title: Risk and protective factors in association with mental health problems among people living with HIV who were former plasma/blood donors in rural China.
abstract: A random sample of 271 people living with HIV (PLWH) who were former plasma/blood donors and a convenience sample of 67 HIV negative villagers were anonymously interviewed. Compared with the non-PLWH, PLWH reported higher prevalence of symptoms of depression (adjusted OR = 2.53, p=0.001), anxiety (adjusted OR = 1.85, p=0.04), and stress (adjusted OR = 1.77, p=0.06). Of the PLWH respondents, 81.7% received Highly Active Antiretroviral Therapy (HAART); 32.1% of whom reported some side effects. Respectively 13.7%, 37.4%, and 38.4% PLWH perceived discrimination from their family members, relatives/friends, and neighbors. Absence of HAART, poor physical function, perceived discrimination from relatives and friends, and low level of resilience were associated with depression (stepwise regression; beta = - 0.28-0.17, R-square = 0.22), anxiety and stress (R-square = 0.32 and 0.16, respectively). The majority of respondents (70.1%) desired group intervention as a means for providing psychological support services. Relevant programs should both remove risk factors (e.g., absence of medical treatment, HIV-related discrimination) and promote protective factors (e.g., resilience). Support group is one of the potentially useful approaches to provide psychological support services.
authors.affiliation: Centre for Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, PRC.
authors.forename: X N
authors.initials: XN
authors.lastname: Yu
authors.forename: J T F
authors.initials: JT
authors.lastname: Lau
authors.forename: W W S
authors.initials: WW
authors.lastname: Mak
authors.forename: Y M
authors.initials: YM
authors.lastname: Cheng
authors.forename: Y H
authors.initials: YH
authors.lastname: Lv
authors.forename: J X
authors.initials: JX
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D023241:Antiretroviral Therapy, Highly Active / Q000523:psychology*; D001782:Blood Donors; D016022:Case-Control Studies; D002681:China / Q000453:epidemiology; D003866:Depressive Disorder / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010949:Plasma; D015995:Prevalence; D012307:Risk Factors; D012423:Rural Health; D013240:Stereotyping; D013315:Stress, Psychological; D055815:Young Adult