School of Clinical Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Department of Nursing, Shanghai Gongli Hospital, Second Military Medical University, Shanghai, China.
Int J Health Plann Manage. 2019 Jul;34(3):1055-1064. doi: 10.1002/hpm.2874. Epub 2019 Jul 31.
The HIV/AIDS epidemic rages on in China, particularly among men who have sex with men (MSM). MSM with HIV/AIDS also tend to have poorer quality of life than other members of the population. A major contributor to these issues is the huge gap between the increasing demand of MSM for medical services and the availability of such services; their current needs cannot be met only with the services of the Chinese Center for Disease Control and Prevention. The aim of the present study was to examine the quality of life of MSM with HIV/AIDS in Shanghai, as well as determine whether it is influenced by chronic disease self-management (CDSM).
We conducted a pre-post study to evaluate the effect of CDSM on participants' quality of life. Four hundred twenty participants were assigned to either the CDSM group (n = 210) or the control group (n = 210). We collected data on quality of life (using the Medical Outcomes Study HIV Health Survey [MOS-HIV]) and various psychological and behavioral variables via interviewer-administered questionnaires.
The physical and mental health summary scores of the MOS-HIV were 53.7 and 49.9, respectively. The CDSM group showed a significant improvement in quality of life and a significant decrease in the proportion of participants with anxiety symptoms (from 38.6% to 22.6%). Furthermore, the frequency of condom use increased from 43.3% to 47.3%.
MSM with HIV generally had low quality of life in Shanghai. The CDSM program might help promote the quality of life of MSM while helping them practice healthy behaviors.
艾滋病在中国肆虐，尤其是在男男性行为者（MSM）中。HIV/AIDS 感染者的生活质量也往往比其他人群差。造成这些问题的一个主要原因是 MSM 对医疗服务的需求不断增加与服务提供之间存在巨大差距；仅依靠中国疾病预防控制中心的服务无法满足他们的当前需求。本研究旨在探讨上海 MSM 艾滋病病毒感染者的生活质量，并确定其是否受到慢性疾病自我管理（CDSM）的影响。
我们进行了一项前后对照研究，以评估 CDSM 对参与者生活质量的影响。将 420 名参与者分为 CDSM 组（n = 210）和对照组（n = 210）。我们通过访谈者管理的问卷收集生活质量（使用医疗结果研究 HIV 健康调查 [MOS-HIV]）和各种心理及行为变量的数据。
MOS-HIV 的生理和心理健康综合评分分别为 53.7 和 49.9。CDSM 组的生活质量显著改善，焦虑症状参与者的比例显著下降（从 38.6%降至 22.6%）。此外，安全套使用率从 43.3%上升至 47.3%。
上海的 MSM 艾滋病病毒感染者普遍生活质量较低。CDSM 计划可能有助于提高 MSM 的生活质量，并帮助他们养成健康的行为习惯。
