Depression symptoms among caregivers of children in HIV-affected families in rural China.

Depression symptoms among caregivers of children in HIV-affected families in rural China.
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DOI:
10.1080/09540120903334633
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发表时间:
2010-06
期刊:
影响因子:
1.7
通讯作者:
Zhao J
Zhao J
中科院分区:
医学4区
文献类型:
--
作者:
Lv Y;Zhao Q;Li X;Stanton B;Fang X;Lin X;Zhao G;Zhao J

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本研究的目的是调查农村艾滋病孤儿(即因艾滋病毒/艾滋病而失去父母的儿童)和弱势儿童(即与感染艾滋病毒的在世父母生活在一起的儿童)的照顾者的抑郁症状,并探讨与照顾者中存在抑郁症状相关的因素。横断面数据收集自中国农村地区的 160 名成年护理人员(父母、亲戚或其他成年人),那里许多居民因不卫生的采血而感染了艾滋病毒。样本包括来自照顾艾滋病孤儿和弱势儿童 (OVC) 的家庭的 120 名护理人员以及来自没有 OVC 的家庭的 40 名护理人员。流行病学研究中心抑郁量表(CES-D)用于评估护理人员的抑郁症状。进行多元回归分析以评估护理人员抑郁症状与各种个人和家庭因素的关联。整个样本的 CES-D 平均得分为 19.18(男性 17.84,女性 20.44)。单变量分析表明,来自成人或儿童 HIV 感染家庭、教育程度较低、家庭用品/资产较少的护理人员的 CES-D 得分显着较高。控制年龄、性别和照顾者的教育程度后,多元回归分析显示抑郁症状与家庭社会经济地位降低、家庭中成人或儿童艾滋病毒感染之间存在显着关联。我们的结果表明,OVC 的照顾者的抑郁症状水平较高,并强调了对其照顾者的心理支持和干预的需要,特别是对于来自成人或儿童 HIV 感染家庭的家庭社会经济地位较低的照顾者。
The objectives of this study were to examine symptoms of depression among caregivers of rural AIDS orphans (i.e., children who had lost one or both of their parents to HIV/AIDS) and vulnerable children (i. e., children who were living with HIV-infected alive parents), and to explore factors associated with the presence of symptoms of depression among caregivers. Cross-sectional data were collected from 160 adult caregivers (parents, relatives or other adults) from a rural area in China where many residents were infected with HIV through unhygienic blood collection. The sample included 120 caregivers from households caring for AIDS orphans and vulnerable children (OVC) and 40 from households without OVC. The Center for Epidemiological Studies Depression Scale (CES-D) was used to assess the symptoms of depression among the caregivers. Multiple regression analysis was performed to assess the associations of depressive symptoms with various individual and family factors among caregivers. The mean score of CES-D for the entire sample was 19.18 (17.84 for men and20.44 for women). The univariate analysis indicated that the score of CES-D was significantly higher among caregivers with lower education, fewer household items/assets, from families with adult or pediatric HIV infection. Controlling for age, gender, and caregivers’ education, multiple regression analysis revealed significant associations between symptoms of depression and reduced family SES, adult or pediatric HIV infection in family. Our results indicated an elevated level of depression symptoms among caregivers of OVC and underscored the needs for psychological support and intervention for their caregivers, especially for those with lower family SES, from families with an adult or pediatric HIV infection.
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