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感知到的耻辱感、生活质量和精神信仰对艾滋病毒阳性患者自杀意念的影响。

The Impact of Perceived Stigma, Quality of Life, and Spiritual Beliefs on Suicidal Ideations among HIV-Positive Patients.

作者信息

Zarei Nooshin, Joulaei Hassan

机构信息

Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

AIDS Res Treat. 2018 Mar 26;2018:6120127. doi: 10.1155/2018/6120127. eCollection 2018.

Abstract

BACKGROUND

Suicidal ideation is considered a major health problem associated with HIV/AIDS. Suicide rates among people living with HIV/AIDS (PLHA) are more than three times higher in the general population and that is a significant difference. This study aimed at investigating the related factors of suicidal ideations among HIV-positive patients in Southwest Iran.

STUDY DESIGN

A cross-sectional study.

METHODS

351 adult volunteer HIV-infected patients that referred to the Voluntary Counseling and Testing (VCT) center in the south of Iran were evaluated based on convenience sampling. Data was collected utilizing a structured questionnaire from March to August 2015.

RESULTS

Over the six months prior to the study, 15.4% of the entire sample had been diagnosed with suicidal ideation. There was a significant correlation between the quality of life, spiritual beliefs, perceived stigma, and age with suicidal ideation. Suicidal ideation is significantly different in terms of gender and marital status. Perceived stigma and spiritual beliefs showed the highest effect on suicidal ideations, respectively.

CONCLUSIONS

Having religious beliefs due to accelerating psychological adaptation can motivate HIV patients to survive and have also been considered effective in preventing women from suicide. Perceived stigma and quality of life are other factors that should be taken into consideration as key elements in suicide preventive programs.

摘要

背景

自杀意念被认为是与艾滋病毒/艾滋病相关的一个主要健康问题。艾滋病毒/艾滋病感染者(PLHA)的自杀率比普通人群高出三倍多,这是一个显著差异。本研究旨在调查伊朗西南部艾滋病毒呈阳性患者自杀意念的相关因素。

研究设计

一项横断面研究。

方法

基于便利抽样对351名转诊至伊朗南部自愿咨询检测(VCT)中心的成年自愿艾滋病毒感染患者进行评估。2015年3月至8月期间,使用结构化问卷收集数据。

结果

在研究前的六个月里,整个样本中有15.4%被诊断有自杀意念。生活质量、精神信仰、感知到的耻辱感和年龄与自杀意念之间存在显著相关性。自杀意念在性别和婚姻状况方面存在显著差异。感知到的耻辱感和精神信仰分别对自杀意念影响最大。

结论

由于加速心理适应而拥有宗教信仰可以激励艾滋病毒患者生存,并且也被认为在预防女性自杀方面有效。感知到的耻辱感和生活质量是自杀预防项目中应作为关键因素考虑的其他因素。

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