Reasons and countermeasures analysis for HIV-infected patients not receiving antiretroviral therapy in Kunming

Objective To investigate the untreated HIV-infected persons in Kunming and analyze the reasons why HIV patients failed to receive highly active antiretroviral therapy (HAART) in Kunming City, so as to provide policy guidance for improving the coverage of treatment and therapeutic adherence. Methods Questionnaire survey was conducted among HIV/ AIDS patients who survived but did not receive antiretroviral treatment in Kunming City by Aug.31.2018 by random sampling, the survey included general demographic information and reasons for no treatment (including cognition of ART, physical factors, social shame, accessibility of treatment services, attitude towards disease, etc.). Results A total of 784 HIV-infected patients were effectively investigated, among them, 537 cases (68.5%) were untreated and 247 cases (31.5%) were lost. There was no statistical difference in the general demographic characteristics such as gender, age, nationality and marital status between the two groups ( P >0.05). The infection pathway was statistically significant different ( P 0.05), 感染途径有差异统计学意义( P <0.05)。分析结果显示, HIV感染者未治疗原因主要是担心被暴露、药物副作 用、自觉身体状况良好不需要治疗。未治疗组对治疗药物副作用的偏见率较髙( P <0.05), 其认为身体状况良好不需要 治疗的比重(49.2%)髙于脱失组 (34.8%), 差异有统计学意义( P <0.05);脱失组的感染者, 其社会羞耻感更强烈( P <0.05)。 结论 抗病毒治疗机构应加强ART效果宣传, 引导感染者正确认识治疗的作用及意义 , 尤其是吸毒感染者, 应 该给予更多关注 , 以提髙其治疗依从性 , 减少脱失;各级政府和相关机构应引导公众减少对感染者的歧视和污名化, 减 轻社会羞耻 , 以配合医生积极治疗。