兰州市HIV感染者和艾滋病患者生存质量及影响因素研究  

Research of quality of life and influencing factors among HIV/AIDS cases in Lanzhou City

作　　者：陈继军[1] 陶连弟[2] 齐跃军[1] 周莹荃 李雅欣[4] 高文龙[5] 王宇红[1] CHEN Ji-jun TAO Lian-di QI Yue-jun ZHOU Yin-quan LI Ya-xin GAO Wen-long WANG Yu-hong(Lanzhou Municipal Center for Disease Control and Prevention, Lanzhou, Gansu 730030, Chin)

机构地区：[1]兰州市疾病预防控制中心,兰州730030 [2]兰州市城关区疾病预防控制中心,兰州730030 [3]兰州市肺科医院,兰州730030 [4]福建医科大学公共卫生学院,福州350000 [5]兰州大学公共卫生学院,兰州730000

出　　处：《疾病预防控制通报》2016年第5期1-4,共4页Bulletin of Disease Control & Prevention(China)

基　　金：兰州市卫生科技发展计划资助(LZWSKY2014-2-10)

摘　　要：目的了解甘肃省兰州市HIV感染者和艾滋病患者(HIV/AIDS)生存质量状况以及影响因素。方法选取2015年7月—2016年3月期间兰州市辖区能够随访到的且在本地生活、现存活的HIV/AIDS为研究对象,采用世界卫生组织艾滋病生存质量简表(WHO QOL-HIV-BREF)进行生存质量调查;采用t检验、方差分析和多元线性回归模型分析生存质量的影响因素。结果共回收有效调查问卷487份,调查对象平均年龄(33.00±1.49)岁,以同性性传播为主、占50.31%,异性性传播为次、占38.60%,80.29%的患者处于感染者阶段,54.21%的调查对象还没有接受抗病毒治疗;HIV/AIDS生存质量总得分为(80.68±14.27)分,与全国常模比较差异无统计学意义(P>0.05),其中生理领域、心理领域、社会关系领域和总体生存质量均低于正常人水平(P<0.01),环境领域和精神支柱/个人信仰领域高于正常人水平(P<0.01);多元线性回归分析结果显示,家人态度、邻里态度和家庭经济水平是生存质量高低的重要预测指标。结论兰州市HIV/AIDS在生理领域、心理领域、社会关系领域和总体生存质量低于普通人群,建议在今后的艾滋病防治工作中应提高该类人群的生存质量。Objective To study the quality of life and influencing factors of HIV infected or AIDS cases in Lanzhou, Gansu province. Methods People infected with HIV or AIDS cases alive and those who could be followed up in Lanzhou city from July, 2015 to March, 2016 were included. The life quality of the HIV/AIDS was evaluated with WHO QOL-BREF Chinese version. Influencing factors were analyzed with t-test, ANOVA and multiple linear regression models. Results A total number of 487 patients were included in this study. The average age of subjects was（33.00 ± 1.49） years. A proportion of50.31% or 38.60% of the patients got infected by homosexual behaviors or heterosexuality, respectively. 80.29% of the patients were in infected status, and 54.21% received no antivirus treatment yet. The average score of total life quality was（80.68±14.27）, without statistical difference from the national norm（P〉0.05）. The scores of physiological field, psychological field, social care and total life quality were all lower than the national norm（P〈0.01）. Scores of environmental field and personal faith field were higher than the national norm（P〈0.01）. Multivariate linear regression analysis results showed that the family attitude, neighborhood attitude, and family economic level were important predictors of survival quality. Conclusions The level of the HIV/AIDS in Lanzhou city is lower in the field of physiological, psychological, social relations and the overall quality than that of the general population. It is recommended to improve their life quality in future work.

关 键 词：HIV/AIDS 生存质量 影响因素 

分 类 号：R512.91[医药卫生—内科学]