简体中文版MOS-HIV量表对HIV/AIDS患者生存质量测评与社会歧视的相关性分析

摘要

Objective To learn the influencing factors of the quality of life of HIV/AIDS patients and their correlation with social discrimination, so as to provide evidence for reducing the social discrimination and improving the quality of life of HIV/AIDS patients. Methods Self-designed questionnaire was used to learn the general demographic characteristics of the target population in a region. Simplified Chinese application MOS-HIV scale was ued to evaluate the quality of life of the target population, and the 11 dimensions of demographic characteristics and HIV/AIDS related characteristics which may influence the quality of life were investigated and evaluated. At the same time, the influencing factors of the life of quality and social discrimination of HIV/AIDS patients were explored. The significance of differences was statistically analyzed by t test and the canonical correlation was analyzed by Logistic regression analysis. Results MOS-HIV scale score in this study was basically consistent with the domestic research. Different HIV transmission routes influence the overall health, cognitive function and quality of life of HIV/AIDS patients (P < 0.01). the group of different income hold different social discrimination, in different social discrimination of Logistic regression analysis showed that the major influencing factors were the body function, cognitive function, social function, gender and profession in HIV/AIDS patients with different income (P <0.01). Conclusion For the HIV/AIDS patients, the higher social discrimination, the overall health, cognitive function and life quality is lower, so the social discrimination should be reduced to improve the quality of life.%目的 了解HIV/AIDS生存质量的相关影响因素及与社会歧视的相关性,为减少社会对HIV感染者/AIDS患者的歧视,提高其生命质量提供科学依据.方法 利用自行设计的相关影响因素问卷了解该地区目标人群的一般人口学特征；应用简体中文版MOS-HIV量表对目标人群的生活质量现状进行评价,调查可能影响生活质量的人口学特征和与HIV/AIDS相关特征的11个维度的测评；同时探索HIV/AIDS人群生活质量及社会歧视影响因素.统计学处理采用t检验进行显著性检验及用Logistic回归进行典型相关分析.结果 MOS-HIV量表得分总体情况与国内研究基本一致,不同HIV传播途径影响研究对象的总体健康、认知功能和生命质量(P＜0.01),不同的收入人群社会歧视态度不同,在不同歧视态度人群中Logistic回归分析发现,主要影响因素是躯体功能、认知功能、社会功能、性别与职业,P＜0.01.结论 对HIV感染者/AIDS患者社会歧视越高,总体健康、认知功能和生活质量越低,应减少社会歧视,提高生存质量.