外出务工HIV感染者选择流出地抗病毒治疗原因的质性研究  

Qualitative study on the reasons why migrant workers living with HIV choose to receive antiretroviral therapy in place of origin

作　　者：孙颖 张娅玲 张月华 解婷婷 劳云飞 安靓 唐世香 熊艳 夏庆梅 马礼堂 SUN Ying;ZHANG Yaling;ZHANG Yuehua;XIE Tingting;LAO Yunfei;AN Jing;TANG Shixiang;XIONG Yan;XIA Qingmei;MA Litang(School of Public Health,Dali University,Dali 671003,Yunnan,China;Yunnan Provincial Infectious Disease Hospital/Yunnan AIDS Care Center,Kunming 650113,Yunnan,China;Zhaotong AIDS Prevention and Treatment Service Center,Zhaotong 657000,Yunnan,China;Zhaotong City Zhaoyang District AIDS Prevention and Treatment Service Center,Zhaotong 657000,Yunnan,China;Zhaotong City Zhaoyang District Longquan Community Health Service Center,Zhaotong 657000,Yunnan,China;The First People Hospital of Zhaotong,Zhaotong 657000,Yunnan,China)

机构地区：[1]大理大学公共卫生学院,云南大理671003 [2]云南省传染病医院/艾滋病关爱中心,昆明650113 [3]昭通市防治艾滋病服务中心,云南昭通657000 [4]昭通市昭阳区防治艾滋病服务中心,云南昭通657000 [5]昭通市昭阳区龙泉社区卫生服务中心,云南昭通657000 [6]昭通市第一人民医院,云南昭通657000

出　　处：《中国艾滋病性病》2025年第3期294-298,共5页Chinese Journal of Aids & STD

基　　金：第五轮全国艾滋病综合防治示范区专项工作:“聚焦重点难点,深耕治疗质量”-关注劳务输出地区流动HIV感染者抗病毒治疗效果。

摘　　要：目的探索外出务工HIV感染者选择流出地cART的原因,为今后实施流出地cART模式提供依据。方法2024年1月期间在昭通市龙泉社区卫生服务中心和昭通市第一人民医院选取治疗随访的外出务工HIV感染者进行半结构化访谈,使用R4.3.2对访谈资料进行词频分析,运用扎根理论进行开放式编码、主轴编码和选择性编码,提炼出选择流出地cART的原因,并构建理论模型。结果共访谈了26名外出务工HIV感染者,面对面访谈23名,电话访谈3名。共提炼出3个核心范畴,分别是个体特征、社区支持、就医背景,其中个体特征是影响外出务工HIV感染者选择流出地cART的核心原因,社区支持是关键因素,就医背景是潜在原因。结论外出务工HIV感染者选择流出地cART这个行为是由多种原因共同作用决定的,后续可以从原因出发,寻找关键节点,探索更适合的管理方式,提高治疗依从性和治疗有效率。Objective To explore the reasons migrant workers living with HIV select receiving combination antiretroviral therapy(cART) in place of origin and to provide a basis for implementing the cART model in the future.Methods During January 2024, semi-structured interviews were conducted with migrant workers living with HIV selected for treatment and follow-up at the Longquan Community Health Service Center and the First People's Hospital of Zhaotong City. R 4.3.2 was used to analyze the frequency of the interview data, grounded theory was used for open coding, axial coding, and selective coding to extract the reasons for choosing the outflow location of cART, and a theoretical model was constructed. Results A total of 26 migrant workers living with HIV were interviewed, including 23 face-to-face and three telephone interviews. The following three core categories were extracted: individual characteristics, community support, and medical background. Among them, individual characteristics were the core factors that influenced migrant workers living with HIV in choosing their places of origin for c ART;community support was a key factor, and medical background was a potential reason. Conclusions Migrant workers living with HIV choose to receive c ART in place of origin, a behavior determined by a combination of various factors. Therefore, the key points should be identified to explore more suitable management methods, thereby improving treatment adherence and effectiveness.

关 键 词：外出务工 艾滋病病毒感染者 流出地抗病毒治疗 质性研究 扎根理论 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]