The mental health impact of AIDS-related mortality in South Africa: a national study.
The mental health impact of AIDS-related mortality in South Africa: a national study.
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DOI：
10.1136/jech.2008.080861
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发表时间：
2009-04
影响因子：
6.3
通讯作者：
Williams DR
中科院分区：
文献类型：
--
作者：
Myer L;Seedat S;Stein DJ;Moomal H;Williams DR
关于艾滋病毒/艾滋病流行病如何影响人口心理健康的数据很少。研究人员对南非成年人中知道有人死于艾滋病毒/艾滋病与常见精神疾病之间的关系进行了研究。在2002年至2004年期间，对4351名成年人的全国代表性样本进行了访谈，询问他们是否亲自认识死于艾滋病毒/艾滋病的人，并根据《诊断与统计手册》第四版（DSM-IV），使用世界卫生组织综合国际诊断访谈对过去12个月内的抑郁症、焦虑症和药物滥用障碍进行了精神诊断。总体而言，42.2%的样本知道有人死于艾滋病毒/艾滋病，16.5%的样本符合至少一项DSM-IV诊断标准。认识死于艾滋病毒/艾滋病的人更有可能患有DSM-IV定义的任何障碍，包括任何抑郁、焦虑或物质相关障碍（所有关联p<0.001）。在调整了参与者人口统计学特征、生活事件和社会经济地位的多变量模型中，与知道某人死于艾滋病毒/艾滋病显著相关的个体障碍包括广泛性焦虑症、社交恐惧症和酒精/药物依赖或滥用。根据这些结果，估计南非成年人群中高达15%的12个月DSM-IV障碍可能与认识死于艾滋病毒/艾滋病的人有关。这些新的数据表明，艾滋病相关的死亡率可能在很大程度上增加了艾滋病毒高流行环境中的精神障碍负担。虽然这一发现需要进一步调查，但这些数据表明，有必要在艾滋病毒/艾滋病流行的社区加强精神卫生服务。
Few data exist on how the HIV/AIDS epidemic may influence population mental health. The associations were examined between knowing someone who died of HIV/AIDS and common mental disorders among South African adults. Between 2002 and 2004, a nationally representative sample of 4351 adults were interviewed about personally knowing someone who died of HIV/AIDS, and the World Health Organization Composite International Diagnostic Interview was used to generate psychiatric diagnoses for depression, anxiety and substance abuse disorders during the preceding 12 months based on the Diagnostic and Statistical Manual, 4th edition (DSM-IV). Overall, 42.2% of the sample knew someone who died of HIV/AIDS, and 16.5% met the criteria for at least one DSM-IV diagnosis. Individuals who knew someone who died of HIV/AIDS were significantly more likely to have any DSM-IV defined disorder, including any depressive, anxiety or substance-related disorder (p<0.001 for all associations). In multivariate models adjusted for participant demographic characteristics, life events and socioeconomic status, individual disorders significantly associated with knowing someone who died of HIV/AIDS included generalised anxiety disorder, social phobia and alcohol/drug dependence or abuse. Based on these results, it is estimated that up to 15% of 12-month DSM-IV disorders in the South African adult population may be related to knowing someone who died of HIV/AIDS. These novel data suggest that AIDS-related mortality may contribute substantially to the burden of mental disorders in settings of high HIV prevalence. While this finding requires further investigation, these data suggest the need to strengthen mental health services in communities where HIV/AIDS is prevalent.
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影响因子：
4.7
作者：
Olley, Benjamin O.;Seedat, Soraya;Stein, Dan J.
通讯作者：
Stein, Dan J.
DOI：
10.1080/09540120500456565
发表时间：
2006-04-01
影响因子：
1.7
作者：
Orner, P
通讯作者：
Orner, P
影响因子：
--
作者：
Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者：
Zaslavsky, AM
影响因子：
17.7
作者：
Ciesla, JA;Roberts, JE
通讯作者：
Roberts, JE
影响因子：
17.7
作者：
Leserman, Jane;Pence, Brian Wells;Stangl, Dalene
通讯作者：
Stangl, Dalene