摘要
目的描述本土文化背景下,艾滋病病毒（HIV）感染者/艾滋病病人（PLWHA）披露诊断的现状;识别PLWHA资料中影响披露诊断结果的因素。方法选择济宁市目前能随访到的尚存活的PLWHA作为研究对象,采用自编问卷收集资料,对PLWHA披露诊断状况进行评估,对其影响因素进行分析。结果共调查237例PLWHA,其中男187例,女50例,平均年龄（31.76±8.13）岁（4～70岁）。59.9%（142/237）的PLWHA向他人披露自己的HIV阳性诊断情况。不同性别、年龄、文化程度、婚姻、职业、居住地、确证时间、病程阶段、感染途径以及是否进行抗病毒治疗的PLWHA披露情况有显著性差异（P〈0.01）。婚姻状况、职业、抗病毒治疗等因素,对PLWHA是否向他人披露自己的HIV诊断情况有影响,能够解释披露诊断变异的为43.8%。结论 PLWHA的婚姻状况、职业、抗病毒治疗因素对披露诊断有影响,应尽早探索建立披露诊断模式,促进及早披露阳性诊断,预防新发感染。
Objective To explore the status of diagnosis disclosure and analyze the influence factors among people living with HIV/AIDS（PLWHA）under the background of local culture.Method Data were collected from 237 PLWHA who were still alive and could be followed up to assess their diagnosis disclosure status and the influence factors using self-designed questionnaire.Results A total of 237 PLWHA were investigated,including 187 males and 50 females,with the average age of 31.76±8.13 years old（range,4-70）.Positve diagnosis was disclosed in59.9% PLWHA.There were significant differences in diagnosis disclosure among different gender,age,education degree,marriage,occupation,residence,diagnosis time,disease stage,route of infection and whether receiving antiretroviral therapy（P0.01）.Marriage,occupation and antiretroviral therapy were able to explain 43.8% variation in the disclosure diagnosis.Conclusion Marital status,occupation and antiretroviral treatment have influence on diagnosis disclosure in PLWHA.A diagnosis disclosure mode should be explored and established as soon as possible,in order to disclose HIV positive results to others earlier and reduce new HIV infections.
出处
《中国艾滋病性病》
CAS
2014年第10期738-741,共4页
Chinese Journal of Aids & STD
