How does living with HIV impact on women's mental health? Voices from a global survey
How does living with HIV impact on women's mental health? Voices from a global survey
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DOI：
10.7448/ias.18.6.20289
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发表时间：
2015-12-01
影响因子：
6
通讯作者：
Welbourn, Alice
中科院分区：
文献类型：
--
作者：
Orza, Luisa;Bewley, Susan;Welbourn, Alice
导言：感染艾滋病毒的妇女在心理健康问题上承受着不成比例的负担。迄今为止，全球准则对心理健康支助，特别是对围产期护理的指导不足。本文的目的是描述的程度和影响的心理健康问题所经历的妇女感染艾滋病毒对他们的性健康和生殖健康和人权（SRH&HR）。方法：一个全球性的，混合的方法，用户主导和设计的调查SRH&HR的妇女感染艾滋病毒进行了使用滚雪球抽样，包含一个可选的部分探讨心理健康问题。统计学定量分析包括描述性统计、相关分析和多元线性回归分析。开放式自由文本的响应进行了专题分析的定性data.Results：共有832名受访者来自94个国家参加了在线调查，489响应可选的心理健康部分。在受访者中，82%的人有抑郁症状，78%的人被拒绝。五分之一的人在艾滋病毒诊断之前就报告了心理健康问题。受访者报告在诊断后经历的心理健康问题数量是诊断后的3.5倍（8.71 vs 2.48，t[488] = 23.00，p
Introduction: Women living with HIV experience a disproportionate burden of mental health issues. To date, global guidelines contain insufficient guidance on mental health support, particularly regarding perinatal care. The aim of this article is to describe the extent and impact of mental health issues as experienced by women living with HIV on their sexual and reproductive health and human rights (SRH&HR).Methods: A global, mixed-methods, user-led and designed survey on SRH&HR of women living with HIV was conducted using snowball sampling, containing an optional section exploring mental health issues. Statistical quantitative data analysis included descriptive statistics, correlation and multiple linear regression analysis for the mental health responses. Thematic analysis of open free-text responses was performed for qualitative data.Results: A total of 832 respondents from 94 countries participated in the online survey with 489 responses to the optional mental health section. Of the respondents, 82% reported depression symptoms and 78% rejection. One-fifth reported mental health issues before HIV diagnosis. Respondents reported experiencing a 3.5-fold higher number of mental health issues after diagnosis (8.71 vs 2.48, t[488] = 23.00, p