Prevalence and factors influencing depression and anxiety among AIDS patients in Ili Prefecture
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摘要: 目的 调查了解正在伊犁州乡级艾滋病治疗机构接受抗病毒治疗(antiretroviral therapy,ART)的艾滋病病人的抑郁、焦虑症状状况并分析探讨与之相关的因素。方法 本研究以伊犁州为研究现场,通过问卷调查和查询艾滋病综合防治信息系统采集相关信息。结果 在412例研究对象中,抑郁症状和焦虑症状的检出率分别为20.6%和14.3%。结果显示,正确掌握ART知识、ART依从性良好和民间聚会活动的调查对象出现抑郁症状的危险性降低,参加恰依活动可降低抑郁症状的危险性,离异/分居/丧偶的调查对象更易出现抑郁症状;无业者和有吸烟行为者更易出现焦虑症状。结论 改善艾滋病患者的社会家庭支持和心理健康服务有助于提高艾滋病病人的心理健康状况。Abstract: Objective To investigate the prevalence of depression and anxiety symptoms and its influencing factors among AIDS who are receiving antiretroviral therapy(ART) in Yili Kazakh Autonomous Prefecture of China. Methods The research was conducted in Yili Kazakh Autonomous Prefecture of China and data were collected from questionnaire and the system of AIDS follow-up management. Results Participants with symptoms of depression and anxiety accounted for 20.6% and 14.3% respectively in 412 participants. The results of Multivariate Logistic Regression analyses showed that participants with good knowledge of ART and better adherence to ART and taking part in Qiayi culture activity were less likely to have symptoms of depression. Divorce, separation or being widow were risk factors of depression. The results also presented that unemployed participants were more likely to have anxiety symptoms and anxiety symptoms were associated significantly with tobacco use. Conclusion Developing the strategy of mental health service and strengthening social and family support could improve mental health of people living with HIV.
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Key words:
- HIV/AIDS /
- Antiretroviral therapy/ART /
- Depression /
- Anxiety /
- Mental health
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