老年HIV感染者/AIDS患者抑郁状况及影响因素分析

Depression and Influential Factors among Older People Living with HIV/AIDS

目的:探讨老年HIV感染者/AIDS患者的抑郁现状及其影响因素,为改善该人群的心理健康提供依据。方法:采用病人健康问卷抑郁量表和医学应对方式问卷对湖南老年艾滋病患者进行调查。结果:254例老年艾滋病患者抑郁阳性检出率为50.4%。多因素分析结果显示:家庭人均年收入小于6000元者的抑郁检出率高于6000元及以上者(OR=2.936, 95%CI:1.527~5.646);青壮年期感染存活至老年者抑郁检出率高于老年期新发感染者(OR=2.195,95%CI:1.139~4.230);抗病毒治疗毒副作用(OR=1.933, 95%CI:1.094~3.413)、屈服应对方式(OR=1.201, 95%CI:1.113~1.297)会增加罹患抑郁的风险。结论:湖南地区老年HIV感染者/AIDS患者抑郁状况较为严重,构建年龄适宜的心理疏导模式显得尤为重要。

Objective: To explore the prevalence of depression and potential influential factors among older people with HIV/AIDS in Hunan, China. Methods: Participants were recruited by using convenient sampling from Zhangjiajie city,Changde city, and Chenzhou city. Information related to the status of depression and coping strategies was collected by using Patient Health Questionnaire(PHQ-9) and Medical Coping Modes Questionnaire(MCMQ). Results: A total of 254 participants were interviewed. The prevalence of depression was 50.4%. Multiple logistic regression analyses demonstrated that the participants who were annual per capita income less than 6000 yuan(OR=2.936, 95%CI: 1.527~5.646), first diagnosed with HIV before age 50(OR=2.195, 95%CI: 1.139~4.230), had side effects of ART(OR=1.933, 95%CI: 1.094~3.413)and more likely to adopt acceptance-resignation coping(OR=1.201, 95%CI: 1.113~1.297) had higher prevalence of depression. Conclusion: There is a high prevalence of depression among the older people with HIV/AIDS in Hunan, China. Establishing an age-appropriate psychological counseling model is needed.