韩磊, 顾凯侃, 丁盈盈, 鲍燕, 杨芸, 王海涛. 上海市静安区HIV感染者生活质量及影响因素调查[J]. 上海预防医学, 2022, 34(9): 865-869. DOI: 10.19428/j.cnki.sjpm.2022.21910
引用本文: 韩磊, 顾凯侃, 丁盈盈, 鲍燕, 杨芸, 王海涛. 上海市静安区HIV感染者生活质量及影响因素调查[J]. 上海预防医学, 2022, 34(9): 865-869. DOI: 10.19428/j.cnki.sjpm.2022.21910
HAN Lei, GU Kaikan, DING Yingying, BAO Yan, YANG Yun, WANG Haitao. Quality of life and associated factors among HIV-infected individuals in Jingan DistrictShanghai[J]. Shanghai Journal of Preventive Medicine, 2022, 34(9): 865-869. DOI: 10.19428/j.cnki.sjpm.2022.21910
Citation: HAN Lei, GU Kaikan, DING Yingying, BAO Yan, YANG Yun, WANG Haitao. Quality of life and associated factors among HIV-infected individuals in Jingan DistrictShanghai[J]. Shanghai Journal of Preventive Medicine, 2022, 34(9): 865-869. DOI: 10.19428/j.cnki.sjpm.2022.21910

上海市静安区HIV感染者生活质量及影响因素调查

Quality of life and associated factors among HIV-infected individuals in Jingan DistrictShanghai

  • 摘要:
    目的 了解上海市静安区人类免疫缺陷病毒(HIV)感染者的生活质量现状并分析其影响因素。
    方法 采用横断面调查方法,整群抽样选取静安区8个社区卫生服务中心随访管理的HIV感染者为研究对象。采用健康调查量表36(SF⁃36)、焦虑自评量表(SAS)、社会支持评定量表(SSS),以及部分自制调查表收集相关信息。使用多因素logistic回归分析HIV感染者生活质量的影响因素。
    结果 本次调查共纳入365例HIV感染者,SF⁃36总分为(79.5±10.4)分,其中一般健康状况、精力和精神健康3个维度的得分低于常模,其余维度得分高于常模,差异均有统计学意义(均P<0.01)。多因素logistic回归分析结果显示,45~岁HIV感染者的生活质量高于年龄18~岁者 (OR=0.23,95%CI:0.08~0.68);吸烟(OR=2.18,95%CI:1.22~3.90)、CD4+T细胞计数偏低(<350个•μL-1OR=2.89,95%CI:1.54~5.40)、共病情况(≥2种,OR=3.40,95%CI:1.15~10.04)和焦虑(OR=1.09,95%CI:1.05~1.14)均是HIV感染者生活质量下降的相关因素。
    结论 应更加重视心理状况较差、吸烟、CD4+T细胞计数较低且有多种共患病的HIV感染者,进行针对性的关怀与帮扶,以提高其生活质量。

     

    Abstract:
    Objective To determine the quality of life among HIV-infected individuals and risk factors in Jing’an District of Shanghai.
    Methods This is a cross-sectional study. Cluster sampling strategy was used to select HIV-infected individuals who were registered with the national HIV/AIDS case reporting system in eight community health service centers in Jing’an District of Shanghai. The short form 36 (SF-36) scale, self-rating anxiety scale (SAS), social support scale (SSS) and specifically designed questionnaires were used to collect information. Logistic regression was used to determine the factors associated with quality of life.
    Results In total, 365 HIV-infected individuals were included in the study. The total average score of quality of life was 79.5±10.4. The scores in general health, vitality and emotional well-being were lower than the norm, whereas the scores in other dimensions were higher than the norm. Multivariable logistic regression indicated that age of 45‒ years (vs age of 18‒ years: OR=0.23, 95%CI: 0.08‒0.68) was significantly associated with the quality of life. Furthermore, smoking (OR=2.18, 95%CI: 1.22‒3.90), lower CD4+T cell counts (<350 cell·μL-1OR=2.89, 95%CI: 1.54‒5.40), comorbidity (≥2 kinds, OR=3.40, 95%CI: 1.15‒10.04) and anxiety (OR=1.09, 95%CI: 1.05‒1.14) were risk factors associated with declining quality of life.
    Conclusion It warrants more attention to those HIV-infected individuals with poor psychological status, smoking, low CD4+T cell counts and comorbidities. Targeted health care and social support could effectively improve the quality of life among HIV-infected individuals.

     

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