Study on the difference of social norms and risk behaviors and depression among people living with HIV/AIDS
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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。
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关键词:
- 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.-
Key words:
- Acquired immunodeficiency syndrome /
- Cognition /
- Risk Factors /
- Depression
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