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作 者:彭碧华[1] 罗丹[1] 柳英[1] 牛璐[1] 王敏 陈曦[3] 肖水源[1]
机构地区:[1]中南大学湘雅公共卫生学院社会医学与卫生事业管理系,湖南长沙410078 [2]长沙市第一医院艾滋病研究所,湖南长沙410001 [3]湖南省疾病预防控制中心,湖南长沙410005
出 处:《中国现代医学杂志》2016年第16期131-136,共6页China Journal of Modern Medicine
基 金:国家自然科学基金(No:81202290);湖南省社会科学基金(No:13WTB22)
摘 要:目的了解男男性行为人群中新近确诊艾滋病病毒(HIV)感染者的压力特征,探讨HIV相关压力对情绪状况的影响以及社会支持与其压力和情绪问题的关系。方法以中南地区某市级疾病预防与控制中心的CD4检测门诊作为研究现场,将在2013年3月1日-2014年8月31日期间,经男男性接触感染HIV的感染者作为连续样本入组,采用艾滋病压力量表(SS-HIV)、患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)以及社会支持评定量表(SSRS)对样本的压力、情绪问题和社会支持状况进行调查,共获得有效问卷321份。结果 321例样本的HIV相关压力集中在社会压力维度,有城市户籍并出现临床症状数多的感染者压力水平更高。样本的抑郁症状、焦虑症状阳性检出率分别为41.1%(132/321)和31.5%(101/321)。压力与情绪问题呈正相关,社会支持与情绪问题呈负相关;社会支持对该样本的压力及情绪的关系未起到调节作用。结论新近确认感染HIV的男男性接触样本普遍面临较高的社会压力,其情绪问题阳性症状检出率高于普通人群,应采取恰当的干预措施减轻其面临的社会压力。Objective To describe HIV/AIDS stress among newly HIV-infected men who have sex with men, and to investigate effects of HIV/AIDS stress on mental health and to explore the moderated role of social support between HIV/AIDS stress and emotional problems. Methods A survey involving SS-HIV, PHQ-9, GAD-7 and SSRS was conducted with a sample of 321 newly HIV-infeeted men who have sex with men newly identified by the Center for Disease Prevention and Control in Central South of China. Results Participants (n = 321) reported high levels of HIV/AIDS stress, especially from social problems. There was significant difference of HIV/AIDS stress among the participants of different household registration and HIV symptoms. The rates of depression and anxiety were 41.1% and 31.5%. Stress was positively correlated with emotional problems, while social support was negatively correlated with emotional problems, social support didn't play a moderated role on the relationship between HIV/AIDS stress and emotional problems. Conclusions Newly HIV-infected men who have sex with men generally are reported high levels of HIV/AIDS stress, depression and anxiety. Management interventions targeting social support and stress among newly HIV-infected men who have sex with men are indicated.
关 键 词:HIV感染男男性行为人群 HIV相关压力 社会支持 调节作用
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