ArticleFrontiers in public health2026
Analysis of factors influencing rapid treatment initiation decisions among people living with HIV: focusing on the role of social support.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: To investigate the impact of social support factors on the acceptance of rapid initiation of antiretroviral therapy (ART) among people living with HIV/AIDS (PLWHA), and to provide evidence for developing personalized interventions to improve the rapid ART initiation rate. Methods: A cross-sectional study was conducted among patients visiting Lanzhou Pulmonary Hospital between September 2024 and January 2025. Data were collected via questionnaires. Variable selection was performed using univariable logistic regression; those with a significance level of Results: Among the 530 participants (506 males, 481 Han ethnicity), the highest proportion was in the 31 to <46 age group. Univariable analysis showed that age, education, cross-regional treatment, marital status, monthly income, disclosure to spouses/family, and having infected peers were associated with rapid ART initiation. The multivariable model identified that younger age groups (15- < 31 and 31- < 46), cross-district treatment within the city, monthly income ≥5,000 CNY, disclosure to spouses/family, and having infected peers were facilitators, while being unmarried was a barrier. Rapid initiation rates differed significantly based on spouses'/family members' attitudes post-disclosure ( Conclusion: Integrating social factors into rapid ART initiation interventions, through a support network connecting families, peers, and healthcare institutions, can enhance treatment willingness and timeliness, ultimately improving outcomes for PLWHA.
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