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深圳地区HIV-1感染人群焦虑和抑郁患病状况及相关因素 被引量:2

Prevalence and associated factors ofanxiety and depression of HIV-infected patients in Shenzhen,China
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摘要 目的了解目前深圳地区艾滋病病毒(HIV)感染人群焦虑和抑郁的患病情况,初步探索影响焦虑和抑郁的相关因素。方法 2016年1-3月对深圳市第三人民医院艾滋病门诊就诊的594例HIV感染者开展横断面研究,通过医院焦虑抑郁量表调查研究对象焦虑和抑郁的患病情况,并用SPSS软件分析相关的影响因素。结果594例患者中有焦虑症状者233例(39.2%),抑郁症状者240例(40.4%)。多因素分析显示,离异或丧偶[比值比(OR)=2.11,95%可信区间(CI):1.13-3.93]是焦虑产生的危险因素,抗病毒治疗(OR=0.66,95%CI:0.47-0.94)是保护因素;对于抑郁的形成,高中及以上文化程度(OR=0.58,95%CI:0.39-0.88)、家庭或社会支持(OR=0.44,95%CI:0.31-0.62)是保护性因素。结论深圳地区HIV感染者焦虑和抑郁的患病率较高,应该引起临床医生关注。对于新发现的HIV感染者应当进行常规心理健康问题的筛查,早期给予社会支持和心理关怀。 Objective To investigate the situation of anxiety and depression of people-infected with HIV in Shenzhen,China and assess the associated factors.Methods A total of 594 HIV-infected outpatients were enrolled from Shenzhen third people's hospital.The demographic and clinical information were collected by interview with patients.The Hospital Anxiety and Depression Scale in Chinese version was used to assess anxiety and depression of the patients.Prevalence and associated protective and risk factors were analyzed by SPSS.Results Of the 594 patients,233(39.4%)were screened as positive for anxiety and 240(40.6%)for depressive symptoms.Multivariate analysis indicated that divorced status or widows were associated with increased anxiety symptoms(odds ratio[OR]2.11,95% confidence interval[CI]1.13-3.93)and ART was found to be a protective factor(OR0.66,95% CI0.47,0.94).Higher education level(OR0.58,95% CI0.39,0.88)and social or family support(OR0.44,95%CI0.31,0.62)were protective factors of depression.Conclusion Anxiety and depression remain highly prevalent among HIV-infected patients.Social support and psychosocial care are of benefit to relieve anxiety and depression of those people.
作者 赵方 李沙茜 许六妹 肖金凤 何云 吴宝红 王辉 Zhao Fang, Li Shaxi , Xu Liumei , Xiao J in f eng , He Yun , Wu Baohong , Wang Hui. (Department of Infectious Diseases, Shenzhen Third People's Hospital, Shenzhen 518112, China)
出处 《中国艾滋病性病》 CSCD 北大核心 2017年第12期1131-1134,共4页 Chinese JOurnal of Aids & STD
基金 深圳市科技创新项目(JCYJ20150402111430645) 广东省医学科研基金项目(A2015011)~~
关键词 艾滋病毒感染者 焦虑 抑郁 心理健康 医院焦虑抑郁量表 AIDS PLWH Anxiety Depression Mental health HADs
作者简介 赵方(1977-),男,副主任医师,博士,主要从事艾滋病临床及基础研究。Email:zhaofang_008@163.com;通信作者:王辉,硕士生导师,huiwang98@yahoo.com
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