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目的了解艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)家人告知现状,并分析其相关因素,从而为探究促进家人告知的干预措施提供科学依据。方法 2016年7-8月在南京市某医院,对参加抗病毒治疗的HIV/AIDS病人进行一对一的匿名问卷调查。采用Logistic回归分析家人告知的相关因素。结果466例HIV/AIDS病人中,328例自述将感染情况至少告诉了一个家人,告知率为70.39%(328/466)。告诉同性性伴侣、配偶、兄弟姐妹、母亲、父亲、子女、表(堂)兄弟姐妹、其他亲戚的比例依次为76.67%(115/150)、71.11%(128/180)、31.67%(114/360)、29.82%(119/399)、28.46%(107/376)、27.66%(52/188)、7.27%(33/454)、6.97%(32/459)。25岁以上[25~44岁:比值比(OR)=2.065,95%可信区间(CI):1.204~3.541]、≥45岁(OR=2.017,95%CI:1.021~3.984)、异性恋(OR=1.959,95%CI:1.092~3.514)、与家人同住(OR=2.385,95%CI:1.434~3.960)的HIV/AIDS病人,更倾向于将其感染情况告知家人。相对于社会支持低的HIV/AIDS病人,一般社会支持(OR=6.257,95%CI:1.255~31.197)和社会支持高(OR=7.486,95%CI:1.508~37.172)的HIV/AIDS病人,更有可能将病情告知家人。结论 HIV/AIDS病人家人告知率较低,可通过开展相关的宣传教育以促进病人主动将病情告知家人,以及通过增加社会支持促进病人主动告知,从而减缓HIV的二代传播和提高HIV/AIDS病人的生活质量。
Objective To understand the status quo of family members of HIV / AIDS patients (HIV / AIDS patients) and to analyze the related factors so as to provide a scientific basis for exploring interventions for family members. Methods From July to August 2016, a one-on-one anonymous questionnaire was conducted among HIV / AIDS patients participating in antiviral therapy at a hospital in Nanjing City. Logistic regression was used to analyze the relatives informed by the family. Results Of the 466 HIV / AIDS patients, 328 reported self-reported infections to at least one family member, with a notification rate of 70.39% (328/466). The percentage of same-sex couples, spouses, siblings, mothers, fathers, children, table brothers and sisters and other relatives was 76.67% (115/150), 71.11% (128/180), 31.67% (114 / 360), 29.82% (119/399), 28.46% (107/376), 27.66% (52/188), 7.27% (33/454), 6.97% (32/459). 25 years of age [25-44 years old: OR = 2.065,95% CI: 1.204-3.541], ≥45 years (OR = 2.017,95% CI: 1.021-3.884), heterosexuality (OR = 1.959, 95% CI: 1.092-3.514). HIV / AIDS patients who lived with family members (OR = 2.385,95% CI: 1.434-3.960) tended to be more likely to inform their family of their infection. Compared with HIV / AIDS patients with low social support, HIV / AIDS patients with general social support (OR = 6.257, 95% CI: 1.255-31.197) and high social support (OR = 7.486, 95% CI: 1.508-37.172) More likely to inform the family of their condition. Conclusion The HIV / AIDS patients’ family members’learning rate is low, which can reduce the secondary transmission of HIV and increase the HIV / AIDS patients by carrying out relevant publicity and education so as to promote the patient’s initiative to inform the family of the illness and increase the social support for the patients to take the initiative to inform The quality of life