经性途径感染HIV者告知家人和伴侣现状及影响因素

The status and influencing factors of informing families and partners of sexually transmitted HIV/AIDS patients

目的了解经性途径感染HIV者本人将HIV感染结果告知家人、伴侣的现状及影响因素。方法采用横断面研究设计,对济南市市中区1154名经性途径感染HIV者进行问卷调查,收集调查对象本人将HIV感染结果告知家人和伴侣的现状,采用二分类非条件Logistic回归模型分析其告知家人、告知伴侣的影响因素。结果经性途径感染HIV者本人将HIV感染结果告知家人、伴侣的比例分别为48.4%(558/1154),53.2%(614/1154)。多因素Logistic回归结果表明:HIV阳性诊断时间≥37个月(OR=1.48,95%CI:1.13~1.93)、女性(OR=2.80,95%CI:1.32~5.93)、年龄<33岁(OR=0.61,95%CI:0.46~0.81)、和家人居住(OR=1.64,95%CI:1.25~2.14)、除艾滋病外患有其他慢性病(OR=1.61,95%CI:1.24~2.09)、歧视知觉越低(OR=0.45,95%CI:0.28~0.70)/(OR=0.69,95%CI:0.53~0.90)的感染者更可能告知家人。女性(OR=3.23,95%CI:1.46~7.16)、在婚(OR=1.81,95%CI:1.25~2.61)、歧视知觉越低(OR=0.44,95%CI:0.28~0.70)/(OR=0.67,95%CI:0.52~0.87)的感染者更可能告知伴侣。结论经性途径感染HIV者的家人、伴侣告知率均较低,亟须进一步研究促进其实现告知的策略与措施,使其能充足且持续地获取家人及伴侣的心理关怀与支持,减少其继续通过性途径传播艾滋病的可能性。

Objective To understand the status and influencing factors of informing the family members and partners of sexually transmitted HIV/AIDS patients.Methods A cross-sectional study design was used to conduct a questionnaire survey among 1154 sexually transmitted HIV/AIDS patients in Shizhong District,Jinan.The status of whether the survey respondents informing the family members and partners of the HIV infection was collected.A binary unconditional logistic regression model was used to analyze the influencing factors related to the behavior of informing family members and partners.Results The proportion of sexually transmitted HIV patients who informed their family members and partners of the HIV infection was 48.4%(558/1154)and 53.2%(614/1154)respectively.Multivariate logistic regression analysis showed that the infected persons were more likely to inform their family members with HIV positive diagnosis time≥37 months(OR=1.48,95%CI:1.13-1.93),female(OR=2.80,95%CI:1.32-5.93),age<33 years(OR=0.61,95%CI:0.46-0.81),living with family members(OR=1.64,95%CI:1.25-2.14),suffering from other chronic diseases beside AIDS(OR=1.61,95%CI:1.24-2.09),and lower perception of discrimination(OR=0.45,95%CI:0.28-0.70,OR=0.69,95%CI:0.53-0.90).The infected persons were more likely to inform their partners with female(OR=3.23,95%CI:1.46-7.16),married status(OR=1.81,95%CI:1.25-2.61),and lower perception of discrimination(OR=0.44,95%CI:0.28-0.70,OR=0.67,95%CI:0.52-0.87).Conclusions The notification rate of family members and partners of sexually transmitted HIV/AIDS patients is low,so it is urgent to further study the strategies and measures to realize their notification of the infection,so that HIV-infected persons can obtain adequate and continuous psychological care and support from family members,and reduce the possibility of the continued sexually transmitted HIV/AIDS.