Zeng Chengbo, Guo Yan, Hong Y Alicia, Gentz Shelene, Zhang Jinxin, Zhang Hanxi, Qiao Jiaying, Xu Zhimeng, Cai Weiping
Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-Sen University , Guangzhou , People's Republic of China.
Sun Yat-Sen Center for Migrant Health Policy , Guangzhou , People's Republic of China.
AIDS Care. 2019 Nov;31(11):1412-1419. doi: 10.1080/09540121.2019.1587366. Epub 2019 Mar 5.
Unemployment is associated with depression in people living with HIV (PLWH). However, few studies have examined the effects of unemployment on PLWH with different levels of depression. The current study explores the plausible differential effects of unemployment on the different percentiles of depression in PLWH employing a quantile regression (QR) approach, based on a recent survey of 411 PLWH in China. Among participants, 47.7% had elevated depressive symptoms, and 23.8% were unemployed. The effects of unemployment on depression were statistically significant with a trend of initial increase followed by a decline at the quantile levels of 0.51-0.90 of depression. The maximum effect of unemployment status on depression was statistically significant at the 70th and 75th percentiles of depression (coefficient = 7.0, < .01). Tailored strategies and interventions should be implemented to address the differential needs of PLWH with various levels of depressive symptoms.
失业与艾滋病毒感染者（PLWH）的抑郁症有关。然而，很少有研究探讨失业对不同抑郁水平的艾滋病毒感染者的影响。本研究采用分位数回归（QR）方法，基于最近对中国411名艾滋病毒感染者的调查，探讨失业对艾滋病毒感染者不同抑郁百分位数的可能差异影响。在参与者中，47.7%有抑郁症状加重，23.8%失业。在抑郁分位数水平为0.51 - 0.90时，失业对抑郁的影响具有统计学意义，呈现出先上升后下降的趋势。失业状态对抑郁的最大影响在抑郁的第70和第75百分位数处具有统计学意义（系数 = 7.0，< .01）。应实施针对性的策略和干预措施，以满足不同抑郁症状水平的艾滋病毒感染者的不同需求。
