| ObjectivesExploring the situation, reasons and their predictors in HIV infected adults receiving antiretroviral treatment, providing foundation for further improve antiviral treatment coverage and treatment adherence in future.MethodsTo Acquir the resons and their predictors of treatment in eligible people who accept treatment or not by collecting related data.The study uses quantitative research method; the site selects Chengdu and butuo of liangshan prefecture in Sichuan province; the object is people eligible for treatment from database in this area. The persons who can visit will accept questionnaire survey by convenience sampling. The results will be recorded into the system of Epidata3.1; the statistical analysis of data will use SPSS17.O; the single and multi-factor analysis of predictors will use methods of x2and logistic regression.ResultsIn this study,440valid questionnaires have been collectes, including220questionnaires from untreated people, another from treated people.1. The analysis of causes in treated people:the ratio of treatment is good for oneself is46.36%, the ratio of treatment asked by doctors is30.45%, the ratio of HIV/AIDS related diseases/symptoms is15.00%, the ratio to reduce the chances of spreading to other people is5.45%, the ratio of support from family/friends is1.82%, the raito of other factors is0.91%.2. The analysis of causes in untreated people:the ratio without HIV/AIDS related symptoms is19.09%, the ratio of not getting recommendations of doctors is14.09%, the ratio of worrying about medication side effects is10.45%, the ratio of worrying others know them infected is9.09%, the ratio of higher CD4is7.73%, the ratio of accepting other treatment is6.82%, the ratio to not afford the cost of treatment is5.45%, the ratio to not stick to lifelong medication is4.55%, the ratio to not know antiviral treatment or therapy effect is4.55%, the ratio of applying for treatment is3.64%, the raito of other factors is14.54%.3. The predictors of treatment:the protective factors, the local people are more likely receiving treatment than other places’, the people with publicity and education are more likely receiving treatment than without, the peoplr know others who receiving treatment are more likely receiving treatment than unknow, the people fot CD4<200/mm3are more likely receiving treatment than the people who CD4≥200/mm3, the people who get the support of family are more likely receiving treatment than people who not get or the family not to matter; the hazard factors, the people out-migrantion for work are more likely refusing treatment than people not out-migrantio.Conclusion1. The main reasons of people living with HIV/AIDS to accept therapy:treatment is good for oneself, treatment asked by doctors, HIV/AIDS related diseases/symptoms, reduce the chances of spreading to other people, support from family/friends, the result said the reasons of people living with HIV/AIDS to accept therapy is related with autognosis, bedside manner, physical condition and social-support environment.2. The main reasons of people living with HIV/AIDS to not accept therapy:without HIV/AIDS related symptoms, not get recommendations of doctors, worry about medication side effects, worry others know them infected, higher CD4, accept other treatment, cannot afford the cost of treatment, cannot stick to lifelong medication, cannot know antiviral treatment or therapy effect, applying for treatment, the result said the reasons of people living with HIV/AIDS to accept therapy is related with autognosis, bedside manner, therapeutic schedule, the knowledge of treatment and social-support environment. 3. We can obtain by the analysis and research for predictors:residence, get publicity and education, know someone accept treatment, family/friends support and the level of CD4can make people accept treatment, but work to outside will obstruct people accept treatment. So it is significance to improve the ability of antiviral treatment agency service and strengthen the management of mobile personnel. |
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