愿意接受治疗。符合治疗条件的感染者越多的区县抗病毒治疗覆盖率越低,两者具有统计学相关性(pearson相关系数=-0.52,P=0.001)。结论 HAART相关知识了解差,是影响重庆市HIV感染者接受治疗的主要因素。应制作简单易懂的材料,投入更多人力物力加强对HAART相关知识的宣传。Objective To study the influencing factors of acceptability of free highly active anti-retroviral thera- py （HAART） in people living with human immunodeficiency virus （HIV） who meet the criteria of free HAART in Chongqing city, and provide a reference for improving HAART coverage. Methods Patients living with HIV quali- fying free HAART but not receiving HAART till the time of this investigation were defined as respondent. A face to face open-ended questionnaire was conducted by investigators and then HAART related knowledge was provided to the respondents. Results A total of 32 respondents were investigated. The top 3 reasons not accepting treatment were side effects of HAART drugs （46.8%）, feeling in good health condition （28.1%）, privacy exposure （21.9%）. Among the respondents unwilling to accept HAART, 57.7% agreed to accept HAART after interven- tion. The more the HAART qualified people living with HIV, the lower the HAART coverage, and there was sta- tistical significance between them （Pearson correlation coefficient = - 0.52, P〈0. 001）. Conelusions Lack of HAART related knowledge is the main factor that affects HAART acceptability. HAART related knowledge should be propagated using more readily understood materials and investing more human resources.

关 键 词：艾滋病病毒感染者 高效抗反转录病毒治疗 接受度 影响因素 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]