农村女性艾滋病患者抗病毒治疗后的医疗服务需求和利用现状分析

Medical service demand and utilization from female AIDS patients in rural areas after antiretroviral therapy

目的分析农村女性艾滋病患者的患病、抗病毒治疗后就诊和住院情况。方法调查由当地卫生局协调,选择参加艾滋病抗病毒治疗并且户籍为农村的女性艾滋病患者为调查对象,调查内容包括一般情况、传播途径、家庭经济状况、两周患病、两周就诊及年住院情况。调查员均经过统一培训。调查数据用SPSS13.0进行统计分析,P<0.05为差异有统计学意义。结果本课题组共调查102名农村户籍的女性艾滋病患者;平均每户4.4人;家庭年收入在6 000元以下者占50.0%;54.9%的生活来源以种地为主;抗病毒治疗后,农村女性艾滋病患者的两周患病率为31.4%,两周就诊率为27.5%,年住院率为42.2%;不同特征的农村女性患者的两周患病率、两周就诊率的差异均无统计学意义;不同家庭年收入的患者年住院率的差异有统计学意义。结论农村女性艾滋病患者的两周患病率、两周就诊率和年住院率均高于一般农村居民,对艾滋病患者减免治疗费用的政策影响患者的两周就诊率和年住院率。

Objective To analyze the morbidity,hospital visit and hospitalization of female AIDS patients from rural areas after antiretroviral treatment.Methods 102 female AIDS patients from rural areas who had received antiretroviral treatment were enrolled into the study.A questionnaire survey was conducted in appointed healthcare facilities under the coordination of local health bureau.SPSS 13.0 software was used to analyze the data.Results The morbidity rate and hospital visit rate of female AIDS patients within two weeks after treatment were 31.4% and 27.5% respectively,and the annual hospital admission rate was 42.2%.There were no significant differences of morbidity rate and hospital visit rate among patients with different background,but the difference of annual hospital admission rate was statistically significant among patients with different annual family income.Conclusions The relatively higher rates of morbidity,hospital visit and annual hospital admission of female AIDS patients from rural areas within 2 weeks after antiretroviral therapy indicate that the policy of AIDS treatment cost relief has great effect on them.