抗病毒治疗的HIV感染者社会支持状况及影响因素分析  

Social Support Status and Influencing Factors of HIV-infected Patients on Antiviral Therapy

作　　者：向雪琳 赵红瑞 王中杰 夏宇 马敏 王化丹 何利平 XIANG Xuelin;ZHAO Hongrui;WANG Zhongjie;XIA Yu;MA Min;WANG Huadan;HE Liping(School of Public Health,Kunming Medical University,Kunming Yunnan 650500,China)

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500

出　　处：《昆明医科大学学报》2024年第9期156-162,共7页Journal of Kunming Medical University

基　　金：国家卫生健康委员会毒品依赖和戒治重点实验室科学研究项目(2020DAMARC-005)。

摘　　要：目的了解抗病毒治疗HIV感染者社会支持现状,探讨其影响因素,为今后提高该人群的社会支持程度提供参考。方法采用多阶段分层整群抽样的方法,对云南省定点医院中接受抗病毒治疗的HIV感染者进行横断面调查,问卷包括人口学特征、HIV感染相关情况及社会支持评定量表(SSRS)等信息,采用t检验、方差分析、多重线性回归进行分析。结果631名HIV感染者社会支持总分为(28.44±8.48)分,各维度得分为客观支持(6.14±2.56)分、主观支持(16.54±5.69)分、对支持的利用度(5.76±2.26)分,均低于国内常模(P<0.001)。30岁以下青年、居住地为农村、非独居、已婚、有职业、文化程度高、家庭年平均收入高、参加感染者小组活动是社会支持的有利因素(P<0.05)。结论云南省HIV感染者的社会支持总体状况较全国差,应加强对老年感染者、居住在城市者、独居人员、离异/丧偶/未婚者、无职业者、家庭年平均收入较低者以及未参加感染者小组活动的感染者的人文关爱,提高其社会支持水平。Objective To understand the status quo of social support of HIV patients in Yunnan Province and explore its influencing factors,so as to provide a reference for improving the social support status of this population in the future.Methods Multi-stage stratified cluster sampling was used to conduct a cross-sectional survey of HIV patients receiving treatment in designated hospitals in Yunnan province.The questionnaire included demographic characteristics,HIV infection-related information and social support rating scale(SSRS),and the analysis was conducted by t-test,analysis of variance and multiple linear regression.Results The total score of social support in 631 HIV patients was(28.44±8.48),the scores of objective support(6.14±2.56),subjective support(16.54±5.69)and support utilization(5.76±2.26),all of which were lower than the domestic norm(P<0.001).Being youth under 30 years old,living in rural areas,not living alone,being married,having an occupation,having a high level of education,having a high average annual household income,and participating in group activities with infected persons were favorable factors for social support(P<0.05).Conclusions The overall social support status of HIV-infected people in Yunnan Province is worse than that of the whole country.Humanistic care should be strengthened for elderly infected people who are older,living in cities,living alone,divorced/widowed/unmarried,unemployed,those with low average annual family income and those who do not participate in group activities for HIV-infected people,so as to improve their level of social support.

关 键 词：艾滋病 社会支持 影响因素 云南省 

分 类 号：R512.91[医药卫生—内科学]