Effectiveness evaluation of peer-group level care and management mode in HIV infected patients
10.19428/j.cnki.sjpm.2021.19468
- VernacularTitle:艾滋病病毒感染者“小组关怀管理模式”效果评估
- Author:
Guo-mei SUN
1
;
Kai-kan GU
;
Zhi-ying HAN
;
Hua CHENG
Author Information
1. Department of Chronic Infectious Disease Prevention, Jing'an Center for Disease Control and Prevention, Shanghai 200072, China
- Publication Type:Research Article
- Keywords:
AIDS;
HIV infected patients;
peer-group level care and management mode;
behavioral intervention;
effectiveness evaluation;
questionnaire survey
- From:
Shanghai Journal of Preventive Medicine
2021;33(3):187-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce and conduct effectiveness evaluation of peer-group level care and management mode in people living with HIV and AIDS(PLHAs)in Jing'an District, Shanghai. Methods We recruited PLHAs who were managed by Jing'an District and participated in the peer-group care activities from 2015 to 2016, and collected their data of general conditions, behavior, antiretroviral therapy, life quality, social support, mental status and medical modes, and then conducted effectiveness evaluation of the mode by multivariate logistic regression model and linear regression model. Results A total of 300 PLHAs were included with 150 cases in each group. PLHAs in target group had higher proportion of antiretroviral therapy[82.7%(124/150)and 64.7%(97/150)]. In addition, they got higher scores in mental health(48.5±9.2 and 43.9±10.6)and social support(28.7±8.2 and 24.8±6.6), and lower scores in depressive severity index(0.5±0.1)and avoidance of medical modes(16.1±3.0 and 17.0±2.5). Multivariate analysis showed that PLHAs in target group had less sex partners(zero partner, OR = 2.1, 95%CI:1.1-3.9;one partner, OR = 3.6, 95%CI:1.9-6.8)and increased condom use(no sex, OR = 5.3, 95%CI:2.4-11.7;complete use, OR = 10.6, 95%CI:4.7-24.1;random miss, OR = 5.1, 95%CI:1.8-14.8)in the last 12 months. Conclusion The effect of peer-group level care and management mode is significantly good in promoting behavior change, enhancing health concern and increasing antiretroviral therapy.
