模糊综合评价在艾滋病对个人及其家庭影响中的应用

发布时间：2018-11-21 19:14

【摘要】： 艾滋病(AIDS),即“获得性免疫缺陷综合症”,是由人类免疫缺陷病毒引起的,严重危害人类生命健康和社会经济发展的传染性疾病。目前对艾滋病流行造成的影响研究,虽然涉及到艾滋病家庭微观经济、社会支持等诸多方面,但所采用的评价方法主要是定性描述、χ2检验或秩和检验等。由于模糊综合评价在处理各种复杂问题方面表现出了独特的优越性,已被广泛的应用多个领域。目的为了更客观、全面地分析艾滋病对个人及其家庭的影响,量化艾滋病造成影响的严重程度,为政府部门制定相应的卫生政策,该研究拟采用模糊综合评价方法探讨艾滋病对个人及其家庭影响。方法论文主要采用因子分析、delphi法、层次分析法、模糊综合评价方法等。所用统计软件有SPSS16.0和Excel,检验水准a=0.05 结果 1.建立艾滋病对个人及其家庭影响的评价体系,并确定权重艾滋病对个人及其家庭影响的指标体系包含了4个一级指标和10个二级指标。其中“健康和生活状况”、“社会交往”、“经济收入与支出”、“家庭结构”4个一级指标的权重A分别为0.45,0.18,0.18和0.19。 “个人健康状况”、“住房面积”、“与亲戚交往”、“与朋友交往”、“与邻居交往”、“个人收入”、“家庭收入”、“日常消费支出”、“看病支出”和“3代内因艾滋病失去亲人数”10个二级指标的权重A分别为0.78,0.22,0.43,0.24,0.33,0.36,0.25, 0.16, 0.23,1.00。 2.艾滋病对个人及家庭影响的模糊综合评价得分及模糊控制量健康人的模糊评价得分J=54.4；HIV得分J=13.6,模糊控制量排在前三位的是3代内因艾滋病失去的亲人数、与邻居交往、个人健康状况；AIDS得分J=6.0,模糊控制量排在前三位的是3代内因艾滋病失去的亲人数、与邻居交往、日常消费支出。 3.艾滋病对个人及其家庭的影响各领域模糊综合评价得分 HIV组：健康生活状况,社会交往,经济收入、支出,家庭结构四个领域模糊评价得分分别为1.1,6.9,-15.3,86.2；AIDS组：健康生活状况,社会交往,经济收入、支出,家庭结构四个领域模糊评价得分分别为-10.1,-3.5,-18.2,84.9。结论运用模糊综合评价方法,可以量化艾滋病造成影响的严重程度,健康人(54.4),HIV(13.6),AIDS(6.0)。在艾滋病的AIDS期,对个人及家庭的影响程度约为HIV的2倍,提示控制艾滋病的流行及进展,可以大大的减轻个人及家庭的负担。艾滋病对四个一级领域的影响,最严重的是经济收入、支出方面,影响较轻的是家庭结构方面。
[Abstract]:AIDS (AIDS), (acquired Immunodeficiency Syndrome) is an infectious disease caused by human immunodeficiency virus (HIV), which seriously endangers the health of human beings and the development of social economy. Although the current research on the impact of the AIDS epidemic involves many aspects such as the microeconomic and social support of AIDS families, the evaluation methods used are mainly qualitative description, 蠂 2 test or rank sum test and so on. Fuzzy comprehensive evaluation has been widely used in many fields because of its unique advantages in dealing with various complex problems. Objective to analyze the impact of AIDS on individuals and their families more objectively and comprehensively, to quantify the severity of the impact of AIDS, and to formulate corresponding health policies for government departments. This study will use fuzzy comprehensive evaluation method to explore the impact of AIDS on individuals and their families. Methods Factor analysis, delphi method, analytic hierarchy process and fuzzy comprehensive evaluation were used in this paper. The statistical software used has SPSS16.0 and Excel, test level a0. 05 results 1. The evaluation system of the impact of AIDS on individuals and their families is established, and the index system of the impact of AIDS on individuals and their families includes 4 primary indicators and 10 secondary indicators. The weights of "health and living conditions", "social interaction", "economic income and expenditure" and "family structure" are 0.45 0.180.18 and 0.19 respectively. "personal health", "area of housing", "socializing with relatives", "interacting with friends", "interacting with neighbors", "personal income", "family income", "daily consumption expenditure", The weights of "medical expenses" and "the number of lost relatives due to AIDS in three generations" were 0.788 / 0.220.43 / 0.240.33 / 0.36 / 0.25,0.16,0.231.00respectively. 2. The scores of fuzzy comprehensive evaluation of the impact of AIDS on individuals and families and the fuzzy evaluation scores of healthy people with fuzzy control were 54.4; HIV score was 13.6, fuzzy control ranked first three is the number of lost relatives due to AIDS within 3 generations, contact with neighbors, personal health status; AIDS score was 6.0, fuzzy control was the top three is the number of lost relatives due to AIDS within three generations, contact with neighbors, daily consumption expenditure. 3. The scores of fuzzy comprehensive evaluation of AIDS on individuals and their families in all fields were as follows: healthy living condition, social intercourse, economic income, expenditure and family structure. The scores of fuzzy evaluation in four fields were 1.1 and 6.9, respectively. -15.3 nil 86.2; In AIDS group, the scores of fuzzy evaluation of healthy living condition, social intercourse, economic income, expenditure and family structure were -10.1% -3.5% -18.2% 84.9 respectively. Conclusion the method of fuzzy comprehensive evaluation can be used to quantify the severity of AIDS in healthy people (54.4), HIV (13.6), AIDS (6.0). In the AIDS phase of AIDS, the impact on individuals and families is about twice as great as that of HIV, suggesting that controlling the prevalence and progress of AIDS can greatly lighten the burden on individuals and families. The impact of AIDS on four primary areas is the most serious: income, expenditure, and the structure of the family.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R181.3

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