南昌市HIV感染者或AIDS患者社会资本现况及其对生存质量影响的调查研究

发布时间：2018-04-01 22:35

本文选题：获得性免疫缺陷综合征　切入点：社会资本　出处：《中国全科医学》2017年20期

【摘要】：目的探讨南昌市HIV感染者或AIDS患者(PLWHA)社会资本现况及对生理、心理健康的影响,为改善其生存质量提供参考依据。方法于2015年1—6月,选取南昌市东湖区和青云谱区疾病预防控制中心登记并确诊的PLWHA为研究对象。采用自行设计的调查表调查PLWHA基本情况,包括性别、年龄、居住地、婚姻状况、文化程度、月收入、职业、感染途径、感染身份暴露情况、CD_4~+ T淋巴细胞计数。采用个人社会资本量表测量PLWHA的社会资本,简体中文版HIV感染者生存质量量表(MOS-HIV)测量PLWHA生存质量。结果本研究共调查230例,有效问卷225份,有效应答率为97.8%。PLWHA纽带社会资本得分、桥梁社会资本得分和社会资本总分分别为(14.1±3.4)、(9.5±3.4)、(23.6±5.6)分,均低于常模(P0.05)。PLWHA简体中文版MOS-HIV生理健康得分为(51.9±7.0)分,心理健康得分为(49.3±6.6)分。多因素线性回归分析显示,社会资本各条目中,对网络成员的信任度、网络成员的支持帮助、网络成员所拥有的资源、团体组织所拥有的资源是PLWHA生理健康的影响因素(P0.05),网络成员的数量、与网络成员的日常联系、对网络成员的信任度、网络成员所拥有的资源是PLWHA心理健康的影响因素(P0.05)。结论南昌市PLWHA社会资本较低,纽带社会资本对PLWHA生存质量具有重要影响。
[Abstract]:Objective to investigate the social capital status of HIV infected or AIDS patients in Nanchang city and its effects on physical and mental health, so as to provide a reference for improving their quality of life. The PLWHA registered and diagnosed by the Center for Disease Control and Prevention in Donghu District and Qingyun Spectrum District of Nanchang City was selected as the research object. The basic information of PLWHA was investigated with self-designed questionnaire, including sex, age, residence, marital status, educational level, etc. Monthly income, occupation, route of infection, exposure to infection status and CD4T lymphocyte count. Social capital of PLWHA was measured by personal social capital scale. Results the quality of life of PLWHA was measured by MOS-HIV.Results in this study, 230 cases were investigated and 225 valid questionnaires were obtained. The effective response rate was the score of social capital of 97.8%.PLWHA bond. The social capital score of bridge and the total score of social capital were 14.1 卤3.4 ~ 9.5 卤3.4 卤23.6 卤5.6), respectively, which were lower than that of normal model P0.05U. PLWHA simplified Chinese version of MOS-HIV, and mental health score was 49.3 卤6.6). Multiple factor linear regression analysis showed that, in all items of social capital, The degree of trust to network members, the support of network members, the resources owned by network members, the resources owned by group organizations are the factors affecting the physical health of PLWHA, the number of network members, the daily contact with network members, To the trust degree of the network member, the resource that the network member owns is the influence factor of PLWHA mental health. Conclusion the social capital of PLWHA in Nanchang city is low, the link social capital has important influence on the quality of life of PLWHA.
【作者单位】：南昌大学公共卫生学院卫生统计学教研室;东乡县疾病预防控制中心;南昌大学第一附属医院消化科;南昌大学公共卫生学院营养与食品卫生教研室;
【基金】：江西省科技厅支撑项目(20141BBG70067) 南昌大学研究生创新专项资金项目(cx2016287)
【分类号】：R512.91

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