与艾滋病毒感染者参与护理的人群中自杀念头相关的因素
Derek D Satre1, Varada Sarovar2, Tory Levine2
1University of California, San Francisco, Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, San Francisco, CA 94107, United States of America; Kaiser Permanente Northern California, Division of Research, Pleasanton, CA 94588, United States of America.
Journal of affective disorders
|May 9, 2024
概括
艾滋病毒感染者 (PWH) 面临更高的自杀念头 (SI) 风险. 多重物质使用,兴奋剂使用,抑郁症,焦虑症和医疗补助保险是PWH中SI的重要风险因素.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 传染病流行病学 传染病流行病学
背景情况:
- 艾滋病毒感染者 (PWH) 有自杀念头 (SI) 的风险较高.
- 有限的研究存在于物质使用,临床和社会人口统计因素和PWH中SI之间的关联.
研究的目的:
- 检查与艾滋病毒感染者 (PWH) 中自杀念头 (SI) 相关的因素.
- 在PWH的初级保健环境中确定SI的临床和社会人口统计相关值.
主要方法:
- 利用北加州初级保健诊所成年PWH计算机查的数据.
- 包括物质使用 (TAPS),抑郁症 (PHQ-9),精神病诊断,艾滋病毒状况,治疗,保险和社区贫困指数 (NDI).
- 使用后勤回归来计算SI的调整赔率比率 (aOR).
主要成果:
- 在2829个PWH中,8%报告SI.
- 增加的SI风险与多种物质使用有关 (1种物质:aOR=1.65;2种物质:aOR=2.23;≥3种物质:aOR=4.49).
- 兴奋剂使用 (aOR=3.55),抑郁 (aOR=4.18),焦虑 (aOR=1.67) 和医疗补助保险 (aOR=2.11) 与较高的SI风险有关.
结论:
- 多重物质使用,兴奋剂使用,抑郁,焦虑和公共保险 (Medicaid) 是PWH中SI的重要风险因素.
- 艾滋病毒护理提供者应选并解决这些风险因素,以便及时进行干预.
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