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目的了解HIV感染者和AIDS病人(People Living with HIV/AIDS,PLWHA)自杀意念现状,探讨其影响因素,为制定关怀干预对策提供客观依据。方法采用《自杀意念自评量表》(SIOSS)和评价方法,以2012年5月至2012年12月在广州市番禺区CDC艾滋病VCT门诊就诊的PLWHA为调查对象,进行面对面问卷调查,调查其人口学特征及对其是否持有自杀意念进行评价。采用多因素logistic回归分析对PLWHA的自杀影响因素进行统计学析。结果在调查的144例PLWHA中,男性占67.36%(97/144),女性占32.64%(47/144);平均年龄(36.9±10.8)岁。29.17%(42/144)患者有自杀意念。在自杀意念发生率方面,无业/待业者为(50.00%,9/18)高于有工作者(26.29%,33/126)、中专/高中及以下者为(32.52%,40/123)高于大专及以上者(9.52%,2/21)、独居者为(58.33%,7/12)高于非独居者(26.52%,35/132)、CD4细胞计数≤200 cells/μL者为(47.83%,11/23)高于>200 cells/μL者(25.62%,31/121),差异均有统计学意义(均P<0.05)。多因素logistic回归分析结果显示就业状况和居住方式为产生自杀意念的危险因素,其调整的OR值和95%CI分别为:4.813(1.250~18.526)和8.832(1.330~58.661)。结论 PLWHA普遍存在自杀意念,应在随访关怀过程中,建立有效的综合支持体系,以改善PLWHA心理状况。
Objective To understand the current situation of suicidal ideation in people living with HIV / AIDS (PLWHA) and explore the influencing factors, so as to provide an objective basis for formulating measures of caring intervention. Methods The self-rating scale of suicide ideation (SIOSS) and evaluation methods were used to investigate the prevalence of PLWHA in CDW AIDS VCT clinic in Panyu District from May 2012 to December 2012. The questionnaires were investigated by face-to-face questionnaire Demographic characteristics and whether or not they hold suicidal ideation. Multivariate logistic regression analysis of PLWHA suicide factors were statistically analyzed. Results Of the 144 PLWHA cases surveyed, 67.36% (97/144) were male and 32.64% (47/144) were female; mean age (36.9 ± 10.8) years. 29.17% (42/144) patients had suicidal ideation. In terms of the incidence of suicidal ideation, the number of unemployed / unemployed workers was higher (50.00%, 9/18) than workers (26.29%, 33/126) and secondary school / high school students (32.52%, 40/123) Higher than college and above (9.52%, 2/21), living alone (58.33%, 7/12) higher than non-living alone (26.52%, 35/132), CD4 cell count ≤ 200 cells / μL were (47.83%, 11/23) higher than> 200 cells / μL (25.62%, 31/121), the differences were statistically significant (all P <0.05). Multivariate logistic regression analysis showed that the employment status and living style were the risk factors of suicide ideation. The adjusted odds ratio (OR) and 95% CI were 4.813 (1.250 ~ 18.526) and 8.832 (1.330 ~ 58.661) respectively. Conclusion PLWHA generally suicide ideation, should follow-up care in the process of establishing an effective comprehensive support system to improve PLWHA psychological status.