摘要
目的探讨HIV/AIDS患者对性伴告知病情的现状及其影响因素。方法根据标准连续入组2020年3-8月于上海市公共卫生临床中心门诊随访的HIV/AIDS患者作为研究对象,使用一般情况调查表、HIV感知歧视问卷和医疗社会支持问卷对HIV/AIDS患者进行现状调查,采用单因素分析及Logistic多因素回归分析探讨HIV/AIDS患者性伴告知的影响因素。结果共入组268名患者,性伴告知率为72.39%,已婚(aOR=0.409,P=0.006)、低感知歧视(aOR=0.559,P=0.049)、高社会支持水平(aOR=0.424,P=0.029)是HIV/AIDS患者性伴告知的促进因素。结论应关注未婚、感知歧视水平高、社会支持程度低的HIV/AIDS患者的性伴告知状况,采取措施改善HIV/AIDS患者的感知歧视和社会支持水平,以提高HIV/AIDS患者的性伴告知率。
Objective To explore the current status and factors influencing partner notification of people living with HIV/AIDS.Methods A total of 268 HIV/AIDS patients treated in Shanghai Public Health Clinical Center from March to July 2020 were investigated using the self-made general demographic questionnaire,the Berger HIV Stigma Scale,and Medical Outcomes Study Social Support Survey.Logistic regression analysis was used to explore the influencing factors of partner notification of people living with HIV/AIDS.Results The rate of partner notification among people living with HIV/AIDS in Shanghai was 72.39%.Marital status,perceived stigma,and social support were the influencing factors of partner notification.Married(aOR=0.409,P=0.006),low perceived stigma(aOR=0.559,P=0.049)and high level of social support(aOR=0.424,P=0.029)were the promoting factors of partner notification among people living with HIV/AIDS.Conclusion Partner notification of people living with HIV/AIDS in Shanghai was at the medium level.Marital status,perceived stigma,and social support affect the partner notification of people living with HIV/AIDS.In future work,we should pay attention to the sexual partner notification of unmarried and those with high perceived stigma levels and low social support levels among people living with HIV/AIDS.Effective measures should be adopted to improve the perceived stigma and social support level to improve the sexual partner notification rate of people living with HIV/AIDS.
作者
孙美艳
高岩
章清
张林
卢洪洲
SUN Meiyan;GAO Yan;ZHANG Qing;ZHANG Lin;LU Hongzhou(Shanghai Public Health Clinical Center,Shanghai 201508 China;School of Nursing,Fudan University,Shanghai 200032)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2021年第11期1233-1237,共5页
Chinese Journal of Aids & STD
基金
上海市卫生和计划生育委员会(青年)基金(20174Y0066)
复旦大学复星科研基金(FNF201919)
上海市公共卫生临床中心院级课题(KY-GW-2019-54)。
关键词
性伴告知
感知歧视
社会支持
艾滋病
Partner notification
Perceived stigma
Social support
HIV/AIDS