加纳库马西两家大医院中人类免疫缺陷病毒血清不一致夫妇的家庭功能的预测因素。

Predictors of family functionality amongst human immunodeficiency virus-serodiscordant couples in two major hospitals in Kumasi, Ghana.

机构信息

Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; and, University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi.

出版信息

Afr J Prim Health Care Fam Med. 2020 Jun 9;12(1):e1-e6. doi: 10.4102/phcfm.v12i1.2355.

DOI:10.4102/phcfm.v12i1.2355

PMID:32634008

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7343915/

Abstract

BACKGROUND

Family instability and partner conflicts are reportedly common in serodiscordant relationships. To date, the family adaptability, partnership, growth, affection and resolve (Family APGAR), a standardised tool for assessing family function, has not been used in any published literature involving this peculiar group.

AIM

The aim of this study was to determine the predictors of family functionality and its association with human immunodeficiency virus (HIV) serodiscordance.

SETTING

The study was undertaken at the Kwame Nkrumah University of Science and Technology Hospital and Komfo Anokye Teaching Hospital in Kumasi, Ghana.

METHOD

This was a cross-sectional study. A systematic sampling method was used to select HIV-positive clients whose partners were seropositive (concordant) or seronegative (discordant). A standardised format was used to extract relevant data. All data were analysed using STATA® (version 14). Results were reported as odds ratios with 95% confidence intervals for study and outcome variables.

RESULTS

The study recruited 374 respondents, of which 52% (195) were in HIV-discordant relationships. Approximately 68% (254) of the respondents rated their families as functional, 15% (57) rated as moderately dysfunctional and 17% (63) rated as severely dysfunctional. A statistically significant relationship was found between family functionality and gender, as well as between family functionality and HIV status disclosure to the partner. No association was found between the Family APGAR and HIV serodiscordance.

CONCLUSION

Amongst HIV couples, the strongest predictors of family functionality are gender and status disclosure. Healthcare providers should invest efforts into addressing gender-based challenges, utilise the Family APGAR and support disclosure of HIV status, especially amongst discordant couples.

摘要

背景

据报道，在血清不一致的关系中，家庭不稳定和伴侣冲突很常见。迄今为止，家庭适应能力、伙伴关系、成长、情感和解决问题（家庭 APGAR），一种评估家庭功能的标准化工具，尚未在任何涉及这一特殊群体的已发表文献中使用。

目的

本研究旨在确定家庭功能的预测因素及其与人类免疫缺陷病毒（HIV）血清不一致的关系。

设置

该研究在加纳库马西的夸梅·恩克鲁玛科技大学医院和 Komfo Anokye 教学医院进行。

方法

这是一项横断面研究。采用系统抽样法选择其伴侣血清阳性（一致）或血清阴性（不一致）的 HIV 阳性患者。使用标准化格式提取相关数据。所有数据均使用 STATA®（版本 14）进行分析。研究和结果变量的结果报告为比值比及其 95%置信区间。

结果

该研究共招募了 374 名受访者，其中 52%（195 名）处于 HIV 不一致的关系中。大约 68%（254 名）的受访者认为他们的家庭功能正常，15%（57 名）认为家庭功能中度失调，17%（63 名）认为家庭功能严重失调。家庭功能与性别之间存在统计学显著关系，与向伴侣披露 HIV 状况之间也存在统计学显著关系。家庭 APGAR 与 HIV 血清不一致之间未发现关联。