HIV感染者/AIDS患者社会规范认知、高危行为的差异及抑郁状况

孙义朋; 郭子韩; 蔡卫平; 周倩; 朱亚静; 郭艳

doi:10.16462/j.cnki.zhjbkz.2016.09.002

HIV感染者/AIDS患者社会规范认知、高危行为的差异及抑郁状况

doi: 10.16462/j.cnki.zhjbkz.2016.09.002

孙义朋¹,
郭子韩¹,
蔡卫平²,
周倩³,
朱亚静¹,
郭艳^1,4, ,

1. 中山大学公共卫生学院医学统计与流行病学系, 广东广州 510080;
2. 广州市第八人民医院感染科, 广东广州 510060;
3. 中山大学附属第一医院流行病学教研室, 广东广州 510080;
4. 中山大学流动人口卫生政策研究中心, 广东广州 510080

基金项目:

国家自然科学基金（81302517）；中国全球基金艾滋病项目（cso-2012-研42）

详细信息

作者简介:
孙义朋(1991-),男,安徽阜阳人,在读硕士研究生。主要研究方向:艾滋病行为学的预防与干预。

中图分类号: R512.91;R181.2
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- 被引次数: 0
出版历程
- 收稿日期: 2016-03-15
- 修回日期: 2016-07-28

Study on the difference of social norms and risk behaviors and depression among people living with HIV/AIDS

1. Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China;
2. Department of Infectious Disease, Guangzhou No.8 People's Hospital, Guangzhou 510060, China;
3. Department of Epidemiology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China;
4. Sun Yat-sen Center for Migrant Health Policy, Guangzhou 510080, China

摘要

摘要: 目的探讨HIV感染者/AIDS患者社会规范认知和高危行为之间的差异对其心理抑郁状况的影响。方法通过方便抽样法，采用自行编制的调查问卷，对450例HIV感染者/AIDS患者的抑郁状况及影响因素进行调查。抑郁状况采用流行病调查中心抑郁量表（center for epidemiologic studies depression scale, CES-D）测量，CES-D量表得分>19分为抑郁。单因素分析采用χ²检验或t检验，多因素分析采用Logistic回归分析方法。结果 406位有效调查对象的平均抑郁得分为（16.1±11.5）分，36.9%（150/406）的调查对象处于抑郁状态。广州户籍（OR=2.260, 95% CI：1.177～4.340）、较低水平的社会支持（OR=0.985, 95% CI：0.974～0.996）、较低水平的心理弹性（OR=0.897, 95% CI：0.862～0.933）和较高水平的耻辱感（OR=1.089, 95% CI：1.052～1.128）是HIV感染者/AIDS患者抑郁的危险因素；AIDS患者自身使用安全套的行为比他的社会规范认知更好是HIV感染者/AIDS患者抑郁的保护因素（OR=0.290, 95% CI=0.094～0.894）。结论广州市HIV感染者/AIDS患者社会规范认知与高危行为的差异是其抑郁的影响因素。
- 获得性免疫缺陷综合症 /
- 认知 /
- 危险因素 /
- 抑郁
Abstract: Objective To explore the relationship between depression and the difference of social norms and risk behaviors among people living with HIV/AIDS. Methods Convenient sampling method and self-designed questionnaire were adopted. We utilized the Center for Epidemiologic Studies Depression Scale (CES-D) to assess the depression status of the 450 HIV/AIDS patients. The score of CES-D greater than 19 was regarded as depression. Multiple stepwise regression was used for multivariate logistic regression. Results The average score of depression of the 406 HIV/AIDS patients was 16.1±11.5, and 36.9% of the respondents were in the depressive status. The multivariate logistic regression indicated that Guangzhou household registration (OR=2.260, 95% CI: 1.177-4.340), low level of social support (OR=0.985, 95% CI: 0.974-0.996), low level of resilience (OR=0.897, 95% CI: 0.862-0.933) and high level of stigma (OR=1.089, 95% CI: 1.052-1.128) were the risk factors of depression. The difference between social norms and his own condom use behavior was a protective factor of depression (OR=0.290, 95% CI: 0.094-0.894). Conclusion The difference between social norms and risk behaviors is an influencing factor of depression.
- Acquired immunodeficiency syndrome /
- Cognition /
- Risk Factors /
- Depression

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参考文献(15)

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