摘要
目的了解艾滋病病毒感染者和艾滋病患者拒绝高效抗反转录病毒(简称"HAART")治疗的原因及影响因素。方法采用普查法对2016-12居住在黔东南州3个月以上,存活可随访且≥18岁的HIV/AIDS进行调查,收集社会人口学信息与疫情数据库进行互补,计算HIV/AIDS拒绝HAART比例,应用Logistic回归分析研究拒绝HAART的影响因素,调查拒绝HAART原因。结果符合本次研究条件的HIV/AIDS共计1 802例,有24.4%(440/1 802)的HIV/AIDS拒绝HAART。多因素Logistic回归分析显示,苗族HIV/AIDS比其他民族更可能拒绝HAART(OR=1.99,95%CI:1.13~3.51);与疾控机构对HIV/AIDS实施的初筛阳性告知相比,综合医院告知(OR=1.48,95%CI:1.03~2.12)、未告知(OR=2.26,95%CI:1.44~3.56)更可能拒绝HAART;与无收入来源的HIV/AIDS相比,主要收入来源以低保为主的(OR=0.18,95%CI:0.08~0.39)更容易接受HAART结论黔东南州拒绝HAART比例较高,不同民族、初筛阳性告知机构、收入来源是HIV/AIDS拒绝HAART的相关影响因素。应提高初筛阳性告知质量,挑选懂少数民族语言的医生参与动员治疗工作,协助符合条件的HIV/AIDS申请低保,开辟低保申请"绿色通道"。
Objective to investigate the causes and influencing factors of HIV/AIDS infected people and patient＇s refusal to highly active antiretroviral therapy（ HAART）. Methods Used the census method to investigate survivals of HIV/AIDS patients those who can be followed up and over 18 years old,complemented by the collection of social demographic information and epidemic database. Calculate the percentage of HIV/AIDS infector and patient declined to HAART. Logistic regression analysis was applied to study the influencing factors of refuse HAART,and investigating why refused to HAART. Results In accordance with the study condition of HIV/AIDS total of 1 802 cases,24. 4%（ 440/1 802） HIV/AIDS patients refused HAART. Multivariable Logistic regression analysis showed that HIV/AIDS Hmong patients were more likely to reject HAART than any other nations（ OR = 1. 99,95% CI 1. 13-3. 51） and compared the screening positive inform from the Center for Disease Control and Prevention,clinical medical institutions were more likely to be rejected HAART by patients in the implementation of the HIV/AIDS screening positive inform（ OR = 1. 48, 95% CI： 1. 03-2. 12） and not the implementation of screening positive inform（ OR = 2. 26,95% CI： 1. 44-3. 56）; compared with HIV/AIDS who without income sources,whose main source of revenue was low-maintenance（ OR = 0. 18,95%CI： 0. 08-0. 39） were easier to accept HAART. Conclusion The state of Qiandongnan has a higher proportion to refused HAART. Different nationalities,screening positive inform mechanism,source of income are related influencing factors for HIV/AIDS reject HAART. Should suggest to improve screening positive inform quality,select doctors who understand the minority language,and participate in the treatment and mobilization,assist eligible HIV/AIDS patients apply for Minimum Living Standard,and open the ＂green channel ＂to apply for subsistence allowance.
作者
王方林
龙黔清
唐德亮
熊永香
龙英
时静
黄小琴
WANG Fanglin;LONG Qianqing;TANG Deliang;XIONG Yongxiang;LONG Ying;SHI Jing;HUANG Xiaoqin(Qiandongnan Centre for Disease Control and Prevention, Kaili County 556000, Guizhou Province, Chin)
出处
《预防医学情报杂志》
CAS
2018年第7期880-886,共7页
Journal of Preventive Medicine Information
基金
黔东南州科技计划项目(黔东南科合J字(2016)061号)
