安徽省皖北地区艾滋病病毒感染者和艾滋病病人生存质量评价

Life quality assessment of people living with HIV/AIDS in Northern Anhui Province

目的了解安徽省皖北地区艾滋病病毒感染者和艾滋病病人的生存质量现状及其影响因素,为进一步改善其生存质量提供相关依据。方法采用方便样本法选取皖北10个县(市、区)艾滋病病毒感染者和艾滋病病人,使用艾滋病病毒感染者医疗结局健康调查表简体中文版进行面对面匿名调查,均数比较采用t检验和方差分析,多因素分析采用多元线性回归方程评价其生存质量。结果艾滋病病毒感染者和艾滋病病人的生理健康总分为(48.29±8.73)分,心理健康总分为(46.67±8.45)分。他(她)们的总体健康、躯体健康、社会功能、肌体疼痛、心理健康、活力6个维度得分均低于正常人群(均有P<0.05)。不同文化程度、职业、居住地、年收入分别与生理健康总分、心理健康总分及不同维度差异均有统计学意义(均有P<0.05),文化程度和收入与他(她)们的生理健康总分、心理健康总分及躯体健康、认知功能、肌体疼痛、心理健康、活力均呈正相关,而打短工与他(她)们的角色功能、肌体疼痛均呈负相关。结论艾滋病病毒感染者和艾滋病病人的生存质量低于常人,其受文化程度、职业、居住地、年收入等多因素影响,今后可通过提高他(她)们的文化程度和收入以改善其生存质量。

Objective To survey the present quality of life（ QOL） and its influencing factor about HIV/AIDS in northern Anhui,in order to provide an objective basis for improving their QOL. Methods Using convenient sample method to select HIV / AIDS among 10 counties in northern Anhui,QOL of HIV / AIDS was investigated by anonymous,face-toface with Medical outcomes study-HIV health survey（ MOS-HIV）. Then,QOL of HIV / AIDS was evaluated by t test,ANOVA and multiple linear regression analysis. Results The total score for physiology was（ 48. 29 ± 8. 73）,and that of psychology was（ 46. 67 ± 8. 45）. The scores for general health（ GH）,physical function（ PF）,social function（ SF）,physical（ PA）,mental health（ MH）,vitality（ VT） among QOL were significantly lower than healthy individuals（ all P〈0. 05）. The scores for physiology,psychology,multi-dimension among QOL were significantly different among different education level,occupation,residence and family income（ all P〈0. 05）. The education level and family income were positively correlated to total score of physical health（ PHS）,total score of mental health（ MHS）,PF,cognitive function（ CF）,PA,MH,VT of HIV/AIDS. But the casual lab or was negetive corre lation to RF、PA of HIV/AIDS. Conclusions QOL of HIV / AIDS was lower than that of general population,which was affected by education level,occupation,residence,different family income,etc. It should be encouraged to strengthen their education level and family income to improve their QOL.