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Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study

التفاصيل البيبلوغرافية
العنوان: Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study
المؤلفون: Jun-Fang Xu, Pei-Cheng Wang, Feng Cheng
المصدر: Infectious Diseases of Poverty, Vol 9, Iss 1, Pp 1-9 (2020)
بيانات النشر: BMC, 2020.
سنة النشر: 2020
المجموعة: LCC:Infectious and parasitic diseases
LCC:Public aspects of medicine
مصطلحات موضوعية: Health related behavior, HIV-infected people, Link to care, China, Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270
الوصف: Abstract Background By the end of October 2019, there were 958 thousand people were reported living with HIV/AIDS in China. Unhealthy lifestyle factors, such as smoking, drinking alcohol, using illicit drugs and no physical activity have been found to mitigate the positive impact of antiretroviral therapy (ART) on viral load and HIV-related quality of life. Moreover, risky sexual behavior among HIV-positive persons places their partners at risk for HIV transmission and other sexually transmitted infections. The aim of the study is to determine the prevalence of unhealthy behavior of people living with HIV/AIDS and related influencing factors, particularly those that are closely connected with HIV infection and ART effects. Methods An institutional based cross-sectional study design was used to collect data from people living with HIV/AIDS (PLWHA) in Beijing and Yunnan Province. The following information was included in the questionnaire survey: social-demographic characteristics, health behavior information, sexual risk behaviors. Binary logistic regression model was conducted to analyze the influencing factors of unhealthy general health behaviors and risky sexual behaviors. Results In total, 2575 PLWHA were included in the study and 78.3% (2017/2575) were male. For the general health behaviors, 34.2% (987/2544) smoke; 33.8% (870/2575) drank alcohol and 2.3% (49/2134) reported the use of illicit drugs in the previous 6 months. From the sexual behaviors perspective, 59.0% (1519/2575) had sex in the previous 6 months. Among people who had sex, 92.0% (1398/1519) had fixed sexual partners. Among those with no fixed sexual partner, 38.0% (46/121) had more than three partners. Among men who had sex, 34.7% (448/1292) reported having sex with men in the previous 6 months and 16.7% (75/448) of these had group sexual activity. Among participants, 72.2% (1053/1458) used condoms every time they had sex while 6.4% (94/1458) of people never used condom. Male people living with HIV/AIDS were more likely to have sexual risk behaviors (adjusted odds ratio [OR] = 2.208, 95% confidence interval [CI]: 1.147–4.252) and unhealthy general health behaviors (adjusted OR = 2.029, 95% CI: 1.480–2.783). The odds of higher risk sexual behaviors was 1.546 times (95% CI: 1.302–1.827, P = 0.001) greater among participants who drank alcohol compared with their non-drinking counterparts. Conclusions PLWHA is a group that is vulnerable to problematic health behaviors, especially for men who were more likely to drink alcohol, have more sexual partners, more sexual risk behaviors including group sexual activity, not using condoms and using drugs. Therefore, interventions focusing on gender-specific risk behaviors reduction for people living with HIV/AIDS are now necessary to control the spread of HIV infection and improve the efficacy of antiviral treatment.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2049-9957
Relation: http://link.springer.com/article/10.1186/s40249-020-00642-1; https://doaj.org/toc/2049-9957
DOI: 10.1186/s40249-020-00642-1
URL الوصول: https://doaj.org/article/710a838903624f96810c5725dba9a8d3
رقم الأكسشن: edsdoj.710a838903624f96810c5725dba9a8d3
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20499957
DOI:10.1186/s40249-020-00642-1