重庆市江津区中老年男性HIV感染者抑郁调查

Investigation on depression among middle-aged and elderly male HIV-infected patients in Jiangjin District of Chongqing City

目的了解中老年男性HIV感染者抑郁现状及其影响因素,为制订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,于2021年6—12月抽取在重庆市江津区疾病预防控制中心就诊的200例50岁及以上男性HIV感染者,进行面对面问卷调查;评估调查对象抑郁现状并分析其影响因素,单因素分析使用χ^(2)检验,多因素分析使用logistic回归模型。结果共回收有效问卷199份,有效回收率为99.5%。调查对象年龄50~85岁,平均(63.2±9.8)岁。38.2%的调查对象检出不同程度的抑郁,轻度抑郁发生率为15.6%,中度抑郁发生率为22.6%。单因素分析结果显示,不同居住地(χ^(2)=13.803,P<0.001)、是否工作(χ^(2)=7.528,P=0.006)、月收入(χ^(2)=8.778,P=0.012)、艾滋病知识知晓率(χ^(2)=4.524,P=0.033)与抑郁发生有关。多因素logistics回归分析显示,居住地为农村[OR=2.800,95%CI(1.474,5.316)]是抑郁的危险因素。结论中老年男性HIV感染者抑郁发生率较高,应重点关注农村地区,为中老年HIV感染者提供心理干预支持,减少抑郁的发生。

Objective To understand the depression status quo of middle-aged and elderly male HIV-infected patients and its influencing factors to provide a scientific basis for the formulation of depression prevention and intervention measures for this population.Methods The convenience sampling was used,200 male HIV-infected patients aged 50 years old and above were selected from the Chongqing Jiangjin District Center for Disease Control and Prevention from June to December 2021 and conducted the face-to-face questionnaire survey.The depression status quo of these objects was evaluated and its influencing factors were analyzed.The Chi-square test was used for univariate analysis,and the logistic regression model was used for multivariate analysis.Results A total of 199 valid questionnaires were recovered,with an effective recovery rate of 99.5%.The objects aged 50-85 years old,with an average age of(63.2±9.8)years old.38.2%of the objects had different degrees of depression,the occurrence rate of mild depression was 15.6%and which of moderate depression was 22.6%.The univariate Chi-square analysis results showed that different places of residence(χ^(2)=13.803,P<0.001),work(χ^(2)=7.528,P=0.006),monthly income(χ^(2)=8.778,P=0.012)and awareness rate of AIDS knowledge(χ^(2)=4.524,P=0.033)were related with the depression occurrence.The multivariate logistic regression analysis showed that the rural area as residence place was the risk factor for depression[OR=2.800,95%CI(1.474,5.316)].Conclusion The incidence rate of depression in middle-aged and elderly male HIV-infected patients is relatively high.More attention should be paid to the rural areas to provide psychological intervention support for middle-aged and elderly HIV-infected patients,so as to reduce the occurrence of depression.