徐州市人类免疫缺陷病毒感染者/艾滋病患者社会支持、生存质量调查及其关系分析  

Social support and quality of life of people with HIV/AIDS in Xuzhou city and its relationship analysis

作　　者：周志伟 孙传武[1] 柴菲菲 张莹 周慧 王成中 张耀东 ZHOU Zhiwei;SUN Chuangwu;CHAI Feifei;ZHANG Ying;ZHOU Hui;WANG Chengzhong;ZHANG Yaodong(Department of STD and AIDS Prevention and Control,Xuzhou Center for Diseases Control and Prevention,Xuzhou 221000,China;不详)

机构地区：[1]徐州市疾病预防控制中心性病艾滋病防治科,江苏徐州221000 [2]泗县人民医院麻醉科,安徽宿州234300 [3]徐州市疾病预防控制中心质管科,江苏徐州221000 [4]徐州医科大学公共卫生学院,江苏徐州221000

出　　处：《山东医药》2025年第2期35-40,共6页Shandong Medical Journal

基　　金：江苏省预防医学科研课题项目(Ym2023069)。

摘　　要：目的调查徐州市人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者社会支持、生存质量并探讨两者的关系,为制定科学的AIDS干预措施提供支持。方法自中国疾病预防控制信息系统中选取徐州市新发HIV/AIDS病例605例作为调查对象,以自制调查问卷的形式对调查对象性别、民族、婚姻状况、文化程度、职业、家庭年收入、疾病阶段、感染途径等临床资料进行调查。采用社会支持评定量表对调查对象社会支持度进行评估,世界卫生组织AIDS患者生存质量简表对调查对象的生存质量进行评估。比较不同临床资料调查对象的社会支持及生存质量,比较调查对象与全国常模的生存质量,采用多元逐步线性回归分析调查对象社会支持与生存质量的关系。结果605例调查对象中,男性、汉族、高中及以上文化程度、无配偶、主要收入来源为工资、家庭年收入≥30000元以上、社会经济地位中下层及以下、有医疗保险者居多,职业分布以商业服务业为主,样本来源主要为检测咨询和医疗机构,传播途径以同性传播为主,多数调查对象处于HIV感染阶段、CD4+T淋巴细胞计数>350/µL、未出现艾滋病相关症状、知晓艾滋病知识、认为生活幸福。女性客观支持、主观支持和社会支持总分均高于男性;18~<40岁调查对象客观支持、主观支持和社会支持得总分均低于≥40岁调查对象,但支持利用度较高;有配偶者客观支持、主观支持和社会支持总分均高于无配偶者;企事业单位职员的主观支持、支持利用度和社会支持总分均高于其他职业者;家庭年收入较高者在客观支持和支持利用度上高于低收入者;非工资收入群体的社会支持总分高于工资收入者;有医疗保险者客观支持、主观支持和社会支持总分高于无保险者;社会经济地位较高者主观支持、支持利用度和社会支持总分高于社会经济地位较低者;生�Objective To investigate the social support and quality of life of human immunodeficiency virus(HIV)-infected individuals/acquired immune deficiency syndrome(AIDS)patients in Xuzhou,and to explore their relationship,providing a basis for the development of scientific AIDS intervention measures.Methods We selected 605 newly report ed HIV/AIDS cases from the China Disease Prevention and Control Information System in Xuzhou as study subjects.A selfdesigned questionnaire was used to collect clinical data including gender,ethnicity,marital status,education level,occu pation,annual family income,disease stage,and infection route,etc.The Social Support Rating Scale was employed to as sess social support,and the WHO Quality of Life-BREF was utilized to evaluate quality of life.We compared social support and quality of life across different clinical groups,analyzed differences with national norms,and conducted multiple step wise linear regression analysis to examine the relationship between social support and quality of life.Results Among the 605 subjects,the majority were male,Han ethnicity,with high school education or above,unmarried,primarily earning wages as their main source of income,with annual family incomes≥30,000 yuan,of middle to lower socioeconomic sta tus,and possessing medical insurance.Occupations were predominantly in the commercial service sector,and samples mainly came from testing consultation and medical institutions,with homosexual transmission being the primary route.Most were in the HIV infection stage,had CD4⁺T cell counts>350/µL,showed no AIDS-related symptoms,were knowl edgeable about AIDS,and considered themselves happy.In terms of social support,females scored higher in objective support,subjective support,and total social support than males.Subjects aged≥40 had higher objective support,subjec tive support and social support scores than those aged 18-40,although the latter had higher support utilization.Married in dividuals had higher objective support,subjective support and social supp

关 键 词：艾滋病 人类免疫缺陷病毒 社会支持 生存质量 徐州市 

分 类 号：R512.91[医药卫生—内科学]