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

Authors Wang H, Chen AC, Wan S, Chen H

Received 1 February 2019

Accepted for publication 6 May 2019

Published 24 May 2019 Volume 2019:13 Pages 863—870


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu

Huan Wang,1 Angela Chia-Chen Chen,2 Shaoping Wan,3 Hong Chen1

1West 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 China

Background: 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

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