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印度南部沿海地区感染艾滋病毒/艾滋病妇女的抑郁症及其相关因素研究。

Study of Depression and Its Associated Factors among Women Living with HIV/AIDS in Coastal South India.

作者信息

Unnikrishnan B, Jagannath Vinita, Ramapuram John T, Achappa B, Madi D

机构信息

Department of Community Medicine, Kasturba Medical College, Manipal University, Light House Hill Road, Mangalore 575001, India.

出版信息

ISRN AIDS. 2012 Jun 21;2012:684972. doi: 10.5402/2012/684972. eCollection 2012.

Abstract

Background. Depression is one of the most prevalent psychiatric diagnoses seen in HIV-positive individuals. Women with HIV are about four times more likely to be depressed than those who are not infected. Aims. To assess the sociodemographic and clinical correlates of depression among women living with HIV/AIDS. Setting and Design. One public and one private hospital in Mangalore, Coastal South India, and cross-sectional design. Methods and Materials. Study constituted of 137 HIV-positive women, depression was assessed using BDI (Beck Depression Inventory), and social support was assessed using Lubben Social Network Scale. Statistical Analysis. All analysis was conducted using SPSS version 11.5. Chi-square test with P value less than 0.05 was taken as statistically significant. Results. Among 137 HIV-positive women, 51.1% were depressed. Around 16% were having moderate to high risk for isolation. Depression was statistically significant in rural women, widowed women, and lower socioeconomic class women. Conclusion. Depression is highly prevalent among women living with HIV which is still underdiagnosed and undertreated, and there is a need to incorporate mental health services as an integral component of HIV care.

摘要

背景。抑郁症是艾滋病毒呈阳性者中最常见的精神疾病诊断之一。感染艾滋病毒的女性患抑郁症的可能性是非感染女性的四倍左右。

目的。评估感染艾滋病毒/艾滋病的女性中抑郁症的社会人口学和临床相关因素。

地点与设计。印度南部沿海芒格洛尔的一家公立医院和一家私立医院,采用横断面设计。

方法与材料。研究对象为137名艾滋病毒呈阳性的女性,使用贝克抑郁量表(BDI)评估抑郁症,使用鲁本社会网络量表评估社会支持。

统计分析。所有分析均使用SPSS 11.5版进行。P值小于0.05的卡方检验被视为具有统计学意义。

结果。在137名艾滋病毒呈阳性的女性中,51.1%患有抑郁症。约16%的人有中度至高度的孤立风险。农村女性、丧偶女性和社会经济阶层较低的女性患抑郁症具有统计学意义。

结论。感染艾滋病毒的女性中抑郁症非常普遍,目前仍诊断不足且治疗不足,有必要将心理健康服务纳入艾滋病毒护理的一个组成部分。

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