上海市青浦区HIV/AIDS患者移动随访接受意愿及相关因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (9): 1240-1243.

上海市青浦区HIV/AIDS患者移动随访接受意愿及相关因素分析

王鹏莉^a, 姚雯雯^b, 郁晞^c, 任志华^a, 周鸿让^b, 黎桂福^b

上海市青浦区疾病预防控制中心 a病媒消毒科,b慢性传染病防治科,c牙眼病防治科,上海 201799

收稿日期:2023-09-10 修回日期:2023-10-04 发布日期:2026-03-13
通信作者: 黎桂福,副主任医师,E-mail：liguifu@126.com
作者简介:王鹏莉,女,医师,主要从事疾病预防控制工作。
基金资助:
上海市青浦区卫生健康委员会科学基金项目（w2021-44）; 上海市青浦区卫生健康系统第四轮学科建设与人才培养项目（WD2019-40）

Analysis on willingness to accept mobile follow-up and its relevant factors among HIV/AIDS patients in Qingpu District of Shanghai City

WANG Pengli^a, YAO Wenwen^b, YU Xi^c, REN Zhihua^a, ZHOU Hongrang^b, LI Guifu^b

a Department of Vector Disinfection, b Department of Chronic and Infectious Diseases, c Department of Prevention and Treatment of Odontopathy and Ophthalmopathy, Qingpu District Center for Disease Control and Prevention, Shanghai, 201799, China

Received:2023-09-10 Revised:2023-10-04 Published:2026-03-13
Contact: LI Guifu,Associate chief physician,E-mail：liguifu@126.com

摘要/Abstract

摘要： 目的了解艾滋病病毒感染者/艾滋病患者（human immunodeficiency virus infected individuals/acquired immune deficiency syndrome patients,HIV/AIDS）接受移动信息随访意愿,探究其依从性和相关影响因素,为后续艾滋病人群干预政策的制定提供科学依据。方法采取随机抽样的方法,以截止2022年在上海市青浦区艾滋病随访信息库中登记在册的HIV/AIDS患者为目标人群,根据估算样本量,利用随机数字表抽取研究对象,收集人口学、信息设备使用及移动随访接受意愿相关信息,使用SPSS 25.0软件对数据进行统计描述。结果本次研究共纳入340名有效调查对象,年龄（42.11±12.23）岁。HIV/AIDS患者移动随访接受意愿得分为（9.84±3.01）分,接受度为65.63%。HIV/AIDS患者移动随访接受意愿与产品因素、主观规范、感知易用性、感知有用性及感知创新性5个维度呈正相关（r=0.673~0.794,均P<0.05）,感知易用性、产品因素、感知创新性、感知有用性均是HIV/AIDS患者接受移动随访干预的主要影响因素（均P<0.05）,可解释接受意愿得分总变异的73.70%。结论 HIV/AIDS患者对移动随访服务接受度良好,使用对象的一般人口学特征与移动随访的接受无关,而感知易用性对HIV/AIDS患者接受移动医疗干预的影响比较大。因此在今后的随访工作中,应根据患者需求设计出易用、有效的移动服务平台从而提升随访效率。

关键词: 艾滋病, 移动随访, 意愿, 影响因素

Abstract: Objective To understand the willingness of human immunodeficiency virus infected individuals/acquired immune deficiency syndrome patients（HIV/AIDS） to receive mobile information follow-up,explore its compliance and related influencing factors,so as to provide a scientific basis for the development of subsequent intervention policies for HIV/AIDS population. Methods A random sampling method was used to select the target population of HIV/AIDS patients registered in the AIDS follow-up information database in Qingpu District of Shanghai City by 2022. The study subjects were selected on the basis of the estimated sample size and using a random number table. The information on demography,equipment status and willingness to accept mobile follow-up were collected. The data were analyzed using SPSS 25.0 software for statistical description. Results A total of 340 valid subjects were included in this study,with （42.11±12.23）years old. The score of willingness to accept mobile follow-up was （9.84±3.01）points,with an acceptance rate of 65.63%. The HIV/AIDS patients' willingness to accept mobile follow-up showed positive relationships with the five dimensions,including product factors,subjective norms,perceived ease of use,perceived usefulness and perceived innovativeness（r=0.673-0.794,all P<0.05）. The perceived ease use,product factors,perceived innovativeness,and perceived usefulness were the key influencing factors for HIV/AIDS patients to receive mobile follow-up,which could explain 73.70% of the total variance of willingness. Conclusions The HIV/AIDS patients have a good acceptance of mobile follow-up services. The general demographic characteristics of subjects is not related to the acceptance of mobile follow-up,while the perceived ease of use has a great impact on the acceptance of mHealth interventions for HIV/AIDS patients. Therefore,in future follow-up work,a safe and effective mobile service platform should be designed to improve the efficiency of follow-up according to patient needs.

Key words: Acquired immune deficiency syndrome, Mobile follow-up, Willingness, Influencing factor

中图分类号:

R181.3

王鹏莉, 姚雯雯, 郁晞, 任志华, 周鸿让, 黎桂福. 上海市青浦区HIV/AIDS患者移动随访接受意愿及相关因素分析. [J]职业与健康, 2024, 40(9): 1240-1243.

WANG Pengli, YAO Wenwen, YU Xi, REN Zhihua, ZHOU Hongrang, LI Guifu. Analysis on willingness to accept mobile follow-up and its relevant factors among HIV/AIDS patients in Qingpu District of Shanghai City. [J]OCCUPATION AND HEALTH, 2024, 40(9): 1240-1243.

参考文献

[1] 揣征然,张云辉,赵雅琳,等.全球及中国AIDS最新疫情概况[J].传染病信息,2020,33(6):501-503.
[2] 罗超,颜玉涛,杨璧璘,等.哈尔滨市社会组织开展男男同性传播艾滋病病毒感染者/艾滋病患者病例随访效果分析[J].中国当代医药,2022,29(35):156-159.
[3] 李玲,冯玲,蔡冠平,等.HIV/AIDS患者主要照顾者照顾准备度现状及影响因素分析[J].医学动物防制,2023,39(2):154-158.
[4] 褚越亚. HIV感染者/AIDS患者生命质量、抑郁现状及其关系的研究[D].沈阳:中国医科大学,2021.
[5] 余阳,彭碧华,黄竹林,等.长沙市HIV感染者/AIDS病人对随访管理及治疗服务依从性调查[J].实用预防医学,2019,26(1):22-25.
[6] 曾子芸. 任务驱动下的移动健康信息搜索策略研究[D].武汉:华中师范大学,2022.
[7] 龚辉,严惟力,杨晓青.移动健康应用程序的应用现况与展望[J].中国全科医学,2018,21(33):4157-4162.
[8] 于海娟,高亚男,王冰,等.移动健康在癌因性疲乏管理中的应用研究进展[J].护理研究,2022,36(24):4451-4453.
[9] 刘娜,王杰,陈丹丹,等.移动健康干预在孕期体质量管理中应用的研究进展[J].中国护理管理,2018,18(5):674-677.
[10] PARYA S,PHARM D,MAS,et al.The use of mobile health applications among youth and young adults living with HIV:Focus group findings[J].AIDS Patient Care STDS,2016,30(6):254-260.
[11] 方积乾. 卫生统计学[M].北京:人民卫生出版社,2012:399-400.
[12] 孙亮,周雅冰,陈冰,等.艾滋病患者移动信息随访接受意愿及影响因素分析[J].中国艾滋病性病,2020,26(9):974-976.
[13] 韩孟杰. 我国艾滋病流行形势分析和防治展望[J].中国艾滋病性病,2023,29(3):247-250.
[14] 赵东辉,王召乾,郑钰,等.移动互联网数据技术在艾滋病防控中的应用[J].中国预防医学杂志,2021,22(7):551-554.
[15] 李伊,刘人境.基于元分析的移动医疗持续使用意愿影响因素[J].系统管理学报,2022,31(5):893-909.
[16] WILLIAMS E,NWAGWU.Usability of mobile phones for personal health care by people living with HIV/AIDS[J].Health Tech ,2021, 11(3):491-504.
[17] 王玉英,张瑞玲,郭建林,等.基于移动医疗APP的艾滋病患者远程延续护理模式的质性研究[J].临床医药实践,2022,31(9):688-689.
[18] SHRESTHA R,WICKERSHAM J A,KHATI A,et al.Clinic-integrated mobile health intervention("JomPrEP" App) to improve uptake of HIV testing and pre-exposure prophylaxis among men who have sex with men in malaysia:protocol for an intervention development and multiphase trial[J].JMIR Res Protoc,2022,11(12):e43318.
[19] 李敏,徐郑成,黄昊,等.移动医疗干预在男男性行为人群中的应用研究进展[J].中华疾病控制杂志,2022,26(7):845-850.
[20] CHRISTIAN B,STEPHEN B N,ALLAN Y S,et al.The effect of online wet markets website quality on the purchase intention of consumers in Caloocan City[J].J Bus Manage Stu,2022,4(2):136-149.
[21] NADRI H,RAHIMI B,LOTFNEZHAD A H,et al.Factors affecting acceptance of hospital information systems based on extended technology acceptance model:A case study in three paraclinical departments[J].Appl Clin Inform,2018,9(2):238-247.
[22] PUIG J,ECHEVERRIA P,LLUCH T,et al.A specific mobile health application for older hiv-infected patients:Usability and patient's satisfaction[J].Telemed J E Health,2021,27(4):432-440.
[23] 杨思. 90后移动短视频APP用户持续使用意愿影响因素研究[D].保定:河北大学,2020.
[24] NGUYEN L H,NGUYEN H L T,LARSSON M,et al.An exploratory assessment of the preference for eHealth interventions to prevent HIV and sexually transmitted infections among men who have sex with men in Hanoi,Vietnam[J].BMC Public Health,2020,20(1):1387-1398.
[25] 张敏,罗梅芬,张艳.国内外移动医疗用户采纳行为的系统综述——知识基础、影响因素与前沿展望[J].现代情报,2018,38(8): 154-162.
[26] 汤昀玥,袁建辉,龙鼎新.移动医疗在MSM社区HIV防治中的应用研究进展[J].中国艾滋病性病,2022,28(5):625-629.