重庆市沙坪坝区50岁及以上中老年男性HIV/AIDS患者抑郁现状及影响因素调查  

Investigation on depression status and influencing factors among middle-aged and elderly male HIV/AIDS patients aged 50 and above in Shapingba District of Chongqing

作　　者：谭天宇 周超[1] 卢戎戎[1] 张维[1] 白重阳 闫黎 吴国辉[1] TAN Tianyu;ZHOU Chao;LU Rongrong;ZHANG Wei;BAI Chongyang;YAN Li;WU Guohui(Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;Chongqing Shapingba District Center for Disease Control and Prevention,Chongqing 405400,China)

机构地区：[1]重庆市疾病预防控制中心,重庆400042 [2]重庆市沙坪坝区疾病预防控制中心,重庆405400

出　　处：《预防医学情报杂志》2023年第2期192-198,共7页Journal of Preventive Medicine Information

基　　金：重庆自然科学基金项目(项目编号:cstc2021jcyj-msxmX1171);重庆英才“包干制”项目(项目编号:cstc2021ycjh-bgzxm0097);重庆市卫生健康委医学科研项目(项目编号:2022WSJK022);重庆市科卫联合医学科研项目(项目编号:2022GDRC017)。

摘　　要：目的了解50岁及以上中老年男性HIV/AIDS患者抑郁现状及影响因素,为制定该人群的抑郁预防和干预措施提供科学依据。方法采用方便抽样,2021年6月12日在重庆市沙坪坝区招募50岁及以上男性HIV/AIDS患者进行抑郁现状及影响因素面对面问卷调查;用SPSS 22.0软件对抑郁的相关因素进行统计分析,单因素分析使用卡方检验,多因素分析使用Logistic回归模型,以P<0.05为差异具有统计学意义。结果共回收199份调查问卷,有效率99.50%。在199例50岁及以上男性HIV/AIDS患者中,年龄50~92岁,平均年龄61.01岁。39.70%(79/199)调查对象具有不同程度的抑郁症状,其中20.60%(41/199)为轻度抑郁,15.08%(30/199)为中度抑郁,4.02%(8/199)为重度抑郁。单因素卡方分析结果显示不同年龄、艾滋病知识知晓率、CD4细胞计数水平,抑郁症状发生率差异存在统计学意义。多因素Logistics回归方程分析结果显示,年龄≥70岁(OR=3.36,95%CI:1.38~8.18)、不知晓艾滋病知识(OR=1.86,95%CI:1.01~3.42),是发生抑郁症状的危险因素。结论50岁及以上中老年男性HIV/AIDS患者抑郁症状发生率较高,且随年龄增长而增加;提高该人群的艾滋病知识知晓率,有助于减少抑郁症状的发生。Objective To understand the depression status and influencing factors of middle-aged and elderly male HIV/AIDS patients aged 50 years and above,and to provide scientific basis for the formulation of depression prevention and intervention measures.Methods Convenience sampling method was used to recruit male HIV/AIDS patients aged 50 years and above in Shapingba District of Chongqing,their depression status and influencing factors were investigated by face-to-face questionnaire survey.SPSS 22.0 software was used for statistical analysis.Chi-square test was used for univariate analysis,and Logistic regression model was used for multivariate analysis,the differences P<0.05 was considered statistically significant.Results A total of 199 questionnaires were collected,the effective rate was 99.50%.Male HIV/AIDS patients aged 50 and above among199 investigators,aged 50-92,with an average age of 61.01.39.70%(79/199)of the respondents had different degrees of depressive symptoms,of which 20.60%(41/199)were mild depression,15.08%(30/199)were moderate depression,and 4.02%(8/199)were severe depression.The results of univariate chi-square analysis showed that there were statistically significant differences in the incidence of depression among different age,awareness rate of AIDS knowledge,and CD4 cell count levels.The results of multivariate logistic regression equation analysis showed that the age≥70 years old(OR=3.36,95%CI:1.38-8.18),and no knowledge of AIDS(OR=1.86,95%CI:1.01-3.42)were the risk factors for depression.Conclusions The incidence of depression in middle-aged and elderly men aged 50 and above with HIV/AIDS is high,and it increases with age.Increasing the awareness rate of AIDS knowledge can help to reduce the incidence of depression.

关 键 词：HIV/AIDS 抑郁 艾滋病知识知晓率 老年人 

分 类 号：R195[医药卫生—卫生统计学]