论文部分内容阅读
目的了解永州市老年HIV感染者/AIDS病人(PLWHA)艾滋病相关的认知、态度、行为(KAP),为今后老年艾滋病防控提供依据。方法从全国艾滋病疫情报告系统中下载1993-2013年现住址为永州市的现存活的老年人HIV感染者和AIDS病人的历史卡片。在自愿的原则下,用自拟的调查问卷对研究对象进行一对一问卷调查。用Epi Data3.1软件录入数据,并进行数据逻辑检查。运用SPSS18.0进行资料的统计学分析。结果共收集340份有效问卷。结果显示:HIV确诊阳性后首次CD4+T淋巴细胞计数检测结果 <200个/mm3的男性116例,占51.56%,女性35例,占33.02%,HIV确诊阳性时的平均年龄59.44(55.00~64.00)岁。老年PLWHA对AIDS相关知识的知晓情况偏低,总体知晓率为59.77%,其中“蚊虫叮咬会传播艾滋病吗?”回答正确率最低,为48.22%。确诊阳性后对自己的态度感到后悔和难过的分别占34.25%、30.34%。HIV阳性确诊前有发生过商业性行为的214人,发生率64.07%;98.54%不使用和偶尔使用安全套;58.68%商业性行为的场所发生在路边和出租屋,其次在发廊、洗脚屋;71.22%的商业性伴年龄在30~50岁间;性交易额88.41%的为50元及以下。确诊后商业性行为发生率18.92%,不使用和偶尔使用安全套占85.71%。结论永州市绝大部分老年PLWHA是50岁以后感染HIV病毒的;不安全性行为和艾滋病防治知晓率低下是老年人感染HIV的主要风险因素。
Objective To understand the AIDS-related cognition, attitudes and behaviors (KAP) of elderly HIV / AIDS patients (PLWHA) in Yongzhou, and to provide the basis for the future prevention and control of AIDS in the elderly. Methods From the National AIDS Epidemiological Reporting System, the historical cards of the existing living elderly HIV-infected and AIDS patients living in Yongzhou from 1993 to 2013 were downloaded. Under the principle of voluntariness, one-on-one questionnaires were conducted on the subjects using self-designed questionnaires. Data is entered using Epi Data 3.1 software and data logics are performed. Using SPSS18.0 statistical analysis of the data. Results A total of 340 valid questionnaires were collected. The results showed that there were 116 males (51.56%), 35 females (33.02%), and the average age of HIV positive diagnosis was 59.44 (55.00-64.00) after HIV positive diagnosis of the first CD4 + T lymphocyte count )year old. Elderly PLWHA awareness of AIDS-related knowledge is low, the overall awareness rate was 59.77%, in which “mosquito bites will spread AIDS?” The lowest correct answer rate was 48.22%. After the diagnosis of positive attitude to regret and sad about 34.25%, respectively, 30.34%. 214 were found to have had commercial sexual activity before HIV positive diagnosis, the incidence rate was 64.07%; 98.54% did not use and occasionally use condoms; 58.68% place of commercial sex occurred in roadside and rental housing, followed by hair salon, 71.22% of business partners are between 30 and 50 years of age; 88.41% of the sex trade is under 50 yuan and below. The incidence of commercial sexual behavior after diagnosis was 18.92%, 85.71% when not using and occasionally using condoms. Conclusion The majority of elderly PLWHA in Yongzhou are HIV-infected after the age of 50; the unsafe behavior and low awareness of AIDS prevention and control are the major risk factors for HIV infection in the elderly.