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埃塞俄比亚阿姆哈拉州北谢瓦地区部分医院艾滋病毒/艾滋病感染者社会支持状况的影响因素

Factors Affecting Social Support Status of People Living with HIV/AIDS at Selected Hospitals of North Shewa Zone, Amhara Region, Ethiopia.

作者信息

Basha Elyas Admasu, Derseh Behailu Tariku, Wubetu Abate Dargie, Engidaw Nigus Alemnew, Gizachew Kefyalew Dagne

机构信息

Debre Berhan University, Institute of Medicine and Health Sciences Department of Nursing, P.O. Box 445, Debre Berhan, Ethiopia.

Debre Berhan University, Institute of Medicine and Health Sciences Department of Public Health, P.O. Box 445, Debre Berhan, Ethiopia.

出版信息

J Trop Med. 2021 Apr 1;2021:6695298. doi: 10.1155/2021/6695298. eCollection 2021.

Abstract

BACKGROUND

Globally, millions of people are affected by human immunodeficiency virus (HIV). Acquired immunodeficiency was linked with psychosocial problems, whereby stigma and discrimination are the most common. Therefore, this study was aimed at assessing the level of the social support problem in people living with human immunodeficiency virus (PLHIV) and factors associated with it at selected hospitals of North Shewa Zone, Amhara Region, Ethiopia.

METHOD

An institution-based cross-sectional study design was employed. A total of 422 PLHIV were involved in the study. A multidimensional perceived social support scale (MPSSS) for the measurement of social support problems was implemented. Systematic random sampling was used to recruit the study population after selecting study areas by lottery methods. Multivariate logistic regression analyses were performed via SPSS software. The statistical association was declared at a value of less than 0.05 in the final model.

RESULT

The prevalence of poor social support among study participants was 12.6%. Poor adherence to their antiretrovirus drugs was highly associated with poor social support (AOR = 2.06, 95% CI: 1.36, 3.13). Moreover, psychological distress (AOR = 4.67, 95% CI: 2.02, 10.81) and perceived stigma (AOR = 1.78, 95% CI: 1.18, 2.70) were positively associated.

CONCLUSION

The burden of poor social support is increasingly affecting the lives of PLHIV. Poor social support in PLHIV is more magnified by poor adherence, having psychological distress, and perceived stigma.

摘要

背景

在全球范围内,数百万人受到人类免疫缺陷病毒(HIV)的影响。获得性免疫缺陷与心理社会问题有关,其中耻辱感和歧视最为常见。因此,本研究旨在评估埃塞俄比亚阿姆哈拉地区北谢瓦区选定医院中感染人类免疫缺陷病毒者(PLHIV)的社会支持问题水平及其相关因素。

方法

采用基于机构的横断面研究设计。共有422名PLHIV参与了该研究。采用多维感知社会支持量表(MPSSS)来衡量社会支持问题。通过抽签方法选择研究区域后,采用系统随机抽样法招募研究人群。通过SPSS软件进行多变量逻辑回归分析。最终模型中,统计学关联以P值小于0.05表示。

结果

研究参与者中社会支持差的患病率为12.6%。抗逆转录病毒药物依从性差与社会支持差高度相关(调整后比值比[AOR]=2.06,95%置信区间[CI]:1.36,3.13)。此外,心理困扰(AOR=4.67,95%CI:2.02,10.81)和感知耻辱感(AOR=1.78,95%CI:1.18,2.70)呈正相关。

结论

社会支持差的负担日益影响着PLHIV的生活。PLHIV中社会支持差因依从性差、心理困扰和感知耻辱感而更加严重。

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