布拖县艾滋病单阳家庭先证者的配偶提醒服药意愿及其相关影响因素分析

Analysis of spouses'willingness to remind of taking medcine and related factors of probands in HIV/AIDS single positive families in Butuo

目的了解艾滋病单阳家庭先证者的配偶提醒服药意愿和相关影响因素,从而对提升配偶提醒服药意愿、促进艾滋病单阳家庭HIV感染者/艾滋病人(HIV/AIDS)治疗依从性提供参考。方法于2020年对布拖县3个乡镇所有符合条件的现存活HIV/AIDS的配偶开展问卷调查,问卷内容包括提醒服药意愿、一般人口学特征、先证方相关情况、性行为及安全套使用情况、接受干预情况、艾滋病知识知晓情况等信息。统计学方法采用t检验、秩和检验、卡方检验、Logistic回归分析模型,以P<0.05为差异有统计学意义。结果本研究共纳入403例受访者,男性89例(22.08%),女性314例(77.92%),均为彝族,愿意每天按时提醒服药的为82.38%。相关分析结果显示居住地与乡镇卫生院距离<5 km(OR=2.89,95%CI:1.52~5.50,P=0.001)和相距5~10 km(OR=3.18,95%CI:1.34~7.58,P=0.009)、性行为频率2~4次/月(OR=3.07,95%CI:1.60~5.89,P=0.011)、最近3个月安全套使用频率为从未使用(OR=8.94,95%CI:2.03~39.28,P=0.004)和偶尔使用(OR=2.06,95%CI:0.99~4.29,P=0.050)更有提醒服药意愿。结论单阳家庭先证者的配偶提醒服药意愿跟居住地与乡镇卫生院距离、性行为频率、使用安全套的频率等因素有关。配偶提醒服药意愿仍有较大提升空间,应加强宣传教育,尤其是相关治疗及安全套使用的必要性。

Objective To understand the spouses'willingness to remind of taking medicine and related factorsofprobandsin HIV/AIDS(humanimi munodeficiencyvirus/acquireddimmunodeficiency syndrome)single positive families,and to provide reference for improving the spouses'willingness to remind of taking medicine and promoting the treatment compliance of HIV infected persons and AIDS patients in HIV/AIDS single positive families.Methods A questionnaire survey was conducted among spouses of all eligible living people with HIV/AIDS in 3 townships of Butuo in 2020.The questionnaire included informationnabout willingness to remind1of taking medicine,general demographic characteristics,related information of probands,sexual behavior and condomuse,receiving interventions,knowledge about HIV/AIDS and other information.The t-test,rank sum test,Chi-square test and logistic regression analysis model were used.And P<0.05 was considered to be statistically significant.Results A total of 403 respondents were included in this study,including 89 males(22.08%)and 314 females(77.92%),all of whom were Yi people.And 82.38%of them were willing to remind of taking medicine everyday.The results of related analysis showed spouses with following factors were more willing to remind of taking medicine:the distance between residence and township health center<5 km(OR(odds ratio)=2.89,95%CI(confidence interval):1.52-5.50,P=0.001)and 5-10 km(OR=3.18,95%CI:1.34-7.58,P=0.009),the frequency of sexual behavior was 2-4 times/month(OR=3.07,95%CI:1.60-5.89,P=0.011),and the frequency of condom use in the last 3 months had been never(OR=8.94,95%CI:2.03-39.28,P=0.004)and occasional(OR=2.06,95%CI:0.99-4.27,P=0.050).Conclusions The willingness of the spouses of the probands in HIV/AIDS single positive family to remind of taking medicine was related to the distance between the residence and the township health center,the frequency of sexual behavior,the frequency of condom use and other factors.Spouses'willingness to remind of taking medicine still has great room for improvement.Publicity and education should be strengthened,especially on the need for treatment and condom use.