退伍军人自杀的风险因素 携带和没有艾滋病毒的退伍军人自杀的风险因素:一个嵌套的病例控制研究研究
Alexandria Smith1,2, Joseph L Goulet3,4, David Vlahov5
1Yale School of Nursing, 400 West Campus Drive, Orange, CT, 06477, USA. alexandria.smith@yale.edu.
AIDS and behavior
|September 26, 2023
概括
艾滋病毒感染者 (PWH) 的自杀风险更高,与一般人群相似的风险因素. 然而,之前的自杀企图显著增加了PWH的自杀风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 艾滋病毒感染者 (PWH) 中的自杀率明显高于一般人群.
- 了解PWH中自杀的特定风险因素对于有针对性的干预至关重要.
研究的目的:
- 调查各种风险因素 (包括艾滋病毒特异性因素) 与PWH中自杀之间的关联.
- 为了比较PWH和HIV阴性个体之间的自杀风险因素.
主要方法:
- 使用从2006年到2015年的退伍军人衰老队列研究 (VACS) 的数据,采用了嵌套病例控制研究设计.
- 条件后勤回归被用于估计自杀风险,模型按艾滋病毒状况分层.
主要成果:
- 大多数自杀风险因素,如情感障碍,二胺使用和心理健康治疗,在PWH和HIV阴性个体之间是一致的.
- 没有发现艾滋病毒特异性风险因素和PWH中自杀之间的显著关联.
- 在艾滋病毒诊断和自杀未遂史之间发现了显著的乘法相互作用.
结论:
- 该研究强调,共同的风险因素有助于PWH和普通人群的自杀风险.
- 对于PWH来说,有过自杀企图的病史具有特别高的风险.
- 精神疾病,物质使用障碍和多病症的高患病率是PWH中自杀风险的关键因素.
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