Zhang Man-hua, Yang Yu-jun, Shi Cong-rong, Sun Hong, Chen Xi
Department of Medical Psychology, Capital Medical University, Beijing 100069, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2009 Nov;43(11):1000-3.
To investigate the social health status of the HIV infected and their families in a high HIV/AIDS prevalence village in Hunan province and to examine the relations of the social health status, responses and social support.
A total of 51 HIV infected persons (infected group), 49 family members of the infected (family member group) and 96 normal persons (control group) were surveyed by Social Health Measurement Scale-a sub-scale of Self-rated Health Measurement Scale (SRHMS), Social Support Assessment Scale (SSAS) and Trait Coping Style Questionnaire (TCSQ).
(1) In regard to the total scores of social health, responding style and social support, significant differences were found among the infected group, the group of family members and the control group (62.9 +/- 18.6, 79.8 +/- 18.0, 86.5 +/- 21.3, F = 18.16; 28.7 +/- 4.3, 27.2 +/- 5.4, 25.9 +/- 6.4, F = 5.21; 33.8 +/- 8.1, 41.0 +/- 6.6, 38.1 +/- 6.8, F = 13.23; P < 0.01). (2) Subjective care and support, the educational status, the marital status and support utilization were significant predictors to the social health status of the infected group (R(2) = 0.73, F = 27.78, P < 0.01). (3) Subjective support and negative responding style were significant predictors to the social health status of the group of family members (R(2) = 0.32, F = 12.35, P < 0.01).
The HIV infected and their families have more negative responding style, make less use of social support and hold a inferior social health status. It's necessary to exert psychological intervention targeting at these population group.
调查湖南省一个艾滋病病毒/艾滋病高流行村庄中艾滋病病毒感染者及其家庭的社会健康状况，并探讨社会健康状况、应对方式与社会支持之间的关系。
采用自测健康评定量表（SRHMS）中的社会健康测量子量表、社会支持评定量表（SSAS）和特质应对方式问卷（TCSQ），对51名艾滋病病毒感染者（感染组）、49名感染者家庭成员（家庭成员组）和96名正常人（对照组）进行调查。
（1）在社会健康总分、应对方式和社会支持方面，感染组、家庭成员组和对照组之间存在显著差异（62.9±18.6、79.8±18.0、86.5±21.3，F = 18.16；28.7±4.3、27.2±5.4、25.9±6.4，F = 5.21；33.8±8.1、41.0±6.6、38.1±6.8，F = 13.23；P < 0.01）。（2）主观关怀与支持、教育程度、婚姻状况和支持利用是感染组社会健康状况的显著预测因素（R(2)=0.73，F = 27.78，P < 0.01）。（3）主观支持和消极应对方式是家庭成员组社会健康状况的显著预测因素（R(2)=0.32，F = 12.35，P < 0.01）。
艾滋病病毒感染者及其家庭的应对方式更消极，社会支持利用较少，社会健康状况较差。有必要针对这些人群进行心理干预。
