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目的探讨安徽农村地区艾滋病病毒感染者/患者(people living with HIV/AIDS,PLWHA)家属自杀意念的发生及危险因素。方法调查选择安徽省阜阳市颍州区京九乡的190名PLWHA非患病家属,使用自编一般情况调查问卷、家庭关怀度指数问卷(family APGAR index,APGAR)和客观歧视情况调查表进行调查,通过单因素和多因素分析探讨自杀意念与各影响因素之间的关系。结果 皖北农村地区PLWHA家属的自杀意念发生率为21.1%,单因素分析结果显示年龄偏大,配偶罹患艾滋病、家庭适应度低以及客观歧视中“疏远”、“朋友不再联系”、“同村的人不理睬”、“被他人看不起”和“不再受到帮助”等经历较多者易产生自杀意念;多因素分析显示配偶罹患艾滋病(OR=8.574,P<0.001)、其他亲属罹患艾滋病(OR=4.055,P=0.004)、被他人看不起(OR=4.445,P=0.003)和家庭适应度低(OR=5.857,P=0.010)是产生自杀意念的主要危险因素。结论皖北农村地区PLWHA家属的自杀意念发生率较高,各种危险因素在不同角度影响其心理状况,应采取有针对性的措施进行引导和帮助。
Objective To investigate the occurrence and risk factors of suicidal ideation in family living with HIV / AIDS (PLWHA) in Anhui rural areas. METHODS: A total of 190 PLWHA non-afflicted relatives in Jingjiu Township, Yingzhou District, Fuyang City, Anhui Province, were selected for investigation. Family general survey questionnaire, family APGAR index and objective discrimination were used to investigate , Through single factor and multivariate analysis to explore the relationship between suicidal ideation and various influencing factors. Results The incidence of suicide ideation among PLWHA family members in rural areas of northern Anhui Province was 21.1%. The results of univariate analysis showed that the older adults were spouse, the spouse had AIDS, low family fitness and objective discrimination. “,” People in the same village ignored “,” others were despised “and” no longer being helped "and others who experienced more easily suicidal ideation. Multivariate analysis showed that the spouse had AIDS (OR = 8.574, (OR = 4.457, P = 0.001), other relatives suffering from AIDS (OR = 4.055, P = 0.004), looked down upon by others (OR = 4.445, P = 0.003) The main risk factors. Conclusion The prevalence of suicide ideation among PLWHA family members in rural areas in northern Anhui Province is high. Various risk factors affect their psychological status from different angles. Targeted measures should be taken to guide and help them.