Psychiatric morbidity in HIV-infected male prisoners.
Psychiatric morbidity in HIV-infected male prisoners.
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DOI：
10.1016/s0929-6646(10)60040-x
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发表时间：
2010-03
影响因子：
3.2
通讯作者：
Lyu, Shu-Yu
中科院分区：
文献类型：
--
作者：
Peng, Eugene Yu-Chang;Lee, Ming-Been;Morisky, Donald Edward;Yeh, Ching-Ying;Farabee, David;Lan, Yu-Ching;Chen, Yi-Ming Arthur;Lyu, Shu-Yu
自2004年以来，台湾人体免疫缺陷病毒（艾滋病毒）的血清发病率急剧上升，特别是在注射吸毒者和囚犯中。本研究的主要目的是探讨爱滋病毒男性囚犯中精神疾病的患病率及相关因素。2006年，收集了台湾七个监狱中所有感染艾滋病毒的男性囚犯（n = 535）的数据。这个收集是通过一个自我管理的，匿名的问卷在小组设置由我们的采访者指导。在535名参与者中，使用五项简短症状评定量表测量精神疾病发病率，反应率为85%。在排除不完整数据后，479名参与者被纳入分析。46%的参与者存在精神疾病。多因素logistic回归显示，五项简要症状评定量表定义的病例的相关因素包括：累犯、自评健康状况差、一生中经历过精神症状（如明显的身体疼痛或不适、持续2周或以上的抑郁、严重的焦虑或紧张、理解、集中或记忆困难、严重的自杀念头），其Nagelkerke R2 = 0.365。精神疾病在感染艾滋病毒的男性囚犯中普遍存在。因此，建议将与心理健康有关的量身定制的艾滋病毒/艾滋病教育纳入监禁人口艾滋病毒/艾滋病综合培训方案。
The seroincidence of human immunodeficiency virus (HIV) in Taiwan has drastically increased since 2004, particularly among injection drug users and prisoners. The major purpose of this study was to explore the prevalence and correlates of psychiatric morbidity among HIV-infected male prisoners. In 2006, data were collected from all of HIV-infected male prisoners (n = 535) in seven prisons in Taiwan. This collection was performed using a self-administered, anonymous questionnaire in group settings directed by our interviewers. Psychiatric morbidity was measured using the five-item Brief Symptom Rating Scale in 535 participants, which represented an 85% response rate. After excluding incomplete data, 479 participants were included in the analysis. Psychiatric morbidity was present in 46% of participants. Multivariate logistic regression revealed that correlates of the five-item Brief Symptom Rating Scale defined cases included the following: being a recidivist, having poor self-rated health status, and having experienced psychiatric symptoms in one’s lifetime (e.g. significant physical pain or discomfort, depression for 2 weeks or longer, serious anxiety or tension, trouble understanding, concentrating, or remembering, and serious thoughts of suicide), with a Nagelkerke R2 equal to 0.365. Psychiatric morbidity is prevalent among HIV-infected male prisoners. Tailored HIV/AIDS education related to mental health is therefore suggested for inclusion as part of a comprehensive HIV/AIDS training program among incarcerated populations.