HIV感染儿童行为问题现状  

Behavioral problems of HIV infected children

作　　者：曾小良[1] 陆春燕[1] 唐峥华[2] 鲁鸿燕[1] 覃祺 沈智勇[1] ZENG Xiaoliang;LU Chunyan;TANG Zhenghua;LU Hongyan;QIN Qi;SHEN Zhiyong(Guangxi Center for Diseases Prevention and Control,Nanning(530028),China)

机构地区：[1]广西壮族自治区疾病预防控制中心预防医学门诊部,南宁530028 [2]广西医科大学医学心理学与行为医学教研室

出　　处：《中国学校卫生》2019年第11期1672-1675,共4页Chinese Journal of School Health

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题项目(Z2016450)

摘　　要：目的了解HIV感染儿童行为问题,为开展心理干预提供参考依据。方法于2017年1-12月开展调查,以广西壮族自治区疾病预防控制中心关爱门诊正在接受高效抗逆转录病毒治疗的10~16岁在校HIV感染儿童256名作为研究组。按性别、年龄1:1匹配原则选取学校的非HIV感染儿童256名作为对照组。采用Achenbach儿童行为量表对两组儿童进行心理问卷调查。结果与对照组相比,研究组儿童活动能力、社交能力、学习能力均较差,差异均有统计学意义(P值均<0.05)。社会能力总分研究组10~11岁男童为(14.35±3.96)分,女童为(15.26±5.00)分;12~16岁男童为(14.21±4.64)分,女童为(14.57±5.50)分,均低于对照组同年龄、同性别儿童[(19.38±6.77)(18.09±5.16)(17.26±6.88)(17.84±6.76)分],差异均有统计学意义(P值均<0.05)。研究组儿童行为问题总检出率(10~11岁男童13%,女童10%;12~16岁男童17%,女童13%)高于与对照组(10~11岁男童5%,女童3%;12~16岁男童4%,女童4%),差异均有统计学意义(P值均<0.05)。结论HIV感染儿童行为问题突出,应引起足够重视。需尽早开展心理干预。Objective To understand the behavioral problems of children infected with HIV, and to provide reference for further psychological intervention. Methods The survey was conducted from January to December 2017. A total of 256 HIV-infected 10-16 years old school-aged children who were receiving highly active antiretroviral therapy(HAART) in Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention were invited to participate. Another 256 children without HIV infection who were matched with sex and age were selected as the control group. Achenbach Children’s Behavior Scale was used to conduct psychological questionnaires in the two groups of children. Results Activity, social competence, and learning ability in the study group scored lower than control group(P<0.05). In children with HIV infection group, score of social competence in boys and girls aged 10-11 years were(14.35±3.96)(15.26±5.00), respectively, and was(14.21±4.64) and(14.57±5.50) in boys and girls aged 12-16 years was significantly lower than age-and sex-matched control group(19.38±6.77 and 18.09±5.16 in boys and girls aged 10-11 years, 17.26±6.88 and 17.84±6.76 in boys and girls aged 12-16 years)(P<0.05). The total detection rate of behavioral problems in the study group(13% and 10% in boys and girls aged 10-11 years, 17% and 13% in boys and girls aged 12-16 years) was significantly higher than that in the control group(5% and 3% in boys and girls aged 10-11 years, both 4% in boys and girls aged 12-16 years)(P<0.05). Conclusion Behavioral problems in HIV-infected children are prevalent, which worth more attention to carry out psychological intervention among this vulnerable population.

关 键 词：获得性免疫缺陷综合征 儿童 行为症状 

分 类 号：R193[医药卫生—卫生事业管理] R512.91[医药卫生—公共卫生与预防医学]