论文部分内容阅读
目的了解男男性行为(men who have sex with men,MSM)人群中HIV阳性者的健康相关需求及利用情况,为该人群提供更好的健康服务。方法利用自行设计的调查问卷,采用横断面调查方法调查某社区组织随访管理的HIV阳性MSM人群。结果共调查433名研究对象,平均年龄33.5岁。健康服务利用率较高的3项为CD4检测(78.3%),随访管理(49.2%),同伴心理支持(36.7%);较低的3项是抗病毒治疗促进(12.0%),服药依从性教育(14.5%),阳性预防教育(18.0%)。健康相关服务需求最高的3项是新药研发进展(72.3%),药品毒副作用(65.1%),政策补贴(64.7%)。在健康服务获取方式和途径上,84.2%的调查对象更愿意选择接受男同及感染者小组的服务,53.9%的调查对象愿意通过微博、微信等新媒体接收健康资讯。结论 HIV阳性MSM人群健康相关利用情况较差,药物治疗方面的需求明显。应针对这一需求提供更有针对性的健康相关服务。
Objective To understand the health-related needs and utilization of HIV-positive men and women with men who have sex with men (MSM) and to provide them with better health services. Methods Using self-designed questionnaires, cross-sectional surveys were used to investigate the HIV-positive MSM population managed by a community-based organization. Results A total of 433 subjects were investigated, with an average age of 33.5 years. Three of the higher utilization rates of health services were CD4 test (78.3%), follow-up management (49.2%), peer mentality support (36.7%) and lower 3 items were anti-viral treatment promotion Education (14.5%), Preventive education (18.0%). Three of the highest demand for health-related services are research and development of new drugs (72.3%), drug side effects (65.1%) and policy subsidy (64.7%). 84.2% of the respondents prefer to accept the service of the gay and infected groups, while 53.9% of the respondents are willing to receive the health information through the new media such as Weibo and WeChat. Conclusion The health-related utilization of HIV-positive MSM population is poor, and the demand for medical treatment is obvious. More targeted health-related services should be tailored to this need.