某监狱内HIV/AIDS患者抗病毒治疗意愿及影响因素分析

Willingness and influencing factors of antiviral treatment of HIV/AIDS patients in a prison

摘要:

目的 探究上海市某监狱艾滋病专管监区男性HIV/AIDS患者ART意愿及影响因素。方法 利用2019年7月1日至2019年12月31日期间对HIV/AIDS患者面对面进行问卷调查收集的信息进行单因素和多因素分析。探究其社会人口学特征、羁押基本情况、艾滋病流行病学特征、艾滋病ART知识知晓情况、家人知晓情况等相关因素对接受ART意愿的影响。结果 本研究共调查121名HIV/AIDS患者，接受ART患者共104人（85.95%）。多因素分析结果发现多次羁押（OR=7.418，95%CI：2.054~26.784）、ART知识得分＜8分（OR=0.250，95%CI：0.072~0.870）、家人不知晓其感染HIV（OR=0.193，95%CI：0.053~0.706）、认为符合治疗标准但没有症状可以不服药（OR=0.129，95%CI：0.026~0.631）、认为自己可以随意中断服药（OR=0.065，95%CI：0.012~0.350）的HIV/AIDS患者接受ART的可能性越低。结论 羁押的HIV/AIDS患者接受ART意愿良好，被羁押的次数越多、越得不到家人的支持、ART知识知晓程度越低，患者接受ART意愿越低，建议艾滋病专管监区要开展更有针对性的ART知识培训，尽可能的为其提供社会关怀和家庭支持。

Abstract:

Objective To explore the ART willingness and influencing factors of male HIV/AIDS patients in a special prison area in Shanghai. Methods The information was collected from face-to-face questionnaire survey of HIV/AIDS patients conducted from July 1, 2019, to December 31, 2019. Data was analyzed by univariate and multivariate analysis. The influence of social demographic characteristics, basic situation of detention, AIDS epidemiology, knowledge of AIDS ART, and family awareness on the willingness of anti-virus treatment was investigated. Results A total of 121 HIV / AIDS patients were investigated in this study. The results of multivariate analysis showed that HIV / AIDS patients who were less likely to receive ART included patients with multiple custody, patients with ART knowledge score less than 8, patients whose family members were unaware of their HIV infection, patients thought that they met the treatment standard but had no symptoms and did not need to take medicine, and patients thought that they could discontinue taking medicine at will. Conclusion A variety of factors have an impact on ART willingness of HIV/AIDS patients in custody. It is suggested that HIV / AIDS patients should be provided with more targeted ART knowledge training and social care and family support as far as possible.