艾滋病病毒感染者/病人及其家庭成员的家庭互动现况研究

目的 调查安徽省北部既往献血员集中地区HIV感染者/AIDS患者(PLWHA)的家庭互动现状,并分析其相关的影响因素.方法 采用整群随机抽样的方法,招募PLWHA 98人,PLWHA的成年家庭成员83人,对照家庭的成年成员99人,采用自编的一般情况问卷和家庭互动问卷进行调查.结果 PLWHA组及其家庭成员组的家庭互动各方面得分均明显低于对照组,同时家庭互动不足的检出率均高于对照组.在控制混杂因素后,Logistic回归结果表明PLWHA组(OR=4.78,95％ CI=2.407 ～9.477),家庭成员组(OR=2.92,95％ CI=1.418 ～5.993)和受教育的年限( OR=0.89,95％ CI=0.814～0.967)是家庭互动不足的主要影响因素.结论 PLWHA的家庭存在一定程度的家庭互动不足,应开展PLWHA家庭干预、加强社会支持以改善PLWHA的家庭互动.

An cross-sectional investigation on the family interactions among PLWHA and their family members

Objective To investigate the family interactions and influencing factors among PLWHA in rural areas of north Anhui Province with many former blood donors. Methods A total of 98 PLWHA,83 adult family members and 99 control group family members were investigated by self-designed general information and family interaction questionnaires. Results The total scores of family interactions in PLWHA and their family members groups were significantly lower than those of the control group. The detection rates of family interaction deficiency in PLWHA and their family members group were significantly higher than those of the control group. Logistic regression analysis showed that PLWHA group （ OR = 4. 78,95% CI= 2. 407-9.477） , their family members group （ OR = 2. 92,95% CI= 1. 418-5. 993 ） and the years of educa- tion （OR=0. 89,95% CI= 0. 814-0. 967 ） remained significant risk factors affecting the family interaction deficiency after adjusting some factors. Conclusions Family interaction deficiency existed in PLWHA families to a certain extent. More attention should be paid to family intervention and social support in order to improve the family interactions of PLWHA.