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埃塞俄比亚西部沃莱加区公立医院接受抗逆转录病毒治疗患者的家庭和社会支持:一项基于机构的横断面研究。

Family and Social Support Among Patients on Anti-Retroviral Therapy in West Wollega Zone Public Hospitals, Western Ethiopia: A Facility-Based Cross-Sectional Study.

作者信息

Desalegn Markos, Gutama Tokuma, Merdassa Emiru, Kejela Gemechu, Benti Wase

机构信息

Department of Public Health, Wollega University, Nekemte Town, West Ethiopia.

出版信息

HIV AIDS (Auckl). 2022 Apr 13;14:167-179. doi: 10.2147/HIV.S360431. eCollection 2022.

Abstract

BACKGROUND

Poor family and social support is a problem for patients taking antiretroviral therapy (ART), but it protects them against the negative consequences of stress, reducing morbidity and mortality among peoples living with human immunodeficiency virus (PLWHIV).

OBJECTIVE

This study aimed to assess family and social support and the associated factors among patients on antiretroviral therapy in West Wollega Public Hospitals.

METHODS

A facility-based cross-sectional study design was conducted among 329 respondents attending antiretroviral therapy (ARV) clinics in West Wollega Public Hospitals from September 1-30, 2020. Data were collected by simple random sampling methods using an interviewer-administered questionnaire. Bivariate and multivariate logistic regression analysis was used. The strength and presence of statistical association were assessed using adjusted odds ratio with a 95% confidence interval.

RESULTS

About 266 (66.4%) of the respondents had low family and social support. Being female sex [AOR (95% CI)=0.066 (0.013-0.338)], failing to discuss with family or society [AOR (95% CI)=0.275 (0.100-0.753)], lack of information on support [AOR (95% CI)=0.314 (0.104-0.951)], and non-disclosure of HIV status to family [AOR (95% CI)=0.227 (0.084-0.916)] were associated with family and social support.

CONCLUSION

In this study, family and social support to people living with HIV/AIDS is low. Being female sex, feelings of negative treatment, lack of discussion on support, lack of information about support, and failure to disclose HIV status were associated with low family and social support. Information, education, and communication should be intensified to increase the awareness of the community, family, and people living with HIV related to support for people living with HIV.

摘要

背景

家庭和社会支持不足是接受抗逆转录病毒疗法(ART)患者面临的一个问题,但它能保护他们免受压力的负面影响,降低人类免疫缺陷病毒感染者(PLWHIV)的发病率和死亡率。

目的

本研究旨在评估西沃莱加公立医院接受抗逆转录病毒治疗患者的家庭和社会支持及其相关因素。

方法

2020年9月1日至30日,在西沃莱加公立医院抗逆转录病毒治疗(ARV)门诊就诊的329名受访者中开展了一项基于机构的横断面研究设计。数据通过使用访谈员管理的问卷采用简单随机抽样方法收集。采用双变量和多变量逻辑回归分析。使用调整后的比值比及95%置信区间评估统计关联的强度和存在情况。

结果

约266名(66.4%)受访者的家庭和社会支持水平较低。女性[AOR(95%CI)=0.066(0.013 - 0.338)]、未与家人或社会讨论[AOR(95%CI)=0.275(0.100 - 0.753)]、缺乏支持信息[AOR(95%CI)=0.314(0.104 - 0.951)]以及未向家人透露HIV感染状况[AOR(95%CI)=0.227(0.084 - 0.916)]与家庭和社会支持有关。

结论

在本研究中,对艾滋病毒/艾滋病感染者的家庭和社会支持水平较低。女性、负面治疗感受、缺乏对支持的讨论、缺乏支持信息以及未透露HIV感染状况与家庭和社会支持水平较低有关。应加强信息、教育和宣传,以提高社区、家庭以及艾滋病毒感染者对艾滋病毒感染者支持的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/954f/9014107/3f99b572ed6f/HIV-14-167-g0001.jpg

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