有男男同性性行为的新确诊HIV感染者的情绪问题调查  

Emotional problems among newly diagnosed HIV-positive men with homosexual sex behaviors

作　　者：柳英[1] 彭碧华[1] 牛璐[1] 陈曦[2] 王敏 肖水源[1] 罗丹[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,长沙410078 [2]湖南省疾病预防控制中心,长沙410005 [3]长沙市第一医院艾滋病研究所,长沙430100

出　　处：《中国心理卫生杂志》2017年第6期471-477,共7页Chinese Mental Health Journal

基　　金：湖南省社会科学基金(13WTB22);国家自然科学基金(81202290)

摘　　要：目的:了解有男男同性性行为的新确诊HIV感染者的抑郁、焦虑和自杀行为等情绪问题的发生现况。方法:以中部某省会城市疾病预防控制中心(CDC)艾滋病咨询检测门诊作为研究现场,选取经男男同性性接触感染HIV的患者作为连续样本入组,共获得321例有效样本。采用病人健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)和自杀行为调查表对样本的情绪问题进行调查。结果:抑郁症状阳性率为41.1%(132/321),焦虑症状阳性率为31.5%(101/321),HIV感染后自杀意念率为27.7%(89/321)。与他人共同居住、有HIV相关临床症状、HIV/AIDS相关压力较高而社会支持较低的患者,抑郁阳性率较高。离异或丧偶、HIV/AIDS相关压力较高而社会支持较低的患者,焦虑阳性率较高。不愿意加入感染者/患者互助组织、有HIV相关临床症状、HIV/AIDS相关压力较高,社会支持较低且抑郁和焦虑均阳性的患者,HIV感染后自杀意念的发生率较高。结论:有男男同性性行为的新确诊HIV感染者情绪问题可能很常见,应及时为该人群提供相应的精神卫生服务。Objective： To know about the prevalence of depression, anxiety, and suicidal behaviors among newly diagnosed HIV-positive men who have sex with men. Methods： A cross-sectional study with a consecutive sample was conducted in the HIV/AIDS Voluntary Counseling and Testing Clinic of the Center for Disease Control and Prevention. A standard set of questionnaires, namely, the Patient Health Questionnaire Depression Scale （PHQ- 9）, Generalized Anxiety Disorder Scale （GAD-7）, and a self-designed suicidal behavior questionnaire were used to assess the subjects＇emotional problems. Results： Among 321 newly diagnosed HIV-positive men who had sex with men, the positive rate of depression and anxiety were 41.1% （132/321） and 31.5% （101/321）, respectively. The rate suicidal ideation after HIV diagnosis was 27.7% （89/321）. Individuals who were living with others, had HIV related clinical symptoms, higher HIV/AIDS related stress, and lower social support were more likely to have posi- tive depressive symptoms. Individuals who were unmarried, had lower HIV/AIDS related stress, and lower social support were more likely to have positive anxiety. The prevalence of suicidal ideation after HIV diagnosis was higher among individuals who were unwilling to join in HIV/AIDS support groups, had HIV related clinical symptoms,higher HIV/AIDS related stress, lower social support, and both positive depression and anxiety symptoms. Con- clusion： The prevalence of emotional problems is high among newly diagnosed HIV-positive men who have sex with men. It is warranted to promote mental health service for this vulnerable group. [Key words] HIV infection; men who have sex with men; emotional problems

关 键 词：HIV感染 有男男同性性行为人群 情绪问题 

分 类 号：R395.2[哲学宗教—心理学] R593.32[医药卫生—医学心理学]