Quality of life and related factors among adult people living with HIV/AIDS in Wuhu, Anhui

Abstract

Objective To know the status of quality of life and related factors of adult people living with HIV and AIDS in Wuhu city. Methods The SF-36 questionnaire was used to investigate the 8 dimensions of scores and related characteristics among 869 adult HIV / AIDS follow-ups in Wuhu city during the year of 2018, and the information were associated with infectious disease report card on AIDS. Independent-Samples t test and multiple linear regression model were applied to analyze related factors of physiological scores, psychological scores and overall scores. Results Of 869 participants, the average scores of the SF-36 scale, the physiological aspect, and the psychological aspect were (610.55 ± 120.71) points, (316.09 ± 54.28) points and (294.46 ± 76.19) points, respectively. The scores of physical functioning, role-physical, general health, as well as the overall score of HIV-infected persons were higher than those of AIDS patients ( P <0.05). Multivariate linear regression analysis of SF-36 scale on physiological scores, psychological scores and overall scores of participants showed that numbers of residents ( β =0.183, P <0.001), monthly income ( β =0.174, P <0.001), occupation ( β =0.136, P <0.001), CD4 value ( β =0.099, P =0.002), times of follow-up ( β =0.093, P =0.005) and gender ( β =0.079, P =0.019) affected physiological scores; and monthly income( β =0.274, P <0.001), numbers of residents ( β =0.258, P <0.001), gender ( β =0.063, P <0.001) were related to psychological scores; while monthly income ( β =0.255, P <0.001), numbers of residents ( β =0.251, P <0.001), CD4 values( β =0.077, P <0.001) influenced the overall scores. Conclusion Targeted intervention should be strengthened to improve their quality of life on HIV /AIDS with low-income or no-income, large family-resident population, low CD4 value, less times of follow-up, non-housework occupation or unemployed and female ones. 摘要：目的 了解芜湖市成年HIV感染者/AIDS患者的生存质量现状及其相关因素。 方法 应用SF-36问卷对芜 湖市2018年随访的869名成年HIV感染者/AIDS患者进行调査, 了解8个维度得分情况和相关特征, 关联艾滋病传染病 报卡信息；采用两独立样本t检验和多元线性回归模型分析影响生理 、 心理及总体得分的因素。 结果 869名成年HIV 感染者/AIDS患者的SF-36量表总分、生理及心理得分分别为 (610.55±120.71)、(316.09±54.28)、(294.46±76.19)分。HIV感染者的生理机能、生理职能和一般健康状况维度以及总分均高于AIDS患者( P <0.05)。HIV感染者/AIDS患者家 庭居住人口数( β =0.183, P <0.001)、月收人 ( β =0.174, P <0.001)、职业( β =0.136, P <0.001)、CD4值( β =0.099, P =0.002)、随 访次数( β =0.093, P =0.005)和性别( β =0.079, P =0.019)影响生理得分;月收人( β =0.274, P <0.001)、居住人口数( β =0.258, P <0.001)和性别( β =0.063, P <0.001)影响心理得分；月收人 ( β =0.255, P <0.001)、家庭居住人口数( β =0.251, P <0.001)和 CD4值( β =0.077, P <0.001)影响总体得分。 结论 应关注收人较低或无收人的、家庭居住人口数较多的、CD4值较低 的、随访次数较少的、非家政家务或待业职业的和女性成年HIV感染者/AIDS患者, 加强针对性干预, 提升其生存质量。