| [Objective]The purpose of this study was to understand the infection,treatment,social support,mental health status and the influence factors of the mental health status of the People living with HIV/AIDS in Yunnan province,in order to provide a scientific basis for the prevention and control of mental health problems of HIV/AIDS for the government and relevant deparrtments.[Method]This study is a survey of the current situation.A total of 410 people from two regions in Yunnan Province were surveyed by the means of convenient sampling method.The social support scale was used to measure the social support of the surveyed subjects,the prevalence of depression in the surveyed subjects was measured by using the patient health questionnaire depression scale(PHQ-9),The prevalence of anxiety in the surveyed subjects was measured using(GAD-7).Using SPSS 17.0 software for statistical analysis,the t-test and the analysis of variance were used to comparison of means,chi-square test was used to compare the rate,and rank sum test and rank correlation were used to Rank data analysis,ordered multi-class logistic regression analysis was used to analyze the influencing factors of depression and anxiety.And test level was 0.05.[result]A total of 410 people were investigated.209 in urban areas,accounting for 51.0%,201 in rural areas,accounting for 49.0%.291 of male,accounting for 71.0%,119 of female,accounting for 29.0%.The average age was 41.7 ± 11.5,The education for 7.19 years on average.In urban areas,it was diagnosed with HIV more acute infection period(P<0.05)and diagnosed with HIV more than 4 years were more(P<0.05),in rural area was diagnosed with HIV was more asymptomatic period(P<0.05),and the diagnosed with HIV less than 4 years were more(P<0.05).In the route of infection,in urban areas there are more channels of sexual and the other ways infections,in rural areas there are more intravenous drug abuse infections(P<0.05),in males were by intravenous drug abuse infections,and in females were by sexual and the other ways infections(P<0.05).Primary and below education were mainly through intravenous drug abuse infection,junior high school and above education were mainly through sexual and the other ways infections(P<0.05).The Han ethnic were mainly through sexual infections,and the others ethnic minority were mainly through intravenous drug infection(P<0.05).When HIV was diagnosed in acute infection period the people were mainly through the other ways Infection and was diagnosed in asymptomatic period the people were mainly sexually infection(P<0.05).In antiviral therapy,more female were treated than male(P<0.05),and the people education level in junior high school or above were higher than that Primary and below(P<0.05).and the people who were diagnosed with HIV more than 4 years were higher than the people diagnosed with HIV less than 4 years(P<0.05).In social support,the total score was 28.05±7.23,the objective support score was 6.35±2.07,the subjective support score was 16.48±4.45,and the utilization of support was 5.22±2.59.In rural areas the score of subjective support,the utilization support and the total score were higher than that in urban areas(P<0.05).In male had higher subjective support score than that in female(P<0.05).In married persons had higher the score of objective support,subjective support and the total score than that in unmarried persons(P<0.05).Intravenous drug user had higher objective support score than that in the other ways infections(P<0.05).In Intravenous drug infection had higher utilization score than that in through sexual and other ways infection(P<0.05).The untreated patients had higher objective support score than the treated patients(P<0.05).The depression score of HIV/AIDS was 9.00(5.00?12.00),The prevalence of depression was 81.5%,the prevalence of mild-to-moderate depression was 68.0%,severe and very severe depression was 13.4%.respectively,the prevalence of depression in urban areas,rural areas,male and female were 80.9%,82.1%,79.7%and 82.1%.The anxiety score of HIV/AIDS was 6.00(3.75?9.00),the prevalence of anxiety was 70.7%,the prevalence of mild-to-moderate anxieties was 67.6%,severe anxiety was 3.2%.respectively,the prevalence of anxieties in urban areas,rural areas.male and female'were 70.8%;70.6%,68.0%.77.3%.In no workers the depression scores higher than that in the workers(P<0.05).In diagnosed with HIV infection in AIDS of period the prevalence of anxiety and depression were highest(P<0.01).The prevalence of depression and anxiety were highest among patients aged 35?44 years(P<0.05).The people education level in junior high school or above the prevalence of depression and anxiety were higher in that junior high school and above(P<0.05).The untreated patients who the prevalence of depression and anxiety were the most serious(P<0.05).Subjective support score,the total score of social support with depression and anxiety had a negatively correlated,the utilization support score with anxiety had a negative correlation.According to the results of regression analysis the influence factors,the influence factors of depression were subjective support score,utilization support score,symptoms or signs during HIV infection period,gender,educational level,the period at which the disease was diagnosed and treatment(P<0.05),of which The patients who have lower subjective support score,the lower utilization support score,the more symptoms or signs during HIV infection period,female,education level in Primary and below,the period at AIDS the disease was diagnosed,and untreated were more likely to be depressive.The influence factors of anxiety were subjective support score,symptoms or signs during HIV infection period,the regions distribution,gender,medical schemes,the period at which the disease was diagnosed,the route of infection,treatment(P<0.05),of which the patients who have lower subjective support score,the more symptoms or signs during HIV infection period,urban areas,female,have medical schemes,the period at HIV the disease was diagnosed,the infected thought sexual contact and intravenous drugs,untreated more likely to be anxious.[conclusion]There are many patients who with HIV/AIDS had no accept antiviral treatment,and lower level of social support and higher prevalence of depression and anxiety in Yunnan province.It is suggested that in order to reduce the prevalence of depression and anxiety and improve the level of social support and strengthen the construction of HIV/AIDS mental health,we should be encourage HIV/AIDS patient receive treatment.especially,the people who the lower score of subjective support,the lower score of utilization support,the more symptoms or signs during HIV infection period,female and education level in primary and below,the period at which the disease was diagnosed and the untreated. |
PDF Full Text Request