首页|基于结构方程模型的青海省西宁市HIV感染者和AIDS患者高血压患病影响因素分析

基于结构方程模型的青海省西宁市HIV感染者和AIDS患者高血压患病影响因素分析

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目的 了解青海省西宁市人类免疫缺陷病毒(HIV)感染者和艾滋病(AIDS)患者(HIV感染者/AIDS患者)高血压患病情况及其影响因素,为HIV感染者/AIDS患者合并高血压的防控及干预提供科学依据.方法 于2023年2-7月,采用方便抽样法选取青海省西宁市接受高效抗逆转录病毒治疗(HAART)的468名HIV感染者/AIDS患者进行问卷调查和体格检查.采用SPSS 22.0进行x2检验、探索性因子分析,利用AMOS 24.0构建HIV感染者/AIDS患者高血压患病影响因素的结构方程模型(SEM).结果 共纳入468名研究对象,其中高血压患者138例,高血压患病率为29.5%,且随年龄增长患病率呈上升趋势(x2趋势=44.54,P<0.01).SEM分析结果显示,人口学特征、社会经济地位及HIV感染年限可对该人群高血压患病产生直接和间接效应,其总路径系数分别为0.14、0.18及0.02,抑郁症状、CD4+T细胞计数、体质指数及高血压家族史对该人群高血压患病产生直接影响,其路径系数分别为0.12、-0.60、0.19及0.12,模型适配度良好.结论 青海省西宁市HIV感染者/AIDS患者高血压患病率较高,应对该人群开展全面健康干预,定期监测血压及CD4+T细胞计数等HIV感染相关指标,从而有效降低高血压患病风险.
Analysis on influencing factors of hypertension among HIV infected cases/AIDS cases in Xining city of Qinghai Province based on structural equation model
Objective To explore the prevalence of hypertension and its influencing factors among persons infected by human immunodeficiency virus(HIV)and acquired immune deficiency syndrome(AIDS)patients(HIV infected persons/AIDS patients)in Xining of Qinghai Province,and provide the scientific basis for the prevention,control and intervention of hypertension among HIV infected persons/AIDS patients.Methods From February to July 2023,the convenient sampling method was used to select 468 HIV infected persons/AIDS patients with received highly effective antiretroviral therapy(HAART)in Xining of Qinghai Province as the subjects.The x2 test and exploratory factor analysis were used to analyze the data,the used software was SPSS 22.0.AMOS 24.0 was used to construct the structural equation model(SEM)of the influencing factors of hypertension in HIV infected persons/AIDS patients.Results A total of 468 subjects(including 138 hypertension cases)were included,the morbidity of hypertension was 29.5%,which increased with age(x2trend=44.54,P<0.01).The SEM analysis results showed that demographic characteristics,socio-economic status,and HIV infection years had direct and indirect effects on the prevalence of hypertension in the population,the total path coefficients were 0.14,0.18,and 0.02,respectively.Depression,CD4+T cell count,body mass index,and family history of hypertension had the direct impact effect on the prevalence of hypertension in the population,the path coefficients were 0.12,-0.60,0.19,and 0.12,respectively.The model had good adaptability.Conclusion The morbidity of hypertension among HIV infected persons/AIDS patients in Xining of Qinghai Province is higher.Comprehensive health interventions should be taken for the population,and HIV infection related indicators such as blood pressure and CD4+T cell count should be regularly monitored to effectively reduce the risk of hypertension.

Acquired immune deficiency syndromeHypertensionInfluencing factorsStructural equation model

马茹、贾清、马雨馨、杨素芳、马福昌

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青海大学医学部公共卫生系,青海省西宁 810001

青海省疾病预防控制中心慢性非传染病预防控制所,青海省西宁 810007

青海省疾病预防控制中心检验检测中心,青海省西宁 810007

艾滋病 高血压 影响因素 结构方程模型

国家重点研发计划青海省卫生健康系统指导性计划(2022)

2017YFC09072052022-wjzdx-29

2024

中国慢性病预防与控制
中华预防医学会,天津市疾病预防控制中心

中国慢性病预防与控制

CSTPCD北大核心
影响因子:1.093
ISSN:1004-6194
年,卷(期):2024.32(4)
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