Severe adverse life events and depressive symptoms among women with, or at risk for, HIV infection in four cities in the United States of America
Severe adverse life events and depressive symptoms among women with, or at risk for, HIV infection in four cities in the United States of America
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DOI：
10.1097/00002030-199912030-00018
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发表时间：
1999-12-03
期刊：
影响因子：
3.8
通讯作者：
Smith, D
中科院分区：
文献类型：
--
作者：
Moore, J;Schuman, P;Smith, D
目的：研究HIV感染妇女和对照组未感染妇女严重不良生活事件和抑郁症状的频率和预测因子。设计：分析HIV感染和妇女前瞻性队列研究中HIV感染和未感染妇女的基线数据，HIV流行病学研究。方法：871例HIV感染者和439例人口统计学和行为学相似的未感染妇女的样本来自美国的四个大都市地区。妇女提供的访谈信息，包括社会人口特征，性和吸毒行为，社会和心理功能。结果指标是严重不良生活事件的数量（例如，结果：感染和未感染艾滋病毒的妇女报告了许多不利的生活事件和高度的抑郁症状。然而，两组在任何一项结果指标上都没有差异。低的社会经济地位，注射毒品和快克可卡因的使用，高风险的性活动有关的报告更多的不良事件和抑郁症状的两组，结论：艾滋病毒感染和未感染的妇女在社会和经济上处于不利地位的环境中经历了许多不良事件和高水平的抑郁症状。艾滋病毒感染，至少在早期阶段，在预测妇女的负面心理社会后果方面，可能不如社会环境因素重要。(C)1999年利平科特威廉姆斯&威尔金斯。
Objective: To examine frequency and predictors of severe adverse life events and depressive symptoms among HIV-infected women and a comparison group of uninfected women.Design: Analysis of baseline data collected from HIV-infected and uninfected women in a prospective cohort study of HIV infection and women, the HIV Epidemiologic Research Study.Method: The sample of 871 HIV-infected and 439 demographically and behaviorally similar uninfected women were recruited from four metropolitan areas in the USA. Women provided interview information that included sociodemographic characteristics, sexual and drug-using behaviors, and social and psychological functioning. The outcome measures were number of severe adverse life events (e.g., insufficient money for necessities, physical attack or rape, death of a person close to them) and levels of depressive symptoms.Results: HIV-infected and uninfected women reported numerous adverse life events and high levels of depressive symptoms. The two groups, however, did not differ on either outcome measure. Low socio-economic status, injecting drug and crack cocaine use, and high risk sexual activity were related to reports of more adverse events and depressive symptoms for both groups,Conclusions: HIV-infected and uninfected women in socially and economically disadvantaged environments experience many adverse events and high levels of depressive symptoms. HIV infection, at least during the early phase, may be less important than socio-environmental factors in predicting negative psychosocial outcomes for women. (C) 1999 Lippincott Williams & Wilkins.