Perceived social environment and quality of life among people living with HIV/AIDS in northern Thailand
Perceived social environment and quality of life among people living with HIV/AIDS in northern Thailand
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DOI：
10.1080/09540120500159441
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发表时间：
2006-02-01
影响因子：
1.7
通讯作者：
Natpratan, C
中科院分区：
文献类型：
--
作者：
Ichikawa, M;Natpratan, C
泰国已作出努力改善艾滋病毒/艾滋病感染者的社会环境，但尚未对其生活质量进行评估。本研究初步探讨了艾滋病病毒感染者对社会环境的感知与生活质量的关系。研究对象为泰国北方清迈省自助团体的200名艾滋病病毒感染者。我们使用结构化问卷在面对面的访谈中收集数据。QOL是使用泰国版的医学结局研究艾滋病毒健康调查测量的。那些认为自己被社区接受，认为可以获得健康服务或有人可以帮助的人，在心理健康方面往往有更好的生活质量。社区接受度与生活质量相关最显著。分层分析显示，有症状和无症状的参与者之间的感知社会环境和生活质量的关系相似，但男性的关系似乎弱于女性。总之，我们的初步研究结果表明，支持性的社会环境，特别是社区的认可，是重要的精神方面的PLWHA的生活质量，无论疾病的阶段和妇女谁通常在泰国传统的家庭中承担多个角色。
Efforts have been made to improve the social environment of people living with HIV/AIDS (PLWHA) in Thailand but have not been assessed in terms of their quality of life (QOL). In this study, we preliminarily examined the relationship between PLWHA's perception of social environment and QOL. The participants of this study were 200 PLWHA who belonged to the self-help groups in Chiang Mai province, northern Thailand. We collected data in face-to-face interviews using a structured questionnaire. The QOL was measured using a Thai version of the Medical Outcomes Study HIV Health Survey. Those who perceived themselves as well accepted by the community, perceived health services accessible or someone's help available, tended to have better QOL in terms of mental health. Community acceptance was most significantly related to QOL. Stratified analyses revealed similar relationships between perceived social environment and QOL among symptomatic and non-symptomatic participants but the relationships appeared weaker among men than women. In sum, our preliminary findings suggest that supportive social environment, especially community acceptance, is important for mental aspects of PLWHA's QOL irrespective of the disease stages and for women who usually take on multiple roles in the Thai traditional family.