首页|基于社会网络模型的泸州市≥50岁HIV/AIDS患者社会支持分析

基于社会网络模型的泸州市≥50岁HIV/AIDS患者社会支持分析

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目的 应用社会网络分析法(SNA)分析泸州市接受社区随访管理的≥50岁HIV/AIDS患者社会支持主体网络特征,为开展社会支持、健康干预工作提供依据.方法 采用定额抽样方法,以泸州市接受社区随访管理的≥50岁HIV/AIDS患者作为调查对象,设计社会网络矩阵问卷,调查社会支持的主体网络关系,Excel2016编制关系矩阵,ucinet6.0软件分析整体网络特征,NetDraw绘制2-mode网络图.结果 泸州市接受社区随访管理的280名≥50岁HIV/AIDS患者获得的社会支持总分(19.27±7.14)分,各维度依次为社区(3.13±0.84)分,医院(3.08±0.86)分,家庭(2.80±1.10)分,亲戚(1.96±1.25)分,传统媒体(1.81±1.30)分,朋友(1.66±1.26)分,邻居(1.61±1.27)分,新媒体(1.40± 1.35)分,同事(1.06±1.20)分,社会组织(0.77±1.06)分.网络整体密度矩阵为(1.93±1.40),核心-边缘结构最终拟合度0.63,社会网络模型图拟合较好.中心度最高的集合为社区(度数中心度0.99,接近中心度0.97,中间中心度0.19).社会网络结构显示社区和医院位于核心位置,家庭位于次核心位置,亲戚、传统媒体、朋友、邻居、新媒体、同事、社会组织位于边缘位置.结论 泸州市接受社区随访管理的≥50岁HIV/AIDS患者主要从社区卫生服务中心、各级医疗机构获得社会支持,其次从患者家属处获得.政府政策和社区卫生服务的协作发挥了关键作用,未来的工作应注重减少歧视,拓宽社会支持来源,并继续加强政府、社区和医疗机构之间的合作,改善≥50岁HIV/AIDS患者的社会支持,有助于提高其生活质量,也可为其他地区提供借鉴.
Community follow-up management-based social support for HIV/AIDS patients a ged 50 and above in Luzhou City
Objective This study provides a basis for providing social support and health intervention for patients aged 50 and above who were afflicted with HIV/AIDS.To this end,social network analysis(SNA)was adopted to analyze the characteristics of the social network of such patients who receive community follow-up management in Luzhou.Methods Survey participants were recruited via quota sampling.A social network matrix question-based survey was designed to investigate the relationships within the social support network.Excel 2016 was used to create the relationship matrix,UCINET 6.0 software was used to analyze the overall network characteristics,and NetDraw was applied to draw a 2-mode network diagram.Results The total score of social support received by 280 senior HIV/AIDS patients with community follow-up management in Luzhou was 19.27±7.14.The scores for each dimension were as follows:community,3.13±0.84;hospital,3.08±0.86;family,2.80±1.10;relatives,1.96±1.25;traditional media,1.81±1.30;friends,1.66±1.26;neighbors,1.61±1.27;new media,1.40±1.35;colleagues,1.06±1.20;and social organizations,0.77±1.06.The overall density matrix of the network was 1.93±1.40,and the final fit of the core-periphery structure was 0.63,which indicated a good fit of the social network model.The set with the highest centrality was the community(degree centrality=0.99,closeness centrality=0.97,betweenness centrality=0.19).The community and hospital were at the core position in the social network structure,the family was in the sub-core position,while relatives,traditional media,friends,neighbors,new media,colleagues,and social organizations were in the peripheral position.Conclusions Senior patients(aged 50 and above)infected with HIV/AIDS who receive community follow-up management in Luzhou acquire social support mainly from community health service centers and various levels of medical institutions,followed by their families.The collaboration between government policies and community health services has played a crucial role,and future efforts should focus on reducing discrimination,expanding sources of social support,and continuing to strengthen cooperation between the government,community,and medical institutions.By improving social support for senior HIV/AIDS patients,their quality of life can be enhanced,and it also serves as a reference for other regions.

social network analysis(SNA)people aged 50 and aboveHIV/AIDSsocial support networkintervention measures

陈小雪、郎杰那么、王若兰、叶雨婷、吕馨月、华涵、李爱玲、陈润、范颂

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西南医科大学公共卫生学院,四川泸州 646000

社会网络分析法 ≥50岁 艾滋病病毒感染者/艾滋病患者 社会支持主体 干预措施

西南医科大学校级课题

21YYJC0578

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(1)
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