江苏两地MSM人群艾滋病抗病毒治疗服药依从性影响因素分析

发布时间：2018-02-03 01:12

本文关键词： 艾滋病 MSM 抗病毒治疗服药依从性社会支持　出处：《南京医科大学学报(自然科学版)》2016年05期 　论文类型：期刊论文

【摘要】：目的 :了解经男男性行为人群(men who have sex with men,MSM)的抗病毒治疗者服药依从性现状,分析其影响因素。方法:通过目的抽样选取江苏两地确诊经男男性接触传播感染并于2013—2014年开始服药的184例抗病毒治疗者,通过问卷调查获得服药情况和社会支持情况。结果:184例抗病毒治疗者中服药依从性好的有140例,占76.1%。经单因素分析得出是否在职、吸烟以及社会支持对患者服药依从性的影响有统计学意义(P0.05)。经多因素分析后,是否有工作、有家人支持、他人支持以及是否吸烟是影响服药依从性的主要因素。结论:江苏两地MSM人群抗病毒治疗者的服药依从性不高,应大力开展有针对性的健康教育及抗病毒治疗前的服药依从性教育。
[Abstract]:Objective: to investigate the status of drug compliance of who have sex with MSM in men who have sex with men. Methods: 184 ART patients who were diagnosed by male contact transmission infection in Jiangsu province and began to take drugs in 2013-2014 were selected by objective sampling. Results 140 of 184 patients with antiviral therapy had good compliance, accounting for 76.1.After univariate analysis, we found out whether they were employed or not. The effects of smoking and social support on the compliance of patients with medication were statistically significant (P 0.05). After multivariate analysis, there were jobs and family support. Other support and smoking are the main factors affecting drug compliance. Conclusion: the drug compliance of MSM patients in Jiangsu Province is not high. Health education and drug compliance education before antiviral therapy should be carried out vigorously.
【作者单位】：东南大学公共卫生学院流行病与卫生统计学系;南京医科大学公共卫生学院流行病与卫生统计学系;江苏省血吸虫病防治研究所;
【基金】：江苏省医学重点人才项目(RC2011087) 中央高校基本科研业务费专项资金江苏省普通高校研究生科研创新计划资助项目(SJLX_0107)
【分类号】：R512.91
【正文快照】： 高效抗逆转录病毒治疗(highly active antiretrovi-ral therapy,HAART)能够有效降低艾滋病(acquiredimmune deficiency syndrome,AIDS)的发病率和病死率,挽救人类免疫缺陷病毒(human immunodeficien-cy virus,HIV)感染者生命,延缓疾病进程,显著提高生活质量,但HAART不能清除体

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