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| Incidence of suicide ideation among HIV/AIDS patients in China: a meta-analysis |
| HAN Mengdie1, XU Minghui1, CHEN Xu2, ZHAO Xue1, CHENG Minghui1, GAO Jing3, LI Huiju1
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1. School of Nursing, Lanzhou University, Lanzhou, Gansu 730010, China;
2. Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China;
3. The Second Hospital of Lanzhou University, Lanzhou, Gansu 730030, China |
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Abstract Objective To systematically evaluate the incidence of suicide ideation among HIV/AIDS patients in China, so as to provide insights into prevention of suicidal behaviors among HIV/AIDS patients. Methods All publications pertaining to suicide ideation were jointly retrieved in electronic databases from database creation to May 22, 2022, including CNKI, CMB, Wanfang Data, VIP, PubMed and Web of Science. The quality of literatures was evaluated using the 11 quality indicators for cross-sectional studies recommended by the United States Agency for Healthcare Research and Quality (AHRQ), and a meta-analysis was performed using the software Stata 16.0. The stability of the study results was evaluated using sensitivity analysis, and the publication bias was evaluated using Begg's test. Results A total of 1 557 publications were screened and 32 literatures covering 12 917 HIV/AIDS patients were included in the final analysis, including 21 Chinese publications and 11 English publications, and 19 high-quality publications and 13 moderate-quality publications. Meta-analysis showed that the incidence of suicide ideation was 30.3% (95%CI: 23.2%-37.4%) among HIV/AIDS patients in China, and subgroup analysis showed higher incidence of suicide ideation in unemployed HIV/AIDS patients than in employed patients (P<0.05). Sensitivity analysis showed stable study results, and Begg's test revealed no significant publication bias. Conclusions The incidence of suicide ideation is 23.2% to 37.4% among HIV/AIDS patients in China. High attention paid to psychological health and early psychological interventions are required to prevent the development of suicide ideation.
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Received: 13 June 2022
Revised: 18 July 2022
Published: 16 November 2022
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[1] HE N.Research progress in the epidemiology of HIV/AIDS in China[J].China CDC Wkly,2021,3(48):1022-1030.
[2] 郝阳,孙新华,夏刚,等.“四免一关怀”政策实施10年中国艾滋病防治主要进展[J].中国艾滋病性病,2014,20(4):228-232.
HAO Y,SUN X H,XIA G,et al.Progress in AIDS prevention and treatment since the implementation of the“Four Frees and One Care”AIDS policy in China[J].Chin J AIDS STD,2014,20(4):228-232.
[3] 肖琛嫦. 艾滋病感染者/患者歧视感知状况及其影响抑郁和自杀意念的中介效应研究[D].武汉:武汉大学,2017.
XIAO C C.Status of perceived discrimination and the mediating effect on the relationship between depression and suicidal ideation among people living with HIV/AIDS[D].Wuhan:Wuhan University,2017.
[4] 应梦婷. 从自杀意念到自杀行动:自杀相关动机过程的差异研究[D].武汉:华中师范大学,2018.
YING M T.From suicidal ideation to actions:a study on the differences regarding suicide-related motivational process[D].Wuhan:Central China Normal University,2018.
[5] 梁淑英,王重建,王宇明,等.艾滋病对不同人群个人及其家庭社会影响的调查分析[J].中国卫生事业管理,2012,29(10):792-794.
LIANG S Y,WANG C J,WANG Y M,et al.Surveying the influences of HIV/AIDS on individuals and their families among different groups[J].Chin Health Serv Manag,2012,29(10):792-794.
[6] 庾泳,常子珏,李辉,等.某微信平台人类免疫缺陷病毒感染者或艾滋病病例的生命质量与自评心身健康状况[J].中南大学学报(医学版),2021,46(9):1024-1030.
YU Y,CHANG Z J,LI H,et al.Quality of life in patients with HIV/AIDS in a HIV WeChat account and self-assessment of physical and mental health[J].J Cent South Univ(Med Sci),2021,46(9):1024-1030.
[7] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
ZENG X T,LIU H,CHEN X,et al.Meta analysis series Ⅳ:quality evaluation tools for observational studies[J].Chin J Evid Based Cardiovasc Med,2012,4(4):297-299.
[8] 陈芳,丁凡,林小杰,等.HIV阳性男男性行为者的抑郁焦虑状况[J].中国心理卫生杂志,2015,29(4):251-257.
CHEN F,DING F,LIN X J,et al.Prevalence rates of depression and anxiety in HIV-infected men who have sex with men[J].Chin Ment Health J,2015,29(4):251-257.
[9] 程伟彬. 艾滋病病毒感染者/病人自杀未遂流行病学研究[D].广州:广东药学院,2008.
HAN M D.An epidemiological study on attempted suicide among people living with HIV/AIDS[D].Guangzhou:Guangdong Pharmaceutical University,2008.
[10] 何丁玲,赵霞,万彬,等.老年HIV/AIDS病人自杀意念的调查研究[J].中国艾滋病性病,2020,26(5):554-555.
HE D L,ZHAO X,WAN B,et al.Investigation on suicidal ideation of elderly patients living with HIV/AIDS[J].Chin J AIDS STD,2020,26(5):554-555.
[11] 刘阳,李婧嘉,陈唯一,等.广州市艾滋病阳性者自杀行为及社会心理因素分析[J].中华疾病控制杂志,2019,23(12):1455-1459.
LIU Y,LI J J,CHEN W Y,et al.Analysis of the suicidal behavior and psychosocial factors among HIV positive patients in Guangzhou[J].Chin J Dis Control Prev,2019,23(12):1455-1459.
[12] 刘云,杨紫君,袁也丰,等.江西省HIV/AIDS病例心理及自杀行为分析[J].职业与健康,2019,35(12):1656-1659.
LIU Y,YANG Z J,YUAN Y F,et al.Analysis on psychology and suicidal behavior of people living with HIV/AIDS in Jiangxi Province[J].Occup Health,2019,35(12):1656-1659.
[13] 柳英,彭碧华,牛璐,等.有男男同性性行为的新确诊HIV感染者的情绪问题调查[J].中国心理卫生杂志,2017,31(6):471-477.
LIU Y,PENG B H,NIU L,et al.Emotional problems among newly diagnosed HIV-positive men with homosexual sex behaviors[J].Chin Ment Health J,2017,31(6):471-477.
[14] 吕岩红. 有偿献血艾滋病病毒感染者心理健康的现况研究[D].北京:中国协和医科大学,2007.
LÜ Y H.A cross-sectional study on the mental health among people living with HIV/AIDS[D].Beijing:Peking Union Medical College,2007.
[15] 宁南义,石川,于欣,等.203例农村有偿献血感染HIV病例抑郁障碍及生活质量调查[J].中国心理卫生杂志,2008,22(7):501-504,509.
NING N Y,SHI C,YU X,et al.Depression and quality of life investigation among HIV/AIDS subjects infected by plasma donation[J].Chin Ment Health J,2008,22(7):501-504,509.
[16] 秦小洁,杨燕君,黄桂锋.HIV感染者和AIDS病人自杀意念现状及其影响因素研究[J].华南预防医学,2014,40(3):208-211.
QIN X J,YANG Y J,HUANG G F.Suicidal ideation and influencing factors among people living with HIV/AIDS[J].South China J Prev Med,2014,40(3):208-211.
[17] 任有霞. HIV感染者/AIDS病人自杀意念和自杀未遂流行病学研究[D].广州:广东药学院,2009.
REN Y X.An epidemiological study on suicidal ideation and attempted suicide among people living with HIV/AIDS[D].Guangzhou:Guangdong Pharmaceutical University,2009.
[18] 苏普玉,陶芳标,郝加虎,等.安徽农村地区曾因有偿献血感染HIV/AIDS的已婚成人心理卫生问题研究[J].卫生研究,2010,39(6):739-742,746.
SU P Y,TAO F B,HAO J H,et al.Mental health and risk behaviors of married adults with HIV/AIDS derived from paid blood donation in rural areas of Anhui Province[J].J Hyg Res,2010,39(6):739-742,746.
[19] 王慧莹,王敏,蒋芙蓉,等.长沙市艾滋病病例自杀意念的社会心理因素调查[J].中南大学学报(医学版),2017,42(6):687-694.
WANG H Y,WANG M,JIANG F R,et al.Socio-psychological factors relevant to suicidal ideation among patients with AIDS in Changsha[J].J Cent South Univ(Med Sci),2017,42(6):687-694.
[20] 王威. 基于社会资本理论和突变理论的艾滋病感染者/病例自杀行为的相关研究[D].武汉:武汉大学,2019.
WANG W.Study on suicidal behaviors among people living with HIV/AIDS based on social capital theory and catastrophe theory[D].Wuhan:Wuhan University,2019.
[21] 吴红燕,孙业桓,张秀军,等.艾滋病病人自杀意念的心理、社会影响因素研究[J].疾病控制杂志,2007,11(4):342-345.
WU H Y,SUN Y H,ZHANG X J,et al.Study on the social psychology influencing factors of suicidal ideation in people living with AIDS[J].J Dis Control Prev,2007,11(4):342-345.
[22] 许美振. 广东省HIV抗体阳性吸毒者自杀未遂及精神障碍研究[D].广州:广东药学院,2010.
XU M Z.Attempted suicide and mental disorders among HIV-positive drug users in Guangdong[D].Guangzhou:Guangdong Pharmaceutical University,2010.
[23] 杨梓杰,张燕,谢炜,等.深圳市新确证HIV/AIDS病例自杀意念危险因素分析[J].中国艾滋病性病,2021,27(6):623-627.
YANG Z J,ZHANG Y,XIE W,et al.Risk factors of suicidal ideation among newly confirmed HIV/AIDS patients in Shenzhen[J].Chin J AIDS STD,2021,27(6):623-627.
[24] 庾泳,苏莉莉,孙寅萌,等.AIDS病例感染结果告知、歧视知觉、社会支持与自杀意念的关系[J].中华疾病控制杂志,2021,25(12):1420-1425.
YU Y,SU L L,SUN Y M,et al.The relationship between HIV serostatus disclosure,self-stigma,social support and suicidal idea-tion in AIDS patients[J].Chin J Dis Control Prev,2021,25(12):1420-1425.
[25] 张晗希,曾澄波,蔡卫平,等.HIV/AIDS病人自杀现状及影响因素的性别差异[J].中国艾滋病性病,2016,22(8):601-604.
ZHANG H X,ZENG C B,CAI W P,et al.Suicidal status and related factors between male and female people living with HIV/AIDS[J].Chin J AIDS STD,2016,22(8):601-604.
[26] ATKINSON J H,JIN H,SHI C,et al.Psychiatric context of human immunodeficiency virus infection among former plasma donors in rural China[J].J Affect Disord,2011,130(3):421-428.
[27] JIN H,ATKINSON J H,DUARTE N A,et al.Risks and predictors of current suicidality in HIV-infected heroin users in treatment in Yunnan,China:a controlled study[J].J Acquir Immune Defic Syndr,2013,62(3):311-316.
[28] LAU J T F,YU X N,MAK W W S,et al.Suicidal ideation among HIV+ former blood and/or plasma donors in rural China[J].AIDS Care,2010,22(8):946-954.
[29] LIU Y,NIU L,WANG M,et al.Suicidal behaviors among newly diagnosed people living with HIV in Changsha,China[J].AIDS Care,2017,29(11):1359-1363.
[30] LUO R,SILENZIO V M B,HUANG Y,et al.The changes and the predictors of suicidal ideation among HIV-positive sexual minority men:a five-year longitudinal study from China[J].AIDS Behav,2022,26(2):339-349.
[31] MO P K,LAU J T,WU X B.Relationship between illness representations and mental health among HIV-positive men who have sex with men[J].AIDS Care,2018,30(10):1246-1251.
[32] WANG W,CHEN X G,YAN H,et al.Association between social capital and suicide ideation,plan and attempt among men living with HIV in China[J].J Affect Disord,2021,280(Part A):173-179.
[33] WANG X L,YAN C Y,TONG Y S,et al.Comparison of psycho-social factors associated with suicidal ideation and suicide attempts among people living with HIV in central west China[J/OL].Front Public Health,2022[2022-07-18].https://doi.org/10.3389/fpubh.2022.832624.
[34] WANG Y Y,DONG M,ZHANG Q,et al.Suicidality and clinical correlates in Chinese men who have sex with men(MSM)with HIV infection[J].Psychol Health Med,2019,24(2):137-143.
[35] WU Y L,YANG H Y,WANG J,et al.Prevalence of suicidal ideation and associated factors among HIV-positive MSM in Anhui,China[J].Int J STD AIDS,2015,26(7):496-503.
[36] ZENG C B,LI L H,HONG Y A,et al.A structural equation model of perceived and internalized stigma,depression,and suicidal status among people living with HIV/AIDS[J/OL].BMC Public Health,2018,18(1)[2022-07-18].https://doi.org/10.1186/s12889-018-5053-1.
[37] PEI J H,PEI Y X,MA T,et al.Prevalence of suicidal ideation,suicide attempt,and suicide plan among HIV/AIDS:a systematic review and meta-analysis[J].J Affect Disord,2021,292:295-304.
[38] 崔展宇,宋兵,王冶,等.HIV感染者/AIDS病例歧视知觉及相关影响因素研究[J].中国性科学,2021,30(1):155-160.
CUI Z Y,SONG B,WANG Y,et al.HIV/AIDS patients' perception on discrimination and its related influencing factors[J].Chin J Hum Sex,2021,30(1):155-160.
[39] SCHLEBUSCH L,GOVENDER R D.Elevated risk of suicidal ideation in HIV-positive persons[J/OL].Depress Res Treat,2015[2022-07-18].https://doi.org/10.1155/2015/609172. |
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