Follow-up of people living with HIV/AIDS by primary health care institutions in rural area of Jiangxi province
10.3760/cma.j.issn.0254-6450.2019.03.017
- VernacularTitle: 江西省农村地区HIV感染者接受基层医疗卫生机构随访管理现状及相关因素分析
- Author:
Pengfei FAN
1
;
Qing YANG
2
;
Yurong MAO
1
;
Qiang HU
2
;
Houlin TANG
1
;
Jian LI
1
;
Yaling LUO
2
;
Fen WANG
3
;
Huanqing ZHAN
4
;
Siming ZANG
5
Author Information
1. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
2. Jiangxi Provincial Center for Disease Control and Prevention, Nanchang 330029, China
3. Xinjian County Center for Disease Control and Prevention, Xinjian 330100, China
4. Yushan County Institute of Dermatosis and Sexually Transmitted Disease Prevention and Treatment, Yushan 334700, China
5. Guixi City Center for Disease Control and Prevention, Guixi 335400, China
- Publication Type:Journal Article
- Keywords:
AIDS;
Follow-up;
Primary health care institutions
- From:Chinese Journal of Epidemiology
2019;40(3):346-349
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of follow up of people living with HIV/AIDS by health service at grass root in rural area of Jiangxi province and related factors, and provide references for the promotion of the follow up by grass root health service.
Methods:People living HIV/AIDS aged ≥18 years and diagnosed before 31 December 2017 in 6 townships of Xinjian, Yushan counties and Guixi city were included in the study in Jiangxi province. They had been followed up for more than one time after the first epidemiologic survey. The information about their demographic characteristics and HIV infection status were collected by using self-designed questionnaire. Univariate and multivariate logistic regression analyses were conducted to identify the factors that influencing the acceptance of follow up by grass root health service.
Results:Of the 373 surveyed HIV infected subjects aged (53.06±16.15) years, 261 were males (70.0%, 261/373). Among the surveyed subjects, the illiteracy and people who received only primary school education accounted for 54.7% (204/373). The rate of follow up of the HIV infected subjects by grass root health service was 55.8% (208/373), and those through heterosexual contact were 58.5% (190/325). The multivariate regression analysis showed that the acceptance of follow up by grass root health service was higher in those who were farmers (OR=7.36, 95%CI: 2.52-21.45), had family support (OR=16.01, 95%CI: 2.25-49.73), didn’t worry about discrimination (OR=12.97, 95%CI: 4.75-35.42), trusted health care provider (OR=5.07, 95%CI: 2.19-11.76) and showed AIDS symptoms (OR=10.58, 95%CI: 2.25- 49.73).
Conclusions:The performance of follow up of people living with HIV/AIDS by grass root health service was well, suggesting it is a feasible management model. Being famer or not, family member supporting or not, worry about discrimination or not, trusting health care provider or not and showing AIDS symptoms or not were the main factors influencing the acceptance of follow up by grass root health service.
