摘要
目的了解HIV感染者/AIDS患者告知家人的现状及其影响因素。方法采用横断面研究设计,通过方便抽样方法和自行设计的调查问卷,于2013年3-6月对广州市第八人民医院住院及门诊部的HIV感染者进行面对面的问卷调查。结果 406名HIV感染者/AIDS患者中,有351人将自己的感染情况告知了家人,告知率为86.5%。多因素Logistic回归分析表明,异性恋（OR=7.553,95%CI：3.110-18.341）,感染时间（OR=1.025,95%CI：1.007-1.043）,已婚（OR=2.886,95%CI：1.089-7.646）,和家人一起住（OR=3.130,95%CI：1.333-7.350）,社会支持（OR=3.135,95%CI：1.436-6.845）是HIV感染者家人告知的保护因素;而同时患其他传染病（OR=0.224,95%CI：0.098-0.513）的感染者更倾向于不告知家人。感染者最常见的告知对象是配偶/固定性伴（57.6%）,兄弟姐妹（50.2%）,父母（39.7%）。结论广州市HIV感染者/AIDS患者的家人告知率较高,在今后有关艾滋病家人告知的干预中,应加强对感染者的性取向,感染时间,婚姻状况,与家人的居住状况,社会支持,共感染等情况的关注。
Objective To investigate the HIV disclosure to family members and its influencing factors among people with HIV / AIDS（ PLWHA）. Methods This cross-sectional study,using convenient sampling,was conducted in the Guangzhou No. 8 People＇s Hospital from March to June 2013. Self-designed questionnaire was used in this face-to-face survey. Results The analysis indicated that 351 out of 406 PLWHA disclosed their HIV seropositive status to family members and the disclosure rate was 86. 5%. Multivariate Logistic regression analysis indicated that heterosexuality（ OR =7. 553,95% CI： 3. 110-18. 341）,length of time since diagnosis（ OR = 1. 025,95% CI： 1. 007-1. 043）,marriage（ OR =2. 886,95% CI： 1. 089-7. 646）,living with family members（ OR = 3. 130,95% CI： 1. 333-7. 350） and level of social support（ OR = 3. 135,95% CI： 1. 436-6. 845） were positively associated with HIV disclosure to family members. However,PLWHA who were concurrently infected with other infectious diseases（ OR = 0. 224,95% CI： 0. 098-0. 513） were less likely to disclose their HIV-positive status to family members. People to whom the PLWHA most likely disclosed their HIV infection were spouse / regular sexual partners（ 57. 6%）,brothers and sisters（ 50. 2%） and parents（ 39. 7%） respectively. Conclusions The majority of PLWHA would disclose their seropositive status to family members. Furture intervention to increase HIV disclosure to family members should inclode sexual orientation,infection time,marital status,living arrangement,social support,and comorbidity of the PLWHA.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2015年第12期1255-1259,共5页
Chinese Journal of Disease Control & Prevention
基金
中国全球基金艾滋病项目(cso-2012-研42)
国家自然科学基金(81302517)
关键词
获得性免疫缺陷综合症
横断面研究
家庭
Acquired immunodeficiency syndrome
Cross-sectional studies
Family
