西南医科大学学报2024，Vol.47Issue(4)：334-338,5.DOI:10.3969/j.issn.2096-3351.2024.04.012
泸州市青年与老年HIV/AIDS患者污名化歧视、社会支持及抑郁的比较研究
A comparative study of stigmatization,social support and depression in young and elderly HIV/AIDS patients in Luzhou City
摘要
Abstract
Objective To analyze the stigma discrimination,social support and depression of young and elderly HIV/AIDS pa-tients in Luzhou City,so as to provide a basis for health intervention.Methods A fixed sample of HIV/AIDS patients receiving community-based follow-up management in Luzhou City was sampled during March-May 2022,and face-to-face questionnaires were administered to HIV/AIDS patients.SPSS 25.0 software was used for statistical analysis.Mann-Whitney U test,Chi-square test or Fisher's exact probability method were used to compare the differences between groups.Spearman rank correlation was used to analyze the correlation between stigma discrimination,social support and depression.Unconditional Logistic regression was used to explore the influencing factors of depression in young and elderly HIV/AIDS patients,with bilateral α=0.05 as the test level.Results A total of 160 young and elderly HIV/AIDS patients were included.Compared to young patients,a higher proportion of elderly patients lived in ru-ral areas(χ2=48.43,P<0.001),and had relatively lower levels of education(χ2=132.39,P<0.001).Young patients had signifi-cantly lower social support than elderly patients(Z=-5.79,P<0.001),a higher detection rate of depression than elderly patients(χ2=31.25,P<0.001),and no statistical difference in stigmatization.Stigmatization was positively correlated with depression(young rs=0.166,P=0.035;elderly rs=0.218,P=0.006),while social support was negatively correlated with stigmatization in elderly pa-tients(rs=-0.166,P=0.036).Non-conditional Logistic regression showed that living in rural area was a risk factor for depression in elderly patients(OR=4.421,95%CI:1.154～16.943),and stigmatization was a common risk factor for depression in both young(OR=1.028,95%CI:1.002～1.056)and elderly patients(OR=1.046,95%CI:1.004～1.088).Conclusion It is necessary for all so-cial sectors to continue providing support to HIV/AIDS patients,especially to pay attention to the mental health of young patients.Health education on AIDS should continue to aim at eliminating stigmatization and discrimination,strengthening the health education defense lines in rural areas,and carrying out AIDS prevention and control knowledge health education through multiple channels and forms.关键词
HIV/AIDS/年龄/抑郁/污名化歧视/社会支持Key words
HIV/AIDS/Age/Depression/Stigma discrimination/Social support分类
临床医学引用本文复制引用
李茂,陈小雪,刘宇,华涵,叶雨婷,郎杰那么,吕馨月,王若兰,陈润..泸州市青年与老年HIV/AIDS患者污名化歧视、社会支持及抑郁的比较研究[J].西南医科大学学报,2024,47(4):334-338,5.基金项目
中国性病艾滋病防治协会高校防艾基金项目(2020510500A000394) （2020510500A000394）
四川省艾滋病防治社会动员项目-西南医科大学健康促进协会大学生宣传项目(2022省-A14) （2022省-A14）
