四川省西昌市艾滋病抗病毒治疗者生活状况和高危行为调查  

Living Conditions and High-risk Behaviors of AIDS Patients Receiving Antiretroviral Therapy in Xichang of Sichuan Province

作　　者：刘倩萍[1] 张万里[1] 孙喆娅 段元会 姚芝梅 高旭东[1] 邓瑾[1] 宋本莉[1] 张恒[2] 张灵麟[3] 梁姝[3] 阮玉华[2] 

机构地区：[1]四川省西昌市皮肤病性病防治站,四川西昌615000 [2]四川省疾病预防控制中心 [3]传染病预防控制国家重点实验室

出　　处：《预防医学情报杂志》2016年第7期714-718,共5页Journal of Preventive Medicine Information

基　　金：四川省西昌市科技计划项目(2013第4号)

摘　　要：目的了解四川省西昌市艾滋病病毒感染者接受抗病毒治疗前、后的生活状况和高危行为的变化情况。方法对四川省西昌市2009-2012年开始接受抗病毒治疗的146名艾滋病患者进行问卷调查,采用配对检验比较抗病毒治疗前、后的生活状况和高危行为的变化情况。结果在调查的146人中抗病毒治疗后的病毒抑制率(<400拷贝/ml)为84.1%。抗病毒治疗前、后差别有统计学意义(P<0.05),变量有:CD4+T淋巴细胞数水平、服药副反应、平均体重、家庭经济贫困状况、医疗保险、对社会及情感支持的需要、生活满意度、健康状况、对自己人际关系满意度、平均月收入以及同配偶或固定性伴有无保护性性行为、同临时性伴有无保护性行为。结论艾滋病患者接受抗病毒治疗后生活状况得到明显改善,且而无保护性行为的发生明显降低。Objective To investigate changes of living conditions and high - risk behaviors of HIV - infected peo- ple in Xichang of Sichuan Province following ART （ antiretroviral therapy）. Methods A questionnaire - based investigation was conducted in 146 patients in Xichang of Sichuan Province who initiated ART during the period from 2009 to 2012. Living condition and high - risk behaviors before and after treatment were compared by paired χ^2 test. Results Among the 146 patients, the virus suppression rate （ 〈 400 copies/mL） was 84. 1%. The difference between levels before and after ART was statistically significant （ P 〈 0.05 ）. Variables consid-ered included level of CD4 ＋ count, side effect of ART, average weight, poverty status of family, medical insurance, demand for emotional and social support, satisfaction with life and interpersonal relationship, physical status, monthly income, and unprotected sexual behaviors with spouses, regular sex partners or casual sex partners. Conclusion After initiation of ART in AIDS patients, living conditions have been significantly improved, and occurrence of unprotected sexual behaviors has been significantly reduced.

关 键 词：艾滋病 抗病毒治疗 生活质量 高危行为 

分 类 号：R512.91[医药卫生—内科学]