PLWHA家庭功能现状及影响因素分类回归树分析  

Factors associated with family function of people living with HIV/AIDS

作　　者：王东丽 孙丽 王金塔[2] 卞琛[2] 马靖 许峻[4] 周建波[2] WANG Dong-li;SUN Li;WANG Jin-ta;BIAN Chen;MA Jing;XU Jun;ZHOU Jian-bo(Zhonglou Center for Disease Control and prevention,Changzhou,Jiangsu 213000,China;不详)

机构地区：[1]常州市钟楼区疾病预防控制中心,江苏常州213000 [2]常州市疾病预防控制中心 [3]南京医科大学 [4]常州市第二人民医院

出　　处：《中国预防医学杂志》2022年第6期447-451,共5页Chinese Preventive Medicine

基　　金：江苏省卫生计生委预防医学科研项目(Y2018027);常州市卫生计生委重大科技项目(ZD201819);常州市卫生健康委青苗人才工程(CZQM2020111)。

摘　　要：目的 了解常州市经性途径感染存活的人类免疫缺陷病毒感染者/艾滋病患者(people living with HIV/AIDS,PLWHA)家庭功能现状,并用分类回归树模型探讨其影响因素。方法 2019年2—6月对常州市经性途径感染的PLWHA进行横断面调查,家庭功能采用1978年由Smilk-stein编制的指数家庭关怀度量表,用于评价患者对家庭功能的满意程度。采用分类回归树模型筛选PLWHA家庭功能的影响因素,并用单因素方差分析对不同因素组合特征的家庭功能进行进一步分析。结果 本研究共纳入577例PLWHA,确证阳性年龄(37.34±12.94)岁,家庭功能(6.73±3.23)分,家庭功能中度或重度障碍的比例占57.71%,独居者占39.34%,仅接受过初中及以下教育者占41.77%。分类回归树模型筛选出3个影响因素:居住情况、确证阳性年龄和文化程度,其中居住情况为最主要的影响因素。在所有因素组合中,独居的PLWHA家庭功能得分最低(6.08±3.52)分,与配偶或与他人同住且确证阳性年龄>48.62岁的PLWHA家庭功能得分最高,为(7.85±2.87)分,两者间差异有统计学意义(P<0.05)。结论 居住情况、确证阳性年龄和文化程度是经性途径感染的PLWHA家庭功能的影响因素,独居者家庭功能最差,在随访管理及治疗过程中,应多关注独居患者,给予心理安慰和支持。Objective To understand the family function of people living with HIV/AIDS(PLWHA) infected via sexual transmission in Changzhou, and to explore its influencing factors using classification and regression tree(CART) model. Methods A cross-sectional study was conducted among 577 PLWHA in Changzhou from February to June 2019.Family function was assessed using the index family care scale created by smilk Stein in 1978 which was also used to evaluate patients satisfaction with family function.The CART model was applied to determine the influencing factors of family function, and the family function was further analyzed under different combination of influencing factors by one-way ANOVA. Results The mean age of 577 study subjects at the time of HIV confirmation was(37.34±12.94) years old.The medium score of family function was(6.73±3.23).57.71% of PLWHA had moderate to severe family dysfunction.39.34% lived alone.41.77% were poorly educated with junior high or lower education.Three influencing factors were screened out by the CART model, including living condition, the age of HIV confirmation and degree of education.The most important factor was living condition.The score of family function was the lowest of(6.08±3.52) among PLWHA who lived alone, while was the highest of(7.85±2.87) among those who lived with spouses or other persons and the age of 48.62years by the time that HIV infection was confirmed,the difference was statistically significant(P<0.05). Conclusions Living condition,age at HIV confirmation and degree of education are found to be major influencing factors of family function among PLWHA infected via sexual transmission.The score of family function is the lowest among those who live alone,therefore,more psychological comforts and supports should be offered to this group of PLWHA during follow-up management and treatment.

关 键 词：人类免疫缺陷病毒感染者/艾滋病患者 家庭功能 分类回归树 

分 类 号：R183.9[医药卫生—流行病学]