广东省HIV感染孕产妇心理弹性现状及相关因素分析  

Analysis of the psychological resilience status and related factors among HIV-infected pregnant women in Guangdong Province

作　　者：李锦斌 高爽[2] 卢妍 苏梦杨 李丽霞 江洪波 LI Jin-bin;GAO Shuang;LU Yan;SU Meng-yang;LI Li-xia;JIANG Hong-bo(Department of Epidemiology and Health Statistics,School of Public Health,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510310,China;不详)

机构地区：[1]广东药科大学公共卫生学院流行病与卫生统计学系,广东广州510310 [2]广东省妇幼保健院,广东广州510145 [3]广州市番禺区疾病预防控制中心

出　　处：《现代预防医学》2024年第17期3134-3139,共6页Modern Preventive Medicine

基　　金：广东省哲学社会科学规划项目(GD21YSH08);2022年度广东省普通高校特色创新类项目(KTSCX060)。

摘　　要：目的了解广东省HIV感染孕产妇心理弹性情况及其相关因素,探讨家人暴力对待的调节效应,为提高HIV感染孕产妇心理弹性水平提供参考依据。方法通过电子问卷收集2021年广东省各地市新报告的HIV感染孕产妇社会人口学特征、HIV感染及治疗相关情况、个人权益认知情况、HIV耻辱、医疗环境歧视、配偶/性伴HIV感染状态、社会及家庭支持、家庭暴力以及心理弹性等信息。采用多因素logistic回归分析HIV感染孕产妇心理弹性的相关因素,进一步采用分层回归模型探索家人暴力对待的调节效应。结果在360名HIV感染孕产妇中,低心理弹性孕产妇占38.33%(138/360)。多因素logistic回归结果显示,知道个人权益得不到保障时可以投诉(aOR=2.52,95%CI:1.48~4.34)的调查对象心理弹性水平较高,曾因感染HIV遭受家人暴力对待(aOR=0.41,95%CI:0.17~0.95)、HIV耻辱水平高(aOR=0.20,95%CI:0.12~0.32)的调查对象心理弹性水平较低。家人暴力对待在HIV耻辱与心理弹性之间存在调节作用(β=-2.803,P=0.001),与未遭受家人暴力对待的调查对象(β=-1.324,P<0.001)相比,在遭受家人暴力对待的调查对象中,HIV耻辱更显著地降低心理弹性(β=-4.127,P<0.001)。结论广东省HIV感染孕产妇心理弹性较低。应开展家暴预防及心理干预工作,提高HIV感染孕产妇的心理弹性水平。Objective To understand the psychological resilience of HIV-infected pregnant women in Guangdong Province and its related factors,and to explore the moderating effect of domestic violence,providing a reference for improving the psychological resilience of HIV-infected pregnant women.Methods An electronic questionnaire was used to collect data in 2021 on the sociodemographic characteristics,HIV infection and treatment status,awareness of personal rights,HIV stigma,discrimination in medical settings,spouse/sexual partner HIV infection status,social and domestic support,domestic violence,and psychological resilience of newly reported HIV-infected pregnant women across various cities in Guangdong Province.Multivariate logistic regression was employed to analyze the factors related to the psychological resilience of HIV-infected pregnant women,and a stratified regression model was further used to explore the moderating effect of domestic violence.Results Among 360 HIV-infected pregnant women,38.33%(138/360)exhibited low psychological resilience.The results of the multivariate logistic regression indicated that those aware of their rights and able to file complaints when their rights were not protected(aOR=2.52,95%CI:1.48-4.34)demonstrated higher levels of psychological resilience,while those who had experienced domestic violence due to their HIV status(aOR=0.41,95%CI:0.17-0.95)and those with high levels of HIV stigma(aOR=0.20,95%CI:0.12-0.32)showed lower levels of psychological resilience.A moderating effect of domestic violence was found between HIV stigma and psychological resilience(β=-2.803,P=0.001);compared to participants who did not experience domestic violence(β=-1.324,P<0.001),those who did experience domestic violence exhibited significantly lower psychological resilience in relation to HIV stigma(β=-4.127,P<0.001).Conclusion Psychological resilience among HIV-infected pregnant women in Guangdong Province is relatively low.It is essential to implement domestic violence prevention and psychological interve

关 键 词：HIV感染孕产妇 心理弹性 相关因素 调节效应 

分 类 号：R512.91[医药卫生—内科学]