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目的 :了解经男男性行为人群(men who have sex with men,MSM)的抗病毒治疗者服药依从性现状,分析其影响因素。方法:通过目的抽样选取江苏两地确诊经男男性接触传播感染并于2013—2014年开始服药的184例抗病毒治疗者,通过问卷调查获得服药情况和社会支持情况。结果:184例抗病毒治疗者中服药依从性好的有140例,占76.1%。经单因素分析得出是否在职、吸烟以及社会支持对患者服药依从性的影响有统计学意义(P<0.05)。经多因素分析后,是否有工作、有家人支持、他人支持以及是否吸烟是影响服药依从性的主要因素。结论:江苏两地MSM人群抗病毒治疗者的服药依从性不高,应大力开展有针对性的健康教育及抗病毒治疗前的服药依从性教育。
OBJECTIVE: To investigate the compliance status of anti-virus treatment in men who have sex with men (MSM) and analyze the influencing factors. Methods: A total of 184 ARV-infected patients who were diagnosed as MSM transmission in Jiangsu Province and were started taking medication in 2013-2014 were selected by the purpose of sampling. The medication and social support were obtained through questionnaire. Results: Of the 184 anti-virus therapies, there were 140 cases with good compliance, accounting for 76.1%. The univariate analysis showed that whether on-the-job smoking, smoking or social support had a significant effect on medication adherence (P <0.05). After multivariate analysis, whether there is work, family support, support from others and whether smoking is the main factor influencing medication compliance. Conclusion: MSM anti-virus treatment in Jiangsu and Jiangsu Provinces is not compliant. Therefore, it is necessary to vigorously carry out targeted health education and drug compliance education before anti-virus treatment.