2019-2020年泸州市老年HIV/AIDS患者的养老意愿及影响因素分析  

Analysis on the willingness and influencing factors of old-age care among elderly HIV/AIDS patients in Luzhou City from 2019 to 2020

作　　者：祝静 喻行莉 熊文琴 ZHU Jing;YU Xingli;XIONG Wenqin(The Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China)

机构地区：[1]西南医科大学附属医院,四川州646000

出　　处：《预防医学情报杂志》2023年第9期1037-1043,共7页Journal of Preventive Medicine Information

基　　金：国家科技重大专项(项目编号:2018ZX10301407-005-001)。

摘　　要：目的 通过研究泸州市老年HIV/AIDS患者养老意愿及影响因素,为泸州市老年HIV/AIDS患者的养老服务提供理论依据。方法 2019年1月至2020年12月(由于新型冠状病毒肺炎疫情原因,2020年1-5月暂停收集数据)采用立意抽样法选取泸州市的江阳区、龙马潭区和周边的泸县、叙永县、古蔺县作为调查地点,再随机抽取712例老年HIV/AIDS患者作为研究对象,并进行养老意愿的问卷调查,采用SPSS 22.0软件进行单因素分析和二分类Logistic回归分析,以P<0.05为差异有统计学意义。结果 667例调查对象中,30.59%期望传统居家养老,36.43%期望社区养老,12.44%期望艾滋病专业机构养老,20.54%期望互助养老。单因素分析结果显示老年HIV/AIDS患者的年龄、文化程度、子女情况、居住情况、月收入、医保类型、其他慢性病、艾滋病时期和自理能力差异均有统计学意义(P均<0.001),二分类Llogistic回归分析发现文化程度、居住情况、月收入和自理能力是老年HIV/AIDS患者养老意愿的影响因素。结论 文化程度高、月收入高的老年HIV/AIDS患者更倾向于社区养老,独居、生活自理能力差的老年HIV/AIDS患者更倾向于艾滋病专业机构养老,生活自理能力较好的、与子女或老伴一起居住的老年HIV/AIDS患者更倾向于居家养老,文化程度、居住情况、月收入和自理能力是影响老年HIV/AIDS患者选择养老方式的主要因素。Objective To provide theoretical basis for old-age care for elderly HIV/AIDS(human immunodeficiency virus/acquired immunodeficiency syndrome)patients in Luzhou City by studying the willingness and influencing gfactors of old-age ecarea among this population.Methods From January 2019 to December 2020(data collection was suspended from January to May 2020 due to the outbreak of novel coronavirus pneumonia),Jiangyang District,Longmatan District and neighboring Luxian County,Xuyong County and Gulin County of Luzhou City were selected as survey sites by intentional sampling g method.Then,712 elderly patients with HIV/AIDS were randomly selected as research objects and questionnaire survey was conducted on their old-age care willingness.SPSS 22.0 was used for univariate analysis and binary logistic regression analysis.P<0.05 was considered as statistically significant.Results Among the 667 respondents,30.59%expected traditional home care,36.43%expected community care,12.44%expected AIDS professional institutions to provideecare and 20.54%expected mutual assistance.The results of univariate analysis showed that the age,education level,children's situation,living condition,monthly income,medical insurance type,other chronic diseases,disease period and self-care ability of elderly HIV/AIDS patients were statistically different(All P<0.001).The results of binary logistic regression analysis found that education level,living condition,monthly income and self-care ability were the influencing factors of the willingness of old-age care among elderly HIV/AIDS patients.Conclusions Elderly HIV/AIDS patients with high education level and high monthly income weremore inclined community care.Elderly HIV/AIDS patients living alone with poor self-care ability were more inclined to old-age care in professional AIDS institutions.And elderly HIV/AIDS patients with better self-care ability and living with their children or partners were more inclined to home care.Education level,living condition,monthly income and self-care ability were

关 键 词：老年HIV/艾滋病患者 养老方式 养老意愿 影响因素 

分 类 号：R195[医药卫生—卫生统计学]