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目的了解凉山州某县外出务工的艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人接受随访检测的影响因素,为完善艾滋病随访管理工作提供参考。方法对该县430名HIV/AIDS进行问卷调查,获取其社会人口学特征、外出务工、最近1年接受艾滋病随访和CD4+T淋巴细胞检测等信息。结果 187名HIV/AIDS有外出务工经历,最近1年按要求接受随访检测的比例(48.7%)低于无外出务工经历的HIV/AIDS(75.7%)。多因素分析显示,有无医疗保险、检出HIV抗体阳性的时间、是否在省外务工是影响外出务工HIV/AIDS最近1年按要求接受随访检测的因素。年平均外出务工时间<6个月的HIV/AIDS中,无医疗保险、检出HIV抗体阳性的年限<4年、主要务工地点在省外者最近1年按要求接受随访检测的比例较低;年平均外出务工时间≥6个月的HIV/AIDS中,月收入较低者最近1年按要求接受随访检测的比例较低。结论外出务工HIV/AIDS按要求接受随访检测的比例低,需加强艾滋病随访宣传和依从性教育,并提高随访管理服务的可及性。
Objective To understand the factors influencing the follow-up of HIV patients and AIDS patients who go out to work in a county in Liangshan Prefecture, so as to provide reference for improving follow-up management of HIV / AIDS. Methods A total of 430 HIV / AIDS patients in the county were surveyed to obtain the characteristics of their socio-demographic, migrant workers, follow-up of AIDS and CD4 + T lymphocyte test in the recent year. Results A total of 187 HIV / AIDS workers had migrant workers who had been required to receive follow-up tests in the recent 1 year (48.7%), compared with 75.7% of non-migrant workers. Multivariate analysis showed that whether medical insurance, HIV-positive time was detected or whether labor outside the province was the factor influencing on-demand follow-up testing of migrant HIV / AIDS in the recent year. The average annual working hours of <6 months of HIV / AIDS, no medical insurance, the detection of HIV antibody positive years <4 years, the main place of work in the province last year, the required rate of follow-up testing was lower; Among HIV / AIDS patients with an average annual migrant work time of ≥6 months, the proportion of those with lower monthly income on follow-up visits during the recent one year was lower. Conclusion The proportion of HIV / AIDS migrant workers who work as follow-up test is low, so it is necessary to strengthen AIDS follow-up publicity and compliance education and to improve the accessibility of follow-up management services.