摘要
目的了解贵州省艾滋病病毒（HIV）感染儿童的抗病毒治疗情况,为提高儿童治疗覆盖率提供科学依据。方法采取横断面调查研究方法,对HIV感染儿童采用自行设计的问卷进行调查,内容包括儿童的基本情况、主要抚养人、家庭及社会、卫生医疗和抗病毒治疗等情况。结果 105例HIV感染儿童中,母婴传播在14岁、性途径感染、父母亲中至少一方死亡、无医疗保险,其主要抚养人为非父母亲、女性、年龄＆gt;50岁、自身健康评价较差、不能承担儿童医疗费用。结论针对感染儿童未治疗原因,采取有针对性的解决措施,扩大抗病毒治疗覆盖率,实施以艾滋病家庭为基础的综合救助。
Objective To investigate the factors influencing the antiretroviral therapy（ART）for HIV infected children in Guizhou province,and to provide scientific basis for improving and expanding ART coverage.MethodsA questionnaire survey was conducted from Sept.to Dec.2013 among the HIV infected children,to collect the information on their demographic characteristics,parents,families,social environment,health care and ART status.Results Among the total number of 105HIV/AIDS children,83.81% were infected through mother to child transmission,with the ages younger than 15 years old.The proportion of sexual trans mission was 11.43% with ages between 15 to 17years old.The HIV infected children were cared by theirmothers [42.86%（45/105）],fathers[39.05%（41/105）],and grandparents[15.24%（16/105）].85.29%（87/102）of the caregivers were not more than50 years old and 64.76%（68/105）were HIV infected.More than a half of the HIV infected children didn＇t receive ART accounting for 53.33%,with the maincauses such as,＂not necessary to treat,as they feel well＂（44.44%）,＂concerned about drug side-effects（24.44%）＂.Thefeatures of the untreated children were above 14 year olds,infected via sexual transmission,from single parent families,and had no health insurance.They were usually cared by the women older than 50,who were not in good health and could not afford medical costs for the children.Conclusion ART should be expanded to cover the untreated HIV infected children,and comprehensive measures of care and social support should be considered.
出处
《中国艾滋病性病》
CAS
北大核心
2016年第1期25-28,共4页
Chinese Journal of Aids & STD
基金
中国政府/联合国儿童基金会合作艾滋病项目(YJ705)~~
