【摘要】 目的探讨重庆市主城区在治人类免疫缺陷病毒(HIV)感染者/获得性免疫缺陷综合征(AIDS)患者服药依从性及其影响因素,为制定提高HIV/AIDS服药依从性措施提供科学依据。方法 2017年7月1日至8月31日采用问卷调查方式对重庆市主城区在治、前来领药的HIV/AIDS进行调查,并对其服药依从性及影响因素进行分析。结果共调查重庆市主城区在治HIV/AIDS 386例;年龄18～78岁,中位年龄33岁;男女性别比5. 7∶1;未婚者199例(51. 6%);以大专及以上文化程度为主[48.2%(186/386)]。90. 7%(350/386)服药依从性良好,年龄越大、工作年限越长是依从性的保护因素[优势比(OR)=0. 3、0. 2,95%可信区间(95%CI):0. 1～0. 8、0. 1～0. 9];接受治疗时间越长是依从性的危险因素(OR=3. 7,95%CI:1. 6～8. 7)。结论重庆市主城区在治(HIV/AIDS)服药依从性整体水平较高,为进一步巩固与提高,建议加强接受治疗时间较长的HIV/AIDS的服药依从性教育;加强无业人员和50岁以下人员的服药依从性教育和管理,强调对服药质量的监管。更多还原

【Abstract】 Objective To investigate the medication compliance in the people with HIV infection and the patients with AIDS( PLWHA) in Chongqing urban area to provide a scientific evidence for formulating the measures enhancing HIV/AIDS medication compliance.Methods The survey was conducted on PLWHA with treatment and getting the medicine from the hospital from July 1 to August 31,2017 in Chongqing urban area by using the questionnaire method. The medication compliance and its influencing factors were analyzed. Results A total of 386 cases of PLWHA in Chongqing urban area were surveyed,with the age of 18-78 years old,the median age 33 years old; the male-to-female ratio was 5. 7∶ 1,199 cases were unmarried( 51. 6%),the college degree or above was predominant [48. 2%( 186/386) ].90. 7% of respondents( 350/386) had good medication compliance. The older age and long working years were the protective factors of compliance [odds ratio( OR) = 0. 3,0. 2,95% confidence interval( CI) : 0. 1-0. 8,0. 1-0. 9]; the longer time receiving treatment was the risk factor of compliance( OR = 3. 7,95% CI: 1. 6-8. 7). Conclusion The medication compliance in HIV/AIDS with treatment is higher as a whole. It is suggested that the education on HIV/AIDS receiving long time treatment should be strengthened; the medication compliance education and management on the unemployed or people aged less than 50 years old should be strengthened and the supervision on medication quality should be strengthened.更多还原