HIV感染者对“U=U”的信任度调查及影响因素分析  

Situation of trust in"U=U"and influencing factors among people living with HIV

作　　者：郑宇 谢龙昇 魏薇 唐建 周锡平 陈燕华 ZHENG Yu;XIE Longsheng;WEI Wei;TANG Jian;ZHOU Xiping;CHEN Yanhua(The Affiliated Hospital of Southwest Medical Universit Luzhou 646000,Sichuan,China;Nursing School of Southwest Medical University,Luzhou 646000,Sichuan,China)

机构地区：[1]西南医科大学附属医院,四川泸州646000 [2]西南医科大学护理学院,四川泸州646000

出　　处：《中国艾滋病性病》2024年第11期1152-1156,共5页Chinese Journal of Aids & STD

基　　金：四川省哲学社会科学基金一般项目(SCJJ23ND214)。

摘　　要：目的了解HIV感染者对“U=U”的信任度现状及其影响因素。方法2022年5-9月,选取泸州地区接受抗病毒治疗的HIV感染者为研究对象,采用问卷调查人口学、性行为特征、HIV相关知识、态度、行为及“U=U”的信任度等信息,利用Logistic回归模型分析影响HIV感染者对“U=U”的信任度的因素。结果在调查的296例HIV感染者中,37.8%的感染者知晓病毒有效抑制标准,94.6%相信自己能做到遵医嘱按时按量服药;近6个月,与固定性伴发生过性行为的感染者占27.0%。115例(38.9%)HIV感染者对“U=U”信任。多因素Logistic回归结果显示,相比于<50岁、离异/丧偶的感染者,≥50岁(OR=2.653,95%CI:1.225~5.746)、已婚(OR=2.373,95%CI:1.185~4.751)的感染者对“U=U”信任更高。没有听说过“U=U”的感染者(OR=0.244,95%CI:0.129~0.460)相较听说过者对“U=U”信任更低。结论泸州地区HIV感染对“U=U”的信任度处于较低水平。建议制定策略及采取措施推广“U=U”时,应重点关注<50岁、离异丧偶以及没有听说过“U=U”的HIV感染者,提高“U=U”的知晓率,增加对“U=U”的信任。Objective To assess the level of trust in"U=U"(Undetectable=Untransmittable)among people living with HIV(PLWH)and analyze the factors influencing their trust.Methods From May to September 2022,HIV-positive individuals receiving antiretroviral therapy in the Luzhou region were selected for this study.A questionnaire was utilized to collect data regarding demographics,sexual behavior,HIV-related knowledge,attitudes,behaviors,and trust in"U=U".Logistic regression models were applied to identify factors influencing trust in"U=U"among participants.Results Of the 296 HIV-positive individuals surveyed,37.8%were aware of the criteria for effective viral suppression,and 94.6%believed they could adhere to medication as prescribed.In the past six months,27.0%of the participants had engaged in sexual activity with a steady partner.A total of 115 individuals(38.9%)expressed trust in"U=U".Multivariate logistic regression analysis revealed that participants aged 50 years and above(OR=2.653,95%CI:1.225-5.746)and those who were married(OR=2.373,95%CI:1.185-4.751)exhibited higher levels of trust in"U=U"compared to those under 50 and those who were divorced or widowed.Additionally,participants who had never heard of"U=U"demonstrated significantly lower levels of trust(OR=0.244,95%CI:0.129-0.460)compared to those who were aware of it.Conclusions Trust in"U=U"among HIV-positive individuals in the Luzhou region remains relatively low.It is recommended to prioritize promoting"U=U"awareness,particularly among individuals under 50,those who are divorced or widowed,and those who have not previously heard of"U=U",to increase both knowledge and trust in this concept.

关 键 词：艾滋病病毒感染者 “U=U” 信任度 影响因素 

分 类 号：R373.9[医药卫生—病原生物学]