The relationship between acceptance of illness and quality of life among men who have sex with men living with human immunodeficiency virus:A cross-sectional study

HIV阳性男男性行为者疾病接受度与生活质量的相关性研究

Objectives To explore the relationship between acceptance of illness and quality of life(QOL),and factors associated with acceptance of illness among men who have sex with men(MSM)living with human immunodeficiency virus(HIV).Methods Three hundred and one MSM were recruited from an HIV clinic between August and December 2018.The battery of measurements consisted of the Acceptance of Illness Scale,World Health Organization Quality of Life Questionnaire for HIV brief version,HIV Cognitive Appraisal Scale and a self-designed questionnaire used to collect general information.Pearson correlation test was used to examine the relationship between acceptance of illness and QOL.Univariate and multivariate ordinal logistic regression analyses were used to examine whether the general data(demographic and HIV-related clinical data)and HIV cognitive appraisal were associated with acceptance of illness levels.Results Descriptive analysis showed the acceptance level among MSM living with HIV was moderate(Mean=26.29,SD=5.28).Those with a better acceptance of illness had a better QOL(r=0.69,P<0.01).In the multivariate ordinal logistic regression model,education level,threat appraisals(OR:1.09;95%CI[1.06–1.13]),and controllability appraisals(OR:0.82;95%CI[0.71–0.94])were significantly associated with acceptance of illness.Conclusions Results showed acceptance level was moderate and had a positive correlation with QOL.High level of education,low threat appraisals and high controllability appraisals were related to high illness acceptance.This finding highlights the importance of focusing on HIV-infected MSM with low education and on their perceptions of threat and controllability about HIV-related issues when designing interventions to promote illness acceptance in this vulnerable population.

目的探讨HIV阳性男男性行为者疾病接受度与生活质量的相关性,分析疾病接受度的影响因素。方法于2018年8-12月,采用一般资料调查表、疾病接受度量表、WHO艾滋病生存质量简表、艾滋病认知评价量表对长沙市301名HIV阳性男男性行为者进行调查。结果HIV阳性的男男性行为者的疾病接受总分为(26.29±5.28)分,处于中等水平。Pearson相关分析显示,HIV阳性的男男性行为者的疾病接受与生活质量总分及各维度呈正相关(P<0.01)。在多因素有序logistic回归分析中,教育水平、疾病威胁维度(OR=1.09,95%CI 1.06~1.13)和可控性维度(OR=0.82,95%CI 0.71~0.94)与疾病接受程度存在关联。结论HIV阳性的男男性行为者疾病接受程度与生活质量呈正相关。教育水平越高,将HIV视为威胁的程度越低,视为可控性的程度越高,其疾病接受程度越高。医护人员应当关注教育程度较低的HIV阳性男男性行为者,加强健康教育,改变其对HIV的不良认知,促进疾病接受,提高生活质量。