新诊断HIV感染的中青年男男性行为者抑郁焦虑发生现状及其影响因素  

Prevalence and related factors of depression and anxiety symptoms in young/middleaged men who have sex with men with newly diagnosed HIV infections

作　　者：李潇[1] 韩晶[2] 刘宇[1] 张瑞婷 王克荣[2] LI Xiao;HAN Jing;LIU Yu;ZHANG Ruiting;WANG Kerong(Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Ditan Hospital,Capital Medical University,Beijing 100069)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京地坛医院,北京100015

出　　处：《中国艾滋病性病》2022年第3期299-304,共6页Chinese Journal of Aids & STD

基　　金：2021-2022年社会组织参与艾滋病防治基金项目(2021-2022110105 NGOPLWH106856)。

摘　　要：目的了解新确诊中青年HIV感染MSM抑郁、焦虑现状,并探讨其影响因素。方法采用便利抽样法选取新确诊中青年HIV感染MSM 271名,采用抑郁自评量表和焦虑自评量表对患者抑郁、焦虑症状进行测评,采用一般情况调查表、HIV/AIDS压力量表、社会支持等量表探讨其影响因素。结果新确诊中青年HIV感染MSM抑郁、焦虑发生率分别为41.70%(113人)、25.09%(68人),其中20.66%(56人)的个体同时具有抑郁和焦虑症状。Logistic回归分析显示,偶尔吸烟(OR=4.23;95%CI:1.87~9.58)、HIV/AIDS相关压力较高(OR=1.06;95%CI:1.03~1.09)、屈服应对方式(OR=1.12;95%CI:1.00~1.25)是抑郁的危险因素;自觉健康状况一般(OR=0.31;95%CI:0.12~0.80)、自觉健康状况好(OR=0.16;95%CI:0.06~0.43)、高水平的自我效能(OR=0.74;95%CI:0.61~0.88)是抑郁的保护因素。偶尔吸烟(OR=4.16;95%CI:1.56~11.06)、HIV/AIDS相关压力较高(OR=1.06;95%CI:1.03~1.10)是焦虑的危险因素;平均月收入为5000~9999(OR=0.37;95%CI:0.16~0.85)、平均月收入≥10000元(OR=0.32;95%CI:0.12~0.82)、自觉健康状况好(OR=0.11;95%CI:0.03~0.39)、高水平的自我效能(OR=0.69;95%CI:0.57~0.85)是焦虑的保护因素。结论本研究中新确诊中青年HIV感染MSM抑郁、焦虑发生率较高,应根据其影响因素采取恰当的干预方式降低抑郁、焦虑的发生率。Objective To investigate the prevalence of depressive and anxiety symptoms in young/middle-aged MSM with newly diagnosed HIV infections and explore the related factors for depressive and anxiety symptoms.Methods The convenience sampling method was used to conduct a questionnaire survey of 217 young/middle-aged men who have sex with men with newly diagnosed HIV infections.Depressive symptoms were measured with the Self-Rating Depression Scale(SDS)and anxiety symptoms with the Self-rating anxiety scale(SAS).General information,HIV/AIDS stress scale(SS-HIV),Social Support Rating Scale(SSRS)was used to analyze the related factors of depression and anxiety.Results The percentage of depression and anxiety symptoms was 41.70%and 25.09%,respectively,and 20.66%of the individuals have both.Logistic regression analysis showed that the risk of having depression symptoms included smoking sometimes(OR=4.23;95%CI:1.87-9.58),higher level of HIV/AIDS related pressure(OR=1.06;95%CI:1.03-1.09),coping resignation mode(OR=1.12;95%CI:1.00-1.25),but general perceived health status(OR=0.31;95%CI:0.12-0.80),perceived health status was good(OR=0.16;95%CI:0.06-0.43),higher level of self-efficacy(OR=0.74;95%CI:0.61-0.88)were a protective factor for depression.Factors associated with anxiety symptoms included smoking sometimes(OR=4.16;95%CI:1.56-11.06),higher level of HIV/AIDS related pressure(OR=1.06;95%CI:1.03-1.10),and monthly income of≥10000 Yuan(OR=0.32;95%CI:0.12-0.82),monthly income of 5000-9999 Yuan(OR=0.37;95%CI:0.16-0.85),perceived health status was good/very good(OR=0.11;95%CI:0.03-0.39),higher level of self-efficacy(OR=0.69;95%CI:0.57-0.85)were protective factors for anxiety.Conclusions The prevalence of depressive&anxiety symptoms is increased in newly diagnosed HIV-positive young/middle-aged MSM.Moreover,appropriate intervention should be taken according to its influencing factors to reduce the incidence of depression and anxiety.

关 键 词：抑郁 焦虑 艾滋病病毒感染 新确诊 男男性行为者 中青年 

分 类 号：R373.9[医药卫生—病原生物学]