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中国 HIV/AIDS 患者自杀意念的患病率:系统评价和荟萃分析。

Prevalence of suicide ideation among HIV/AIDS patients in China: A systematic review and meta-analysis.

机构信息

The Affiliated Mental Health Center of Jiangnan University, Wuxi Central Rehabilitation Hospital, Wuxi, Jiangsu, China.

School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu, China.

出版信息

Front Public Health. 2023 Feb 23;11:1082521. doi: 10.3389/fpubh.2023.1082521. eCollection 2023.

Abstract

OBJECTIVE

A systematic review and meta-analysis was performed to evaluate the prevalence of suicide ideation among HIV/AIDS patients in China.

METHODS

Systematic search of CNKI, Wanfang, China biology medicine database, Weipu, EMBASE, Web of science and PubMed for studies related to the suicide ideation of HIV/AIDS patients. The incidence of suicide ideation of HIV / AIDS patients in China was investigated by meta-analysis.

RESULTS

A total of 16 studies were included ( = 6,174). The incidence of suicidal ideation in HIV/AIDS patients was 30.6% (95%CI: 21.4-39.9%). The results of subgroup analysis showed that the incidence of suicidal ideation in male was 36.1%, which was higher than that in female (32.8%), homosexual patients (39.7%) higher than heterosexual patients (27.1%), 2013-2021 survey (35.2%) higher than 2003-2012 survey (26.5%), the unmarried patients (39.6%) were higher than the married patients (34.5%), the patients diagnosed >1 year (28.4%) were higher than the patients diagnosed <1 year (27.6%), and the depression patients (34.3%) were higher than patients without depression (20.5%) and CD4 cell counts ≤200 cells/ul group (20.6%) were higher than those in >400 cells/ul group (19.8%).

CONCLUSION

The incidence of suicide ideation in HIV/AIDS patients in China is relatively high.

摘要

目的

系统评价和荟萃分析评估了中国 HIV/AIDS 患者自杀意念的流行率。

方法

系统检索中国知网、万方、中国生物医学文献数据库、维普、EMBASE、Web of Science 和 PubMed 中与 HIV/AIDS 患者自杀意念相关的研究。采用荟萃分析调查中国 HIV/AIDS 患者自杀意念的发生率。

结果

共纳入 16 项研究(n=6174)。HIV/AIDS 患者自杀意念的发生率为 30.6%(95%CI:21.4-39.9%)。亚组分析结果显示,男性自杀意念发生率为 36.1%,高于女性(32.8%);同性恋患者(39.7%)高于异性恋患者(27.1%);2013-2021 年调查(35.2%)高于 2003-2012 年调查(26.5%);未婚患者(39.6%)高于已婚患者(34.5%);诊断>1 年的患者(28.4%)高于诊断<1 年的患者(27.6%);抑郁患者(34.3%)高于无抑郁患者(20.5%)和 CD4 细胞计数≤200 细胞/ul 组(20.6%)高于>400 细胞/ul 组(19.8%)。

结论

中国 HIV/AIDS 患者自杀意念的发生率相对较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef1/9996003/f14f1327855c/fpubh-11-1082521-g0001.jpg

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