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

Abstract

<b>Background:</b> 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. <b>Purpose:</b> This study aimed to investigate the status and related factors of self-management in PLWH from the Liangshan area of Sichuan Province, China. <b>Patients and methods:</b> 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 <i>t</i>-test, one-way ANOVA, Spearman rank correlation, and multiple regression analysis were used to analyze the data. <b>Results:</b> 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. <b>Conclusion:</b> 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.