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China's Aids Epidemic Hit Areas Of Hiv / Aids Population Living Condition

Posted on:2008-02-27Degree:MasterType:Thesis
Country:ChinaCandidate:L LiFull Text:PDF
GTID:2204360218455851Subject:Social Medicine and Health Management
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OBJECTIVE1. To show demographic character (age, gender, ethnicity and economic status, etc) ofthe participants, HIV transmitted route and health condition in Yining City in XinjiangProvince, Wenxi County in Shanxi Province, Nanyang City in Henan Province and thewhole interviewed people;2. To show participants's physical, psychological, and social relationship andenvironment quality of life evaluation in three site and a whole population;3. To show social support, anxiety/depression evaluation, stigma and discriminationevaluation of the participants in the three provinces and the whole population;4. To show the relationship of QOL, Social Support and A/D.METHODThe investigation sites were selected by different HIV transmission routes, peoplewith HIV as case arm, and HIV antibody negative as control arm. Data was collected usinganonymous questionnaires, including demographics, quality of life, social support, stigmaand discrimination, and anxiety/depression.Descriptive statistics were used to show the participants' demographic character,quality of life evaluation (including physical, psychological, social relationship, andenvironment), social support, anxious/depressed, and stigma/discrimination by differentprovince and a whole sample.Given people with HIV/AIDS and people influenced by HIV/AIDS, quality of life,social support, A/D evaluation and their association was analyzed using univariate andmultivariate regression models, respectively among the study people, whatever his HIVantibody was negative or positive, the variable (P<0.05 in univariate regression model)was selected to establish multivariate regression model. Given the difference betweenpeople HIV positive and non HIV infections, associations between demographic variablesand quality of life, social support, A/D and stigma/discrimination evaluation were analyzedusing regression models by different HIV status.RESULT Associations analysis by different HIV status among all the participants showed,gender, ethnicity, age, education level, married status, urban or rural residence, smoking,having family members, family economic status, medical care insurance, HIV transmittedroute, receiving HAART, social support and A/D was associated with QOL(P<0.05).In the multivariate regression model, social support was a positive factor and A/D,paid blood donor, receiving HARRT were negative factors correlated with the quality oflife evaluations. HAART occurred earlier in Henan province, so their participants' QOLevaluation was higher than in Xinjiang and Shanxi. There was no difference between HIVpositive people and AIDS patients on QOL, social support, for receiving HAART people,whose QOL ON psychology was less, but social support was higher.COCLUSIONStudy people with HIV, their quality of life was worse, their capacity of acquiring andusing social support, eliminating stigma and discrimination and A/D should be trained.Women should be a focus in HIV/AIDS prevention and control. They were a vulnerablepopulation for some social gender reasons. Reducing adverse events was necessary toAIDS patients receiving HAART.
Keywords/Search Tags:HIV, AIDS, quality of life, social support, anxious/depressed, stigma/discrimination, regression model
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