南昌市老年人类免疫缺陷病毒感染者/艾滋病患者社会资本与生存质量的关系
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摘要
目的了解南昌市老年人类免疫缺陷病毒(HIV)感染者/艾滋病患者社会资本和生存质量的现况,并探索社会资本及其各维度与生存质量的关系。方法纳入2015年1月至6月南昌市东湖区和青云谱区疾病预防控制中心确证的65例老年HIV感染者/艾滋病患者进行现况调查。问卷包括一般情况调查表、个人社会资本量表和简体中文版MOS-HIV量表。采用统计描述评价老年HIV感染者/艾滋病患者的社会资本和生存质量现况,采用多元线性逐步回归分析探索社会资本与生存质量的关系。结果共收集有效问卷63份。南昌市老年HIV感染者/艾滋病患者结合型社会资本得分、桥梁型社会资本得分和社会资本总得分分别为10.83±1.99、7.60±2.94、18.43±3.47,生理领域和心理领域得分分别为44.25±5.10、42.93±5.08。结合型社会资本、CD4+T淋巴细胞计数、年龄、文化程度、婚姻状况是生存质量的影响因素(P<0.05)。结论南昌市老年HIV感染者/艾滋病患者的社会资本和生存质量较低;加强家庭成员、朋友、邻里等的关怀帮助是提高其生存质量的关键,而桥梁型社会资本与生存质量的关系有待进一步探索。
Objective To understand the status of social capital and quality of life in elderly patients living with human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS) in Nanchang, and to explore the correlation of social capital and its dimensions with quality of life. Methods A total of 65 elderly HIV/AIDS patients were investigated from the Center for Disease Control and Prevention(CDC) database of the Donghu District and Qingyunpu District of Nanchang from Jan. to Jun. 2015. The questionnaires included basic situation survey, personal social capital scale and simplified Chinese version of medical outcomes study HIV health survey(MOS-HIV). The descriptive statistical method was used to evaluate the status of social capital and quality of life of elderly HIV/AIDS patients. The multiple linear regression analysis was used to analyze the relationship between social capital and quality of life. Results A total of 63 questionnaires were collected. The scores of bonding social capital, bridging social capital and total social capital of elderly HIV/AIDS patients were 10.83±1.99, 7.60±2.94 and 18.43±3.47, respectively. The physical health summary score and mental health summary score were 44.25±5.10 and 42.93±5.08, respectively. Bonding social capital, CD4+ T cell count, age, education level and marital status were the influencing factors of quality of life(P<0.05). Conclusion The elderly HIV/AIDS patients in Nanchang have low social capital and poor quality of life. More care and help from family members, friends, neighborhoods and others are keys to improve quality of life of elderly HIV/AIDS patients, but the relationship between bridging social capital and quality of life needs to be further explored.
Objective To understand the status of social capital and quality of life in elderly patients living with human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS) in Nanchang, and to explore the correlation of social capital and its dimensions with quality of life. Methods A total of 65 elderly HIV/AIDS patients were investigated from the Center for Disease Control and Prevention(CDC) database of the Donghu District and Qingyunpu District of Nanchang from Jan. to Jun. 2015. The questionnaires included basic situation survey, personal social capital scale and simplified Chinese version of medical outcomes study HIV health survey(MOS-HIV). The descriptive statistical method was used to evaluate the status of social capital and quality of life of elderly HIV/AIDS patients. The multiple linear regression analysis was used to analyze the relationship between social capital and quality of life. Results A total of 63 questionnaires were collected. The scores of bonding social capital, bridging social capital and total social capital of elderly HIV/AIDS patients were 10.83±1.99, 7.60±2.94 and 18.43±3.47, respectively. The physical health summary score and mental health summary score were 44.25±5.10 and 42.93±5.08, respectively. Bonding social capital, CD4+ T cell count, age, education level and marital status were the influencing factors of quality of life(P<0.05). Conclusion The elderly HIV/AIDS patients in Nanchang have low social capital and poor quality of life. More care and help from family members, friends, neighborhoods and others are keys to improve quality of life of elderly HIV/AIDS patients, but the relationship between bridging social capital and quality of life needs to be further explored.
引文
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[14]BASAVARAJ K H,NAVYA M A,RASHMI R.Quality of life in HIV/AIDS[J].Indian J Sex Transm Dis,2010,31:75-80.
[15]张曼华,徐勤,张辉,王晓红,张宏伟.艾滋病相关老年人群心理健康状况调查[J].中国公共卫生,2007,23:1069-1070.
[16]JIA H,UPHOLD C R,WU S,REID K,FINDLEY K,DUNCAN P W.Health-related quality of life among men with HIV infection:effects of social support,coping,and depression[J].AIDS Patient Care STDS,2004,18:594-603.
[17]LI L,WU S,WU Z,SUN S,CUI H,JIA M.Understanding family support for people living with HIV/AIDS in Yunnan,China[J].AIDS Behav,2006,10:509-517.
[18]GILGEN D,WILLIAMS B G,MACPHAIL C,VANDAM C J,CAMPBELL C,BALLARD R C,et al.Natural history of HIV/AIDS in a major goldmining centre in South Africa:results of a biomedical and social survey[J].Ikon Cinema Televisione Iconografia,2000,65:111-150.
[19]刘曦,李春娜,丁立,陈慧丽,黄珊凤.CD4+细胞计数与HIV相关症状及机会性感染的相关性分析[J].中国艾滋病性病,2012,18:767-769.
[20]俞晓静.上海市社区老年人社会资本及其对心理健康影响研究[D].上海:复旦大学,2008.
[2]EFFROS R B,FLETCHER C V,GEBO K,HALTERJ B,HAZZARD W R,HORNE F M,et al.Aging and infectious diseases:workshop on HIV infection and aging:what is known and future research directions[J].Clin Infect Dis,2008,47:542-543.
[3]中国疾病预防控制中心.2016年10月全国艾滋病性病疫情[J].中国艾滋病性病,2016,22:945.
[4]新华网.我国艾滋病疫情在青年学生和老年人群中上升较快[EB/OL].(2016-11-30)[2017-05-01].http://news.xinhuanet.com/2016-11/30/c_1120023059.htm.
[5]央广网.详解江西省艾滋病疫情[EB/OL].(2015-12-02)[2017-05-01].http://jx.cnr.cn/2011jxfw/xwjj/20151202/t20151202_520661087.shtml.
[6]MA Y,QIN X,CHEN R,LI N,CHEN R,HU Z.Impact of individual-level social capital on quality of life among AIDS patients in China[J/OL].PLoS One,2012,7:e48888.doi:10.1371/journal.pone.0048888.
[7]蓝桂莲,陈宇星,陈飞宇,袁兆康,徐群英,原玲玲,等.社会资本对艾滋病感染者和患者生存质量的影响[J].第二军医大学学报,2016,37:197-201.LAN G L,CHEN Y X,CHEN F Y,YUAN Z K,XU QY,YUAN L L,et al.Effects of social capital on the life quality of patients living with HIV/AIDS[J].Acad J Sec Mil Med Univ,2016,37:197-201.
[8]CHEN X,STANTON B,GONG J,FANG X,LI X.Personal Social Capital Scale:an instrument for health and behavioral research[J].Health Educ Rese,2009,24:306-317.
[9]SZRETER S,WOOLCOCK M.Health by association?Social capital,social theory,and the political economy of public health[J].Int J Epidemiol,2004,33:650-667.
[10]喻达,刘民.MOS-HIV量表评价艾滋病抗病毒治疗病人生活质量现状[J].中国艾滋病性病,2009,15:331-334.
[11]WU A W.MOS-HIV health survey users manual[D].Baltimore,MD:Johns Hopkins University,1999.
[12]喻达,刘民,明中强.MOS-HIV量表简体中文版的翻译修订及信度的效度评价[J].中国艾滋病性病,2008,14:454-456.
[13]胡志,秦侠.社会资本与艾滋病防治[M].北京:人民卫生出版社,2014:10-14.
[14]BASAVARAJ K H,NAVYA M A,RASHMI R.Quality of life in HIV/AIDS[J].Indian J Sex Transm Dis,2010,31:75-80.
[15]张曼华,徐勤,张辉,王晓红,张宏伟.艾滋病相关老年人群心理健康状况调查[J].中国公共卫生,2007,23:1069-1070.
[16]JIA H,UPHOLD C R,WU S,REID K,FINDLEY K,DUNCAN P W.Health-related quality of life among men with HIV infection:effects of social support,coping,and depression[J].AIDS Patient Care STDS,2004,18:594-603.
[17]LI L,WU S,WU Z,SUN S,CUI H,JIA M.Understanding family support for people living with HIV/AIDS in Yunnan,China[J].AIDS Behav,2006,10:509-517.
[18]GILGEN D,WILLIAMS B G,MACPHAIL C,VANDAM C J,CAMPBELL C,BALLARD R C,et al.Natural history of HIV/AIDS in a major goldmining centre in South Africa:results of a biomedical and social survey[J].Ikon Cinema Televisione Iconografia,2000,65:111-150.
[19]刘曦,李春娜,丁立,陈慧丽,黄珊凤.CD4+细胞计数与HIV相关症状及机会性感染的相关性分析[J].中国艾滋病性病,2012,18:767-769.
[20]俞晓静.上海市社区老年人社会资本及其对心理健康影响研究[D].上海:复旦大学,2008.