摘要
目的了解影响农村地区艾滋病抗病毒治疗依从性的因素并提出应对策略。方法对来自河南省和安徽省农村地区,正在接受抗病毒治疗的艾滋病病毒(HIV)感染者的服药依从性及影响依从性的因素进行分析。结果501例HIV感染者,服药时间不依从性达34.0%(165/486),剂量不依从性为10.8%,总服药不依从性为44.8%。影响依从性的治疗因素主要有治疗方案、药物剂型等,行为因素有干农活不在家(67.3%)和遗忘(60%),其次因外出打工不在家(13.33%)占有一定比例。结论(1)我国农村地区艾滋病免费抗病毒治疗的依从性仅在50%左右;(2)影响农民HIV感染者服药依从性的因素主要与其生活和工作习惯有关,药物方案和剂型、剂量的影响因素也非常明显;(3)加强艾滋病抗病毒治疗教育是改善农村地区治疗依从性的关键。
Objective To understand the factors influencing the adherence to ARV treatment among people living with HIV/AIDS in rural areas,and develop strategy for its improvemet. Method The adherence to ARV treatment and related impact factors were analyzed among 501 HIV carriers/AIDS patients coming from rural areas of Henan and Anhui province. Result The total non-adherence rate was 44.8 % among all the subjects studied, of which the non-adherence in respect with time was 34.0 % （165/486） and that in respect with dosage was 10.8 %. The factor which influenced the adherence involved therapeutic and behavioral aspects; the former included treatment regimen and drug forms and the latter included being busy with farm work （67.3 % ）, forgetting to take medicine （60 % ） and working in the city far from home（ 13.33 % ）. Conclusion （ 1 ） The adherence of ARV treatment is only about 50 % in rural area of China. （2） The factor which influence the adherence to ARV treatment among HIV carriers/AIDS patients living in rural areas were related with their living and working habits, but ARV treatment regimen and drug forms also play a significant role. （3） It is essential to strengthen ARV treatment education for the improvement of adherence to ARV treatment in rural areas.
出处
《中国艾滋病性病》
CAS
2007年第4期317-320,共4页
Chinese Journal of Aids & STD
基金
香港乐施会支持
关键词
艾滋病
治疗依从性
HIV/AIDS
Adherence to ARV therapy
