Abstract：Objective To explore the influence of different follow-up management methods on the acceptance of antiretroviral therapy among patients infected with HIV, and to analyze factors promoting the acceptance of antiretroviral therapy among the patients so as to further improve the treatment rate of HIV-infected patients in Kunming. Methods Surviving HIV-infected patients in Kunming City were selected by convenient sampling. The surveyed subjects included the treated and untreated patients. The survey contents included general demographic data, the first follow-up service, referral methods and CD4 testing and informing institutions. Results Among 738 HIV-infected patients effectively surveyed, 551 patients were untreated and 187 treated,showing statistically significant differences in educational background, monthly income level and awareness rate of AIDS knowledge between the two groups (all P<0.05). Logistic regression analysis showed that HIV-infected patients with the route of heterosexual/homosexual transmission, having an educational background of junior middle school or above, acquiring some AIDS knowledge, obtaining the information about antiretroviral therapy in the first follow-up, receiving referral services accompanied by medical staff and with CD4 testing and informing provided by antiretroviral therapy institutions had ORs (95%CI) of 4.045(1.916, 8.536)/2.321(1.205, 4.469), 1.790(1.040, 3.080), 5.233(2.124, 12.891), 4.352(2.353, 8.436), 2.033(1.333, 3.100) and 4.941(2.470, 9.884), respectively. Conclusion Improving the awareness rate of AIDS knowledge, providing the information about antiretroviral therapy in the first follow-up, receiving referral services accompanied by medical staff and CD4 testing and informing provided by antiretroviral therapy institutions have positive effects on the HIV-infected patients receiving antiretroviral therapy. The results suggest that the above-mentioned measures can be used for reference to improve the rate of antiretroviral therapy, and the health administrative departments and relevant medical and health institutions should pay attention to them.
李怡, 李丽, 王晶莹, 梁军, 刘俊, 张潇文. 不同随访管理方式对昆明市HIV感染者接受抗病毒治疗的影响分析[J]. 实用预防医学, 2021, 28(5): 554-557.
LI Yi, LI Li, WANG Jing-ying, LIANG Jun, LIU Jun, ZHANG Xiao-wen. Influence of different follow-up management methods on the acceptanceof antiretroviral therapy in HIV-infected patients in Kunming City. , 2021, 28(5): 554-557.
2021, Vol. 28 
