云南省HIV故亡者女性遗属生活现状及医疗社会服务需求分析
|
摘要
目的通过调查了解HIV故亡者女性遗属目前的生活状况及相关的医疗社会服务需求,为下一步服务提供依据。方法横断面研究,回顾性调查,滚雪球抽样方法,以云南省芒市、陇川、蒙自3县HIV故亡者女性遗属为调查对象,问卷收集生活医疗社会服务现状,SPSS 17.0数据分析。结果共调查229人,汉族、农民和待业或无业为主;其中94人曾经注射毒品,63人曾共用针具;HIV阳性率61.1%;HIV阳性和阴性遗属在丈夫去世后单身时间、月收入有统计学差异,经济来源、受歧视程度、情绪消极程度无统计学差异;108人享受低保,195人参与新型农村合作医疗保险,69人曾获得免费生活用品发放,209人接受过免费HIV咨询检测,118人接受免费抗病毒治疗。121人需要介绍工作,174人希望消除歧视。结论故亡者遗属吸毒人员较多,面临婚内HIV传染高风险,多无固定经济来源,社会福利及HIV相关卫生服务尚未达到全覆盖,社会歧视和自身消极情绪明显,需得到社会各部门共同关注。
Objective Based on research the status quo and related medical social services needs among HIV related widows,to provide them further and targeted help. Methods The Cross-section study and retrospective investigation method were used,the snowball sampling method was used to select HIV related widows distribute in Mangshi,Longchuan and Mengzi 3 counties in Yunnan as investigated object. The data were analyzed with SPSS17. 0. A total of229 people were investigated,94 respondents have injected drug and 63 have share needle with other drug users. Most respondents are Han people,farmer and waiting job or unemployed. The HIV positive rate is 61. 14%. There is statistic difference in single living time and salary per month between positive and negative HIV widows. However,no statistic difference among source of finance,the degree of discriminate and negative degree. There are 108 people have enjoyed minimum living standard,195 people have joined in the new rural cooperative medical insurance,69 people have accepted free living goods,209 people have accepted HIV counseling service,118 people have accepted anti-virus treat,121 people need help to find job and 174 people hope eliminate discrimination. Conclusion Most respondents are drug users themselves,they face high risk of HIV infection,social discrimination and their own negative emotions. In additional,they have no fixed income and social welfare. HIV related service has yet to not reach fully covers,they need more concern from whole society.
Objective Based on research the status quo and related medical social services needs among HIV related widows,to provide them further and targeted help. Methods The Cross-section study and retrospective investigation method were used,the snowball sampling method was used to select HIV related widows distribute in Mangshi,Longchuan and Mengzi 3 counties in Yunnan as investigated object. The data were analyzed with SPSS17. 0. A total of229 people were investigated,94 respondents have injected drug and 63 have share needle with other drug users. Most respondents are Han people,farmer and waiting job or unemployed. The HIV positive rate is 61. 14%. There is statistic difference in single living time and salary per month between positive and negative HIV widows. However,no statistic difference among source of finance,the degree of discriminate and negative degree. There are 108 people have enjoyed minimum living standard,195 people have joined in the new rural cooperative medical insurance,69 people have accepted free living goods,209 people have accepted HIV counseling service,118 people have accepted anti-virus treat,121 people need help to find job and 174 people hope eliminate discrimination. Conclusion Most respondents are drug users themselves,they face high risk of HIV infection,social discrimination and their own negative emotions. In additional,they have no fixed income and social welfare. HIV related service has yet to not reach fully covers,they need more concern from whole society.
引文
[1]李晓园.云南省西双版纳自治州部分少数民族艾滋病防治知识、态度、行为调查[J].中国健康教育,2008,24(8):625-637.
[2]郑维斌,杨家芳.保山市不同感染途径HIV/AIDS死亡病例生活年限的比较性研究[J].皮肤病与性病,2012,34(1):8-10.
[3]王盟,庞琳,吴尊友.影响HIV/AIDS人群死亡因素研究进展[J].中国艾滋病性病,2008,14(2):195-197.
[4]赵娅萍,李再友.云南省沧源县190例HIV/AIDS死亡者的生活年限分析[J].热带医学杂志,2013,13(12):1530-1532.
[5]黄凤娟,王春,李会兰,等.普洱市2007~2011年HIV感染者/AIDS病人死亡状况分析[J].卫生软科学,2012,26(9):791-793.
[6]程何荷,张家鹏.云南省HIV感染流行趋势分析和预测[J].中国性病艾滋病防治.2000,6(5):257-260.
[7]曾亚莉,赖文红.四川省HIV配偶/固定性伴间传播现状调查[J].中国公共卫生.2011,27(12):1530-1531.
[8]乔晓春.山西省家庭内夫妻间HIV性传播及影响因素的研究[J].中国预防医学杂志.2009,10(11):976-979.
[9]杨蓉蓉.人类免疫缺陷病毒在夫妻间传播的调查[J].中华传染病学杂志.2007,25(5):394-397.
[10]庄柯.人类免疫缺陷病毒夫妻间传播的调查[J].中国公共卫生.2002,18(11):1359-1360.
[11]曾刚.四川省凉山州艾滋病病毒感染者配偶感染状况调查[J].疾病监测.2010,25(6):461-463.
[12]钟延旭.艾滋病患者对“四免一关怀”知晓与建议的分析[J].中国卫生事业管理.2011,11:877-879.
[2]郑维斌,杨家芳.保山市不同感染途径HIV/AIDS死亡病例生活年限的比较性研究[J].皮肤病与性病,2012,34(1):8-10.
[3]王盟,庞琳,吴尊友.影响HIV/AIDS人群死亡因素研究进展[J].中国艾滋病性病,2008,14(2):195-197.
[4]赵娅萍,李再友.云南省沧源县190例HIV/AIDS死亡者的生活年限分析[J].热带医学杂志,2013,13(12):1530-1532.
[5]黄凤娟,王春,李会兰,等.普洱市2007~2011年HIV感染者/AIDS病人死亡状况分析[J].卫生软科学,2012,26(9):791-793.
[6]程何荷,张家鹏.云南省HIV感染流行趋势分析和预测[J].中国性病艾滋病防治.2000,6(5):257-260.
[7]曾亚莉,赖文红.四川省HIV配偶/固定性伴间传播现状调查[J].中国公共卫生.2011,27(12):1530-1531.
[8]乔晓春.山西省家庭内夫妻间HIV性传播及影响因素的研究[J].中国预防医学杂志.2009,10(11):976-979.
[9]杨蓉蓉.人类免疫缺陷病毒在夫妻间传播的调查[J].中华传染病学杂志.2007,25(5):394-397.
[10]庄柯.人类免疫缺陷病毒夫妻间传播的调查[J].中国公共卫生.2002,18(11):1359-1360.
[11]曾刚.四川省凉山州艾滋病病毒感染者配偶感染状况调查[J].疾病监测.2010,25(6):461-463.
[12]钟延旭.艾滋病患者对“四免一关怀”知晓与建议的分析[J].中国卫生事业管理.2011,11:877-879.