凉山州某县外出务工HIV/AIDS人员接受随访检测的影响因素研究  

Influencing factors of follow-up test to migrant workers with HIV/AIDS in one county in Liangshan Prefecture

作　　者：曾璨[1] 李巧巧[1] 达争此吉 何海[1] 吉木子石 崔鑫宇 栾荣生[1] 

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]四川省昭觉县疾病预防控制中心,四川昭觉616150

出　　处：《现代预防医学》2015年第10期1878-1881,1888,共5页Modern Preventive Medicine

基　　金：凉山州性病艾滋病防治协会项目(LSHIV2013-01)

摘　　要：目的了解凉山州某县外出务工的艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人接受随访检测的影响因素,为完善艾滋病随访管理工作提供参考。方法对该县430名HIV/AIDS进行问卷调查,获取其社会人口学特征、外出务工、最近1年接受艾滋病随访和CD4+T淋巴细胞检测等信息。结果 187名HIV/AIDS有外出务工经历,最近1年按要求接受随访检测的比例(48.7%)低于无外出务工经历的HIV/AIDS(75.7%)。多因素分析显示,有无医疗保险、检出HIV抗体阳性的时间、是否在省外务工是影响外出务工HIV/AIDS最近1年按要求接受随访检测的因素。年平均外出务工时间<6个月的HIV/AIDS中,无医疗保险、检出HIV抗体阳性的年限<4年、主要务工地点在省外者最近1年按要求接受随访检测的比例较低;年平均外出务工时间≥6个月的HIV/AIDS中,月收入较低者最近1年按要求接受随访检测的比例较低。结论外出务工HIV/AIDS按要求接受随访检测的比例低,需加强艾滋病随访宣传和依从性教育,并提高随访管理服务的可及性。Objective This work aimed to investigate the influencing factors of follow-up test to migrant workers with HIV/AIDS in one county in Liangshan Prefecture, in order to provide guidance for improving the follow-up of HIV/AIDS. Methods A face-to-face questionnaire was used to investigate 430 HIV/AIDS patients in one county of Liangshan Prefecture. Information on demographics, migrant working experiences, follow-up and CD4^＋T cell tests was collected. Results 187 of the respondents had migrant working experience, and 48.7% of them received follow-up and CD4^＋T cell tests as required during last year, which was lower than that of HIV/AIDS patients who had no migrant working experiences（75.7%）. Multivariate analysis to the results showed that health insurance, how long it has been since the diagnosis of HIV and working in other provinces were thethe main influencing factors of follow-up and tests last year among migrant workers with HIV. Among respondents who worked less than 6 months per year, those who had no health insurance, been diagnosed with HIV less than 4 years, or worked in other provinces were less likely to accept the follow-up and CD4^＋T cell tests. Among respondents who worked more than 6 months per year, those who had less monthly income were less likely to accept the follow-up and CD4^＋ T cell tests. Conclusion The rate of receiving follow-up and CD4^＋ T cell tests among migrant workers with HIV/AIDS was low. Education on the adherence to AIDS follow-up and tests should be reinforced and the accessibility of AIDS follow-up service should be improved.

关 键 词：外出务工 HIV感染者/AIDS病人 随访 影响因素 

分 类 号：R183[医药卫生—流行病学]