社会资本对艾滋病感染者和患者生存质量的影响  

Effects of social capital on the life quality of patients living with HIV/AIDS

作　　者：蓝桂莲 陈宇星[1] 陈飞宇 袁兆康[1] 徐群英[3] 原玲玲[1] 姜红英[1] 郑辉烈[1] 王莉[1] 

机构地区：[1]南昌大学公共卫生学院流行病与卫生统计学教研室,南昌330006 [2]江西省东乡县疾病预防控制中心,抚州331800 [3]南昌大学公共卫生学院营养与食品卫生学教研室,南昌330006

出　　处：《第二军医大学学报》2016年第2期197-201,共5页Academic Journal of Second Military Medical University

基　　金：中国全球基金艾滋病项目(CSO-2012-研01);江西省科技厅科技支撑项目(20141BBG70067)~~

摘　　要：目的了解艾滋病感染者和患者(patients living with HIV/AIDS,PLWH)生存质量和社会资本现况,分析影响PLWH生存质量的社会资本关键要素。方法采用偶遇抽样方法对浙江省舟山市疾病预防控制中心、江西省南昌市第九医院及萍乡市疾病预防控制中心的377例PLWH开展面对面问卷调查。问卷包括基本情况调查表、健康状况简易量表(SF-36)和社会资本调查表。使用Epidata 3.1软件录入资料,利用SPSS 17.0软件进行统计分析。采用多重线性回归分析社会资本对PLWH生存质量的影响。结果共收集有效问卷368份,有效应答率97.61%。PLWH的社会资本与生存质量各维度得分及总分均较低,社会资本总分(满分10分)为(4.94±1.94)分,生存质量总分(满分100分)为(64.71±13.49)分,与常模比较差异有统计学意义(P<0.01)。主动获取资源的能力、信任和社会参与是PLWH生存质量的影响因素。结论 PLWH的生存质量较差,所拥有的社会资本较低,社会资本对PLWH的生存质量有影响。Objective To understand the quality of life and the social capital of patients living with HIV/AIDS （PLWH）, so as to analyze the key factors of social capital that affect the life quality of PLWH. Methods Accidental sampling was used to choose a total of 377 PLWH in Zhoushan city of Zhejiang province, Nanchang and Pingxiang of Jiangxi province. The questionnaires included basic situation survey, a simple health condition survey questionnaire （SF-36） and the social capital questionnaire. The survey was carried out by face-to-face. The Epidata 3. 1 and the SPSS 17.0 were used for data input and statistical analysis, respectively. The multiple linear regression analysis was used to evaluate the effect of social capital on PLWH life quality. Results A total of 368 questionnaires were finally completed, with an effective response rate of 97. 61%. Scores of each dimension and total scores of the social capital and quality of life of PLWH were lower, with the social capital score of PLWH being 4. 94±1.94 （full score.-10） and quality of life score being 64. 71±13.49 （full score： 100）, significantly lower than the national norm（P〈0. 01）. It was found that the access to resources, trust and social participation were the factors influencing the PLWH quality of life. Conclusion PLWH have an unsatisfactory quality of life and low social capital, and social capital has an effect on the life quality of PLWH.

关 键 词：获得性免疫缺陷综合征 生存质量 社会资本 影响因素 

分 类 号：R512.91[医药卫生—内科学]