摘要
目的了解艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)家人告知现状,并分析其相关因素,从而为探究促进家人告知的干预措施提供科学依据。方法 2016年7-8月在南京市某医院,对参加抗病毒治疗的HIV/AIDS病人进行一对一的匿名问卷调查。采用Logistic回归分析家人告知的相关因素。结果466例HIV/AIDS病人中,328例自述将感染情况至少告诉了一个家人,告知率为70.39%(328/466)。告诉同性性伴侣、配偶、兄弟姐妹、母亲、父亲、子女、表(堂)兄弟姐妹、其他亲戚的比例依次为76.67%(115/150)、71.11%(128/180)、31.67%(114/360)、29.82%(119/399)、28.46%(107/376)、27.66%(52/188)、7.27%(33/454)、6.97%(32/459)。25岁以上[25~44岁:比值比(OR)=2.065,95%可信区间(CI):1.204~3.541]、≥45岁(OR=2.017,95%CI:1.021~3.984)、异性恋(OR=1.959,95%CI:1.092~3.514)、与家人同住(OR=2.385,95%CI:1.434~3.960)的HIV/AIDS病人,更倾向于将其感染情况告知家人。相对于社会支持低的HIV/AIDS病人,一般社会支持(OR=6.257,95%CI:1.255~31.197)和社会支持高(OR=7.486,95%CI:1.508~37.172)的HIV/AIDS病人,更有可能将病情告知家人。结论 HIV/AIDS病人家人告知率较低,可通过开展相关的宣传教育以促进病人主动将病情告知家人,以及通过增加社会支持促进病人主动告知,从而减缓HIV的二代传播和提高HIV/AIDS病人的生活质量。
Objective To investigate HIV disclosure to family members and its associated factors among people living with HIV/AIDS（PLWHA）to provide evidences for targeted intervention.Methods 466 PLWHA were enrolled from July to August,2016 in a hospital in Nanjing,and the face-to-face questionnaire survey was conducted anonymously.Logistic regression was conducted to determine the associated factors with the HIV disclosure to family members.Results 70.39%（328/466）PLWHA disclosed their HIV seropositive status to at least one family member.The proportions of HIV infection disclosure to the same-sex sexual partners,spouse,brothers and sisters,mother,father,sons and daughters,cousins,other relatives were 76.67%（115/150）,71.11%（128/180）,31.67%（114/360）,29.82%（119/399）,28.46%（107/376）,27.66%（52/188）,7.27%（33/454）,and 6.97%（32/459）respectively.The PLWHA aged 25 and above（25-44 years old：OR=2.065,95%CI：1.204-3.541;≥45years old：OR=2.017,95%CI：1.021-3.984）were more likely to disclose their HIV status to their family members compared with those aged lower than 25 years as well as the PLWHA with heterosexuality（OR=1.959,95%CI：1.092-3.514）,and those living with family members（OR=2.385,95%CI：1.434-3.960）.Compared with the PLWHA with low social support,the general and high social support OR were 6.257（95%CI：1.255-31.197）and7.486（95%CI：1.508-37.172）respectively.Conclusion The rate of disclosure to family members was low.It is necessary to strengthen the related education and improve social support for PLWHA to increase their HIV disclosure to family members,so as to reduce the secondary HIV transmission and to improve their quality of life.
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2017年第8期706-709,共4页
Chinese Journal of Aids & STD
基金
国家自然科学基金项目资助(81673196)~~
