某地HIV/AIDS者未接受抗病毒治疗原因调查

Investigation of causes of AIDS patients and HIV carriers not reveiving antiretroviral therapy

目的探讨艾滋病病毒感染者/艾滋病病人（HIV/AIDS）未接受抗逆转录病毒治疗（ART）的原因及相关影响因素。方法对2013年1月~12月在横县艾滋病关爱门诊自愿咨询的HIV/AIDS进行调查,分析未ART的原因,并采用多因素logistic回归分析影响接受ART的相关因素。结果共接受自愿咨询333例,其中244例接受ART,89例HIV/AIDS未接受ART。未接受ART原因中,27例（30.34%）自觉身体良好,拒绝治疗;23例（25.84%）联系不上;15例（16.85%）就诊时处于艾滋病晚期,经治疗无效死亡;经济困难11例（12.36%）;家人不支持9例（10.11%）。工作忙,没时间4例（4.50%）。多因素回归分析结果显示男性、少数民族、未婚或丧偶或独居、吸毒、无临床表现、低文化程度是影响接受ART的独立危险因素。结论横县HIV/AIDS未接受ART存在诸多原因,受多种因素影响,应针对这些因素加强工作以提高治疗ART覆盖率。

Objective To investigate the causes and risk factors of human immunodeficiency virus carriers and/ acquiredimmunodeficiency syndrome（HIV / AIDS）patients who did not receive antiretroviral therapy（ART）.Methods The causes ofAIDS patients and HIV carriers who were attending at Hengxian county HIV/AIDS voluntary counseling and not reveivingantiretroviral therapy were investigated and analyzed from January to December 2013 using logistic regression analysis.Results Two hundred and fourty-four out of the 333 patients voluntarily counseled received ART and 89 did not reveiveART due to the following causes： 30.34%（27 /89） refused the treatment considering they were healthy,25.84%（23/89）were lostto follow- up,16.85%（15/89） died of AIDS at the advanced stage,12.36%（11/89）were given up for treatment because ofeconomic constrains,10.11%（9/89） were not supported by their familly members and 4.50%（4/89） were busy with their work.Logistic regression analysis showed that ethnic group, unmarried, death of a spouse and single status, drug use, without clinicalmanifestations and low education level were the risk factors for not receiving ART.Conclusion There are a lot of casuses andrisk factors associated with the not receiving ART of the HIV carriers and AIDS patients in Hengxian County and Effectivemeasures be taken to enhance the ART coverage.