Management mode of HIV infection and antiviral therapy adherence in Jing'an District, Shanghai
10.19428/j.cnki.sjpm.2018.18882
- VernacularTitle:上海市静安区HIV感染者管理模式与抗病毒治疗依从性分析
- Author:
Guo-Mei SUN
1
;
Kai-Kan GU
;
Hua CHENG
Author Information
1. 上海市静安区疾病预防控制中心
- Keywords:
HIV infected patients;
peer group level care and management mode;
antiretroviral therapy;
adherence
- From:
Shanghai Journal of Preventive Medicine
2018;30(12):971-974,985
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To ascertain the status and related factors of antiretroviral therapy adherence and analyze the influence of management mode on adherence in HIV infected patients in Jing' an District, Shanghai. [Methods]We recruited 150 HIV infected patients who participated in the "peer group care"activities (target group) and those from another 150 patients who did not (control group) but received antiviral treatment during the period from 2015 to 2016 (221 cases in total) into the study. We collected data on general conditions, behavioral way, antiretroviral therapy adherence, life quality, social support, mental status and medical coping modes, and analyzed the related factors of antiretroviral therapy adherence by linear regression model. [Results]The 221 HIV infected patients were included, with 124 in target group and 97 in control group. The proportion of good antiretroviral therapy adherence was 86.0％, with 91.9％ in target group and 78.4％ in control group. Multiple analysis showed that the related factors of antiretroviral therapy adherence were management mode (β = 1.871, P < 0.001) , disposable income per month (β = 0.600, P = 0.001) , social support utilization (β = 0.174, P = 0.044) and yield attitude of medical coping modes (β =-0.153, P = 0.003). [Conclusion]Antiretroviral therapy adherence of HIV infected patients in Jing'an District should be further improved. "Peer group level care and management mode"could effectively promote the increase of antiretroviral therapy adherence; however, it should be improved and perfected in the aspects of its coverage and content.
