Status and associated factors of self-management in people living with HIV/AIDS in Liangshan area, China: a cross-sectional study

• Main Authors: Wang H, Chen AC, Wan S, Chen H
• Format: Article
• Language: English
• Published: Dove Medical Press 2019-05-01
• Series: Patient Preference and Adherence
• Subjects: self-management; self-care; HIV; HIV/AIDS; China
• Online Access: https://www.dovepress.com/status-and-associated-factors-of-self-management-in-people-living-with-peer-reviewed-article-PPA

Huan Wang,1 Angela Chia-Chen Chen,2 Shaoping Wan,3 Hong Chen11West China School of Nursing and Department of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China; 2College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA; 3Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, People’s Republic of ChinaBackground: HIV self-management is a lifetime and central task for people living with HIV/AIDS (PLWH). To date, there is little evidence to identify the related factors of self-management in PLWH from China.Purpose: This study aimed to investigate the status and related factors of self-management in PLWH from the Liangshan area of Sichuan Province, China.Patients and methods: A total of 322 PLWH were recruited from August to December 2017 in the study. Demographics characteristics and disease-related data were documented for each participant, social support was measured by the Medical Outcomes Study Social Support Survey (MOS-SSS-C), and self-management was evaluated by the HIV Self-Management Scale. Descriptive statistics analysis, independent Student’s t-test, one-way ANOVA, Spearman rank correlation, and multiple regression analysis were used to analyze the data.Results: The total score of HIV self-management was 38.26±7.17. Significant differences in self-management scores were found among the subgroups of different education level, marital status, nation, religion, resident place, occupation, infection route, symptom, research site, and household per capita monthly income. Self-management was positively significantly correlated with social support. Multiple regression analysis identified that nation, resident place, gender, marital status, and social support were the contributors of HIV self-management.Conclusion: The study demostrated that self-management in Yi Autonomous Prefecture was relatively low. The results indicate that the associated factors of self-management should be considered to develop effective intervention to improve the self-management of PLWH.Keywords: self-management, self-care, HIV, HIV/AIDS, China