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目的了解凉山州外出务工艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人),接受流入地抗病毒治疗(ART)的意愿及其影响因素,为制定有针对性的异地治疗政策提供参考。方法选取凉山州某县187名外出务工的HIV/AIDS病人进行面对面问卷调查,并对其中16人进行个人深入访谈。结果 187名HIV/AIDS病人均为彝族农民,其中青壮年男性174人(占93.0%),文盲小学文化173人(占92.5%)。愿意在外出务工期间接受流入地ART者占75.4%。Logistic回归分析显示,最近一年吸毒[P=0.003,比值比(OR)=3.918]、城市流动率较高(P=0.003,OR=3.082)和出现过艾滋病相关疾病/症状(P=0.009,OR=2.635)的HIV/AIDS病人,对流入地抗病毒治疗的接受意愿较高。结论外出务工HIV/AIDS病人对流入地提供抗病毒治疗的接受意愿较高,有必要继续探索针对外出务工HIV/AIDS病人的异地治疗模式。
Objective To understand the willingness and influencing factors of migrant HIV / AIDS patients (HIV / AIDS patients) and their willingness to accept ART in Liangshan Prefecture, Treatment policies provide a reference. Methods A total of 187 HIV / AIDS patients who went out to work in a county in Liangshan prefecture were selected for face-to-face questionnaire survey, and 16 of them were interviewed personally. Results 187 HIV / AIDS patients were all Yi peasants, including 174 young and middle-aged men (93.0%) and 173 illiterate primary school children (92.5%). 75.4% of respondents are willing to accept inflow of ART while going out to work. Logistic regression analysis showed that in the recent year, the rate of drug use was higher in urban areas (P = 0.003, odds ratio 3.918), higher urban mobility (P = 0.003, OR = 3.082) and AIDS related diseases / OR = 2.635) had higher willingness to accept antiretroviral therapy. Conclusion Migrant HIV / AIDS patients are more willing to provide anti-viral therapy to inflow sites and it is necessary to continue exploring the different modes of treatment for migrant HIV / AIDS patients.