摘要
目的探索中国HIV/AIDS患者自杀意念发生率及影响因素。方法检索PubMed、Web of Science、Cochrane Library、Embase、CNKI、CBM、万方和维普数据库,检索时长为建库至2021年12月内公开发表的有关中国HIV/AIDS患者自杀意念发生率及影响因素的相关文献,采用Sata15.1和RevMan 5.3软件分别进行发生率和影响因素的数据分析。结果共纳入20篇文献,纳入样本量8871例。Meta分析结果显示,中国HIV/AIDS患者自杀意念发生率为35%。高学历(OR=0.60,95%CI:0.41~0.89)、独居/未婚(OR=0.48,95%CI:0.35~0.67)、抑郁(OR=2.31,95%CI:1.89~2.83)、歧视感知(OR=2.61,95%CI:1.92~3.54)、社会支持(OR=2.32,95%CI:1.73~3.12)、焦虑(OR=4.65,95%CI:3.03~7.14)、自尊水平(OR=2.60,95%CI:1.88~3.60)是中国HIV/AIDS患者自杀意念的影响因素。结论HIV/AIDS患者的自杀意念平均发生率较高。高学历、独居/未婚是患者自杀意念的保护因素,抑郁、歧视感知、低社会支持、焦虑、低自尊水平是患者自杀意念的危险因素。
Objective To explore the prevalence of suicidal ideation in HIV/AIDS and influencing factors in China.Methods Electronic databases and references of included studies were searched.Stata15.1 and RevMan5.3 conducted a meta-analysis.Results A total of 20 pieces of literature were included with 8 871 patients.The prevalence of suicide ideation of HIV/AIDS was 35%.Higher education(OR=0.6,95%CI:0.41-0.89),living alone/unmarried(OR=0.48,95%CI:0.35-0.67),depression(OR=2.31,95%CI:1.89-2.83),perceived discrimination(OR=2.61,95%CI:1.92-3.54),social support(OR=2.32,95%CI:1.73-3.12),anxiety(OR=4.65,95%CI:3.03-7.14) and self-esteem(OR=2.60,95%CI:1.88-3.60) were factors significantly associated with suicide ideation of HIV/AIDS.Conclusion The meta-analysis suggests a high prevalence of suicide ideation among HIV/AIDS in China.Higher education and living alone/unmarried are protective factors,while depression,perceived discrimination,low social support,anxiety,and low self-esteem are risk factors for suicide ideation among HIV/AIDS in China.
作者
刘阳
王慧群
蒋美平
张利漫
薛亚娟
LIU Yang;WANG Huiqun;JIANG Meiping;ZHANG Liman;XUE Yajuan(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;Nanjing Affiliated Hospital of Nanjing University of Chinese Medicine(Nanjing Second Hospital),Nanjing 210003)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2022年第7期878-880,F0003,F0004,共5页
Chinese Journal of Aids & STD
基金
南京市卫生科技发展专项资金项目(YKK21123)。
