广州市艾滋病阳性者自杀行为及社会心理因素分析

Analysis of the suicidal behavior and psychosocial factors among HIV positive patients in Guangzhou

目的了解广州市艾滋病病毒阳性者自杀意念和自杀行为现状,探讨其影响因素,分析社会心理因素与之的相关性。方法在广州市六区抽取HIV阳性成人患者进行横断面调查,收集社会人口学特征、HIV感染情况、自杀意念、自杀行为、社会心理因素等信息,以自杀意念、自杀行为为因变量,进行单因素和多因素Logistic回归分析。结果 464名调查对象中,5.2%和17.4%分别有过自杀行为与自杀意念。其中,感染途径、抑郁、焦虑、社会歧视、自我歧视与自杀行为的发生有关(均有P<0.05);年龄、健康状况、配偶感染、抑郁、焦虑、社会支持、社会歧视、自我歧视与自杀意念的发生有关(均有P<0.05)。多因素logistic回归分析模型显示抑郁、自我歧视与自杀行为发生有关(均有P<0.05),抑郁、社会歧视与自杀意念发生有关(均有P<0.05)。结论广州市HIV阳性成人患者的自杀意念与行为发生率较高,应在HIV阳性者中针对性地开展抑郁、社会歧视、自我歧视相关的心理咨询、风险评估并尽早干预治疗。

Objective To investigate the status of suicidal behaviors and suicidal ideation among HIV positive patients in Guangzhou, and to explore its relevant psycho-social factors. Methods We conducted a cross-sectional survey of HIV positive adult patients in six districts of Guangzhou to collect social-demographic characteristics, HIV infection time, suicidal ideation, suicidal behaviors and psycho-social factors. Use suicidal ideation and suicidal behaviors as the dependent variables to conduct the univariate analysis and multivariate Logistic regression analysis. Results Of the 464 subjects,5.2% and 17.4% of them had suicidal behaviors and suicidal ideation. Analysis showed that the infection route, depression, anxiety, social discrimination, self-discrimination were correlated with the suicidal behaviors(all P<0.05), while age, health status, spouse infection, depression, anxiety and social support, social discrimination, self-discrimination were correlated with the suicidal ideation(all P<0.05). Multivariate Logistic regression model showed that depression and self-discrimination were associated with suicidal behaviors(all P<0.05),depression and social discrimination were associated with suicidal ideation(all P<0.05). Conclusions HIV-positive adult patients in Guangzhou have a high incidence of suicidal ideation and behaviors. Psychological counseling, risk assessment and timely treatment related to depression, social discrimination self-discrimination and early antiviral treatment should be targeted in HIV-positive adult patients.