摘要
目的调查湖北省武汉市内艾滋病感染者创伤后应激障碍(PTSD)的发生率及影响因素,为改善艾滋病感染者心理状态和生活质量提供参考。方法在2015年10月—2016年1月对到武汉市医疗救治中心接受检查的535例艾滋病感染者进行问卷调查。结果武汉市艾滋病感染者PTSD患病率为26.5%,再体验症状群、回避/情感麻木症状群以及高警觉症状群患病率分别为56.8%、48.2%、41.9%多因素分析显示,确诊带来的心理冲击和歧视感知程度与艾滋病感染者患PTSD心理冲击非常大OR=10.033,95%CI=1.246~80.787歧视感知OR=1.055,95%CI=1.036~1.073,以及出现再体验症状心理冲击比较大OR=4.229,95%CI=1.526~11.723心理冲击非常大OR=7.158,95%CI=2.585~19.823歧视感知OR=1.039,95%CI=1.024~1.053有关确诊带来的心理冲击大比较大OR=3.251,95%CI=1.044~10.126非常大OR=5.112,95%CI=1.653~15.805、高歧视感知(OR=1.042,95%CI=1.028~1.057)和低社会资本OR=0.920,95%CI=0.883~0.959的感染者更可能报告回避/情感麻木症状;高警觉症状也与感染者歧视感知程度OR=1.045,95%CI=1.030~1.060和拥有的社会资本OR=0.950,95%CI=0.913~0.988有关。结论武汉市艾滋病感染人群PTSD患病率以及3大症状共病率均较高,确诊带来的心理冲击、歧视感知和社会资本是与该人群患创伤后应激障碍相关的主要因素。
Objective To explore the prevalence and influencing factors of post-traumatic stress disorder(PTSD)in people living with human immunodeficiency virus(HIV)infection(PLWH)in Wuhan city,and to provide evidences for improving mental health and living quality of PLWH.Methods We conducted a face-to-face questionnaire survey among 535 PLWH visiting Wuhan Municipal Medical Treatment Center between October 2015 and January 2016.Results Among all the PLWH,the prevalence of PTSD was 26.5%and the prevalence rates of PTSD-related symptoms were 56.8%for re-experiencing,48.2%for avoidance/affective numbness,and 41.9%for high alertness,respectively.The results of multivariate logistic regression analysis revealed that significant influencing factors for occurrences of PTSD and its three domain symptoms included mental conflict at the first diagnosis of HIV positive(very strong conflict:odds ratio[OR]=10.033,95%confidence interval[95%CI]:1.246–80.787 for PTSD;OR=7.158,95%CI:2.585–19.823 for re-experiencing;OR=5.112,95%CI:1.653–15.805 for avoidance/affective numbness;strong conflict:OR=4.229,95%CI:1.526–11.723 for re-experiencing and OR=3.251,95%CI:1.044–10.126 for avoidance/affective numbness),highly perceived discrimination(OR=1.055,95%CI:1.036–1.073 for PTSD;OR=1.039,95%CI:1.024–1.053 for re-experiencing;OR=1.042,95%CI:1.028–1.057 for avoidance/affective numbness;OR=1.045,95%CI:1.030–1.060 for high alertness),and high possession of social capital(OR=0.920,95%CI:0.883–0.959 for avoidance/affective numbness and OR=0.950,95%CI:0.913–0.988 for high alertness).Conclusion The prevalence of PTSD and the comorbidity of the three major PTSD symptoms are high among PLWH;mental conflict of at first diagnosis of HIV infection,perceived discrimination and social capital are main factors associated with the occurrence of PTSD among the PLWH.
作者
陈楚鼎
燕虹
李十月
杨银梅
丁昌棉
杨田田
CHEN Chu-ding;YAN Hong;LI Shi-yue(Department of Epidemiology and Health Statistics,School of Health Sciences,Wuhan University,Wuhan,Hubei Province 430071,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2019年第12期1618-1622,共5页
Chinese Journal of Public Health
基金
国家自然科学基金(81673196)
教育部人文社会科学研究规划基金(15YJAZH094)
关键词
艾滋病感染者
创伤后应激障碍
相关因素
people living with human immunodeficiency virus infection
post-traumatic stress disorder
associated factor
