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皖北地区中老年女性HIV/AIDS患者身体与心理健康状况调查

肖永康,  徐增辉,  刘爱文,  计国平

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文章导航 > 中华疾病控制杂志  > 2021 >  25(12): 1398-1402
肖永康, 徐增辉, 刘爱文, 计国平. 皖北地区中老年女性HIV/AIDS患者身体与心理健康状况调查[J]. 中华疾病控制杂志, 2021, 25(12): 1398-1402. doi: 10.16462/j.cnki.zhjbkz.2021.12.007
引用本文: 肖永康, 徐增辉, 刘爱文, 计国平. 皖北地区中老年女性HIV/AIDS患者身体与心理健康状况调查[J]. 中华疾病控制杂志, 2021, 25(12): 1398-1402. doi: 10.16462/j.cnki.zhjbkz.2021.12.007
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XIAO Yong-kang, XU Zeng-hui, LIU Ai-wen, JI Guo-ping. Survey of physical and mental health among middle-old aged female HIV/AIDS patients in North Anhui Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1398-1402. doi: 10.16462/j.cnki.zhjbkz.2021.12.007
Citation: XIAO Yong-kang, XU Zeng-hui, LIU Ai-wen, JI Guo-ping. Survey of physical and mental health among middle-old aged female HIV/AIDS patients in North Anhui Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1398-1402. doi: 10.16462/j.cnki.zhjbkz.2021.12.007
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皖北地区中老年女性HIV/AIDS患者身体与心理健康状况调查

doi: 10.16462/j.cnki.zhjbkz.2021.12.007
  • 1.

    230601 合肥，安徽省疾病预防控制中心艾滋病防治科

  • 2.

    230601 合肥，安徽医科大学第二附属医院

  • 3.

    230061 合肥，安徽省妇女儿童保健中心

基金项目: 

安徽省妇幼健康科研项目 17FY003

详细信息
    通讯作者:

    肖永康，E-mail：xiao84791@sina.com

  • 中图分类号: R512.91;R181

Survey of physical and mental health among middle-old aged female HIV/AIDS patients in North Anhui Province

  • 1.

    Department of AIDS Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China

  • 2.

    The Second Hospital of Anhui Medical University, Hefei 230601, China

  • 3.

    Anhui Provincial Center for Women and Children Health, Hefei 230061, China

Funds: 

Anhui Provincial Women and Children Health Scientific Research Project 17FY003

More Information

    摘要
  • 摘要:   目的  了解安徽北部地区中老年女性HIV/AIDS患者的身体和心理健康状况，为今后组织开展相关人群的关怀支持工作和提高生命质量提供科学依据。  方法  自2018年3月―2019年2月间采用整群随机抽样，抽取阜阳和亳州2市8个乡镇，对≥40岁的女性HIV/AIDS患者及其邻居同伴共计521人进行问卷调查，内容包括社会人口学特征、身体健康和心理健康状况等。  结果  最终纳入分析495人，患者组中近两周患病比例为45.8%，近1年住院比例为36.2%，且两者比例均高于对照组(均有P＜0.05)；睡眠质量、食欲、视力、听力及腿脚行动情况在两组间差异均有统计学意义(均有P＜0.05)；患者组的抑郁症状检出率为61.4%；焦虑症状检出率为65.5%，且抑郁和焦虑评分及发生率在两组间差异均有统计学意义(均有P＜0.01)。  结论  中老年女性HIV/AIDS患者的疾病负担较重，且在身体和心理多个方面状况均差于同地区一般同龄女性，其在治疗、关怀及心理疏导等方面的卫生服务需求相对较大，应给予更多关注。
    Abstract:   Objective  To investigate the physical and mental health status of middle-old aged female human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients in northern Anhui Province, and to provide scientific basis for the care and support for the HIV/AIDS patients and the promotion of the quality of life in the future.  Methods  Using the method of cluster random sampling, 521 female HIV/AIDS patients aged ≥ 40 years and their neighbors were investigated in 8 villages from March 2018 to February 2019. The questionnaire included social demographic characteristics, physical health and mental health status, etc.  Results  A total of 495 subjects were included in the final analysis. The proportion of two-week prevalence was 45.8% and the proportion of annual hospitalization was 36.2% in patients, which were higher than those in the control group (all P < 0.05). There were statistical differences in sleep quality, appetite, vision, hearing and movement of legs and feet between the two groups (all P < 0.05). The detection rate of depressive symptoms was 61.4% and the detection rate of anxiety symptoms was 65.5% in patients, the scores and incidence of depression and anxiety were different between the two groups (all P < 0.01).  Conclusions  The disease burden of middle-old aged female HIV/AIDS patients was heavy, and their physical and psychological conditions was significantly worse than those of HIV negative women of the same age in the same area. Their demand for health service in treatment, care and psychological counseling was relatively large, and more attention should be paid to them.
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  • 表  1  皖北地区中老年女性HIV/AIDS患者组与对照组间一般人口特征比较[n(%)]

    Table  1.   Comparison of demographic characteristics of case and control group among middle-old aged female HIV/AIDS patients in North Anhui Province [n(%)]

    变量 HIV/AIDS患者组 对照组 合计 χ2值 P值
    年龄(岁) 5.462 0.141
      40~ < 45 26(10.8) 38(14.9) 64(12.9)
      45~ < 50 61(25.4) 47(18.4) 108(21.8)
      50~ < 55 63(26.2) 61(23.9) 124(25.1)
      ≥55 90(37.5) 109(42.7) 199(40.2)
    文化程度 14.062 0.001
      文盲 158(65.8) 128(50.2) 286(57.8)
      小学 66(27.5) 92(36.1) 158(31.9)
    初中及以上 16(6.7) 35(13.7) 51(10.3)
    婚姻状况(n=493) 13.616 < 0.001
      有伴侣 184(77.0) 227(89.4) 411(83.4)
      无伴侣 55(23.0) 27(10.6) 82(16.6)
    个人年收入(万元)(n=481) 67.801 < 0.001
       < 0.5 85(35.7) 144(59.3) 229(47.6)
      0.5~1 126(52.9) 42(17.3) 168(34.9)
       > 1 27(11.3) 57(23.5) 84(17.5)
    家庭年收入(万元) 20.959 < 0.001
       < 1 88(36.7) 55(21.6) 143(28.9)
      1~3 89(37.1) 88(34.5) 177(35.8)
      ＞3~5 32(13.3) 59(23.1) 91(18.4)
       > 5 31(12.9) 53(20.8) 84(17.0)
    锻炼(n=493) 0.244 0.621
      否 164(68.6) 169(66.5) 333(67.5)
      是 75(31.4) 85(33.5) 160(32.5)
    下载: 导出CSV

    表  2  HIV/AIDS患者组与对照人群一般健康情况比较[n(%)]

    Table  2.   Distribution of general physical health between HIV/AIDS case and control groups [n(%)]

    变量 HIV/AIDS患者组 对照组 合计 χ2值 P值
    两周患病(n=494) 6.903 0.009
      否 130(54.2) 167(65.7) 297(60.0)
      是 110(45.8) 87(34.3) 197(39.8)
    近1年住院 6.727 0.009
      否 153(63.8) 190(74.5) 343(69.3)
      是 87(36.2) 65(25.5) 152(30.7)
    慢性病(n=493) 0.004 0.949
      否 91(38.1) 96(37.8) 187(37.9)
      是 148(61.9) 158(62.2) 306(62.1)
    睡眠质量 12.538 0.002
      好 87(36.2) 126(49.4) 213(43.0)
      一般 35(14.6) 43(16.9) 78(15.8)
      差 118(49.2) 86(33.7) 204(41.2)
    食欲
      好 86(35.8) 158(62.0) 244(49.3) 33.957 < 0.001
      一般 67(27.9) 45(17.6) 112(22.6)
      差 87(36.3) 52(20.4) 139(28.1)
    牙齿(n=494) 1.268 0.530
      好 98(40.8) 113(44.5) 211(42.7)
      一般 26(10.8) 31(12.2) 57(11.5)
      差 116(48.3) 110(43.3) 226(45.7)
    视力(n=494) 9.801 0.007
      好 30(12.6) 55(21.6) 85(17.2)
      一般 40(16.7) 52(20.4) 92(18.6)
      差 169(70.7) 148(58.0) 317(64.2)
    听力(n=494) 8.483 0.014
      好 102(42.5) 141(55.5) 243(49.2)
      一般 58(24.2) 45(17.7) 103(20.9)
      差 80(33.3) 68(26.8) 148(30.0)
    腿脚方便 10.441 0.005
      好 101(42.1) 143(56.1) 244(49.3)
      一般 46(19.2) 43(16.9) 89(18.0)
      差 93(38.8) 69(27.1) 162(32.7)
    下载: 导出CSV

    表  3  HIV/AIDS患者组和对照组在焦虑和抑郁方面发生情况[n(%)]

    Table  3.   Distribution of anxiety and depression between HIV/AIDS patients and control groups [n(%)]

    变量 HIV/AIDS患者组 对照组 χ2/ t值 P值
    抑郁得分(x±s, 分)(n=490) 8.15±3.81 5.83±3.70 6.824 < 0.001
    焦虑得分(x±s, 分)(n=485) 51.40±9.80 46.90±10.70 4.783 < 0.001
    抑郁(n=490) 39.553 < 0.001
      无 91(38.6) 170(66.9)
      有 145(61.4) 84(33.1)
    焦虑(n=485) 22.325 < 0.001
      无 81(34.5) 139(55.6)
      轻度 120(51.1) 86(34.4)
      中度 26(11.1) 21(8.4)
      重度 8(3.4) 4(1.6)
    下载: 导出CSV
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  • 收稿日期:  2021-01-18
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