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泸州市老年HIV/AIDS患者衰弱现状及影响因素分析

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目的 了解泸州市老年HIV/AIDS患者衰弱现状并分析其影响因素,为老年艾滋病防控提供科学依据.方法采用等比例便利抽样法,于2022年3-7月抽取泸州市疾病预防控制中心艾滋病系统随访的老年HIV/AIDS患者为调查对象.收集其一般资料调查表、HIV感染相关情况,采用衰弱量表(FRAIL)评价衰弱状况,采用健康问卷(PHQ-9)量表评价抑郁状况,采用广泛性焦虑障碍量表(GAD-7)评价焦虑状况,采用社会支持评定量表(SSRS)评价社会支持程度.用单因素分析及二元logistic回归分析老年HIV/AIDS患者衰弱的影响因素.结果 本研究共发放问卷247份,有效240份(97.2%).240例老年HIV/AIDS患者中19例处于衰弱状态,占7.9%(19/240).CD4+细胞计数<200个/μL(OR=4.894,95%CI:1.450~16.519)、处于焦虑状态(OR=8.240,95%CI:2.258~30.068)、患肝脏系统疾病(OR=6.706,95%CI:1.143~39.356)、患心脑血管系统疾病(OR=3.947,95%CI:1.315~11.850)、患呼吸系统疾病(OR=6.913,95%CI:1.660~28.783)是老年HIV/AIDS患者衰弱的危险因素(P<0.05).结论 泸州市老年HIV/AIDS患者衰弱现状不容乐观,CD4+细胞计数<200个/μL、处于焦虑状态、患肝脏系统疾病、患心脑血管系统疾病、患呼吸系统疾病的老年HIV/AIDS患者为衰弱发生的高危人群.
Analysis on weakness status and influencing factors of HIV/AIDS among elderly individuals in Luzhou city
Objective To understand the weakness debilitating status of elderly people living with HIV/AIDS(PLWHA)in Luzhou city and analyze its influencing factors,so as to provide a scientific foundation for effective prevention and con-trol measures specifically tailored for HIV/AIDS among the elderly population.Methods Elderly PLWHA who have been normatively managed in Luzhou city were sampled from March to July 2022 by using equal-proportional convenience sampling method.The general information and HIV infection-related information was collected,FRAIL scale,Patient Health Questionnaire Scale(PHQ-9),Generalized Anxiety Disorder Scale(GAD-7)and Social Support Rate Scale(SSRS)were used to evaluated the frailty status,anxiety and depression status,and level of social support.Factors influencing frailty in elderly PLWHA were analyzed using univariate analysis of variance and binary logistic regression.Results A total of 247 questionnaires were distributed in this study and 240(97.2%)were valid.There were 19 cases of 240 elderly PLWHA in a weakness state,accounting for 7.9%(19/240).CD4+count was less than 200/μL(OR=4.894,95%CI:1.450-16.519),be in a state of anxiety(OR=8.240,95%CI:2.258-30.068),liver diseases(OR=6.706,95%CI:1.143-39.356),cardiovascular and cerebrovascular diseases(OR=3.947,95%CI:1.315-11.850),respiratory diseases(OR=6.913;95%CI:1.660-28.783)were independent risk factors for the weakness of elderly HIV-infected people(P<0.05).Conclusion The weakness status of elderly HIV/AIDS patients in Luzhou city is not optimistic.Elderly HIV/AIDS patients with CD4+cell counts<200 cells/μL,in an anxiety state,suffering from diseases of the hepatic system,suffering from cardiovascular and cerebral vascular diseases,and suffering from respiratory diseases are the high-risk groups for the occurrence of debilitation.

The elderlyHIVAIDSWeaknessInfluencing factor

李梦洁、陈润、李爱玲、王若兰、张雯欣、马霁、范颂

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西南医科大学公共卫生学院,四川泸州 646000

老年人 HIV AIDS 衰弱 影响因素

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(3)
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