| 曹艳利,李昕薇,王潇滟,王雨,高群,骆洪梅,王爱玲,王前.社会支持与家庭功能对HIV感染妇女心理健康的中介效应[J].中华流行病学杂志,2026,47(3):431-437 |
| 社会支持与家庭功能对HIV感染妇女心理健康的中介效应 |
| Mediating effect of social support and family function on mental health of women infected with HIV |
| 收稿日期:2025-08-28 出版日期:2026-03-19 |
| DOI：10.3760/cma.j.cn112338-20250828-00608 |
| 中文关键词: 艾滋病病毒|妇女|领悟社会支持|家庭功能|抑郁|中介效应 |
| 英文关键词: HIV|Women|Perceived social support|Family functioning|Depression|Mediating effect |
| 基金项目:国家自然科学基金（H2605-81803250） |
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| 中文摘要: |
| 目的 探讨社会支持与家庭功能对HIV感染妇女心理健康的中介作用，为改善脆弱人群心理健康提供科学依据。方法 基于HIV感染妇女队列，2022年在广西壮族自治区和云南省共4个研究现场纳入373名HIV感染妇女开展基线调查，2023年和2024年进行随访。采用流调用抑郁自评量表、领悟社会支持量表、家庭功能量表对HIV感染妇女心理健康情况进行多维度评估。采用χ2检验和χ2线性趋势检验分析不同特征HIV感染妇女的社会支持、家庭功能及心理健康的差异并检验2022-2024年的变化。采用Amos 29.0软件构建结构方程模型，剖析领悟社会支持、家庭功能与抑郁发生情况的中介关系和路径。结果 领悟社会支持通过提升家庭功能（β=0.443，P<0.001）间接降低抑郁发生风险，良好的家庭功能可直接降低抑郁发生风险（β=-0.152，P=0.007）。地区差异显著，广西壮族自治区抑郁检出率低于云南省（P<0.001），城镇户籍抑郁检出率相对较高（β=0.131，P=0.011）。结论 领悟社会支持与家庭功能是缓解HIV感染妇女抑郁的关键中介因素。建议针对地区差异，强化社区支持网络、提升家庭功能，整合多维度干预策略改善脆弱人群的心理健康。 |
| 英文摘要: |
| Objective To explore the mediating role of social support and family function on the mental health of HIV-infected women, and provide evidence for the improvement of the mental health of vulnerable populations. Methods Based on a cohort of HIV-infected women, 373 HIV-infected women were recruited from 4 research sites in Guangxi Zhuang Autonomous Region and Yunnan Province in 2022 for baseline survey, and annual follow-up was conducted in 2023 and 2024 respectively. The mental health of HIV-infected women was evaluated in multiple dimensions by using the Epidemiologic Studies Depression Scale, the Perceived Social Support Scale, and the Family Functioning Scale, and χ2test and χ2 linear trend test were used to analyze the differences in social support, family function, and mental health among HIV-infected women with different characteristics and analyze the changes from 2022 to 2024. A structural equation model was constructed by using software Amos 29.0 to analyze the mediating effect and path of perceived social support and family function on the occurrence of depression in HIV infected women. Results Perceived social support indirectly reduced the risk for depression by enhancing family function (β=0.443, P<0.001). Good family function could directly reduce the risk for depression (β=-0.152, P=0.007). There were significant area specific differences, with a lower depression detection rate in Guangxi than in Yunnan (P<0.001), and a relatively higher depression detection rate in those with urban household registration (β=0.131, P=0.011). Conclusions Perceived social support and family function are key mediating factors in alleviating depression in HIV-infected women. It is suggested to strengthen community support networks, enhance family function, and integrate multi-dimensional intervention to improve the mental health of vulnerable populations. |
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