Factors Influencing Co-Morbid Suicidal Ideation among Newly diagnosed HIV/AIDS Patients in Shenzhen: A Structural Equation Model (Preprint)

Abstract

BACKGROUND HIV co-morbid suicidal ideation is an important public health problem. And the prime time for suicide ideation intervention among newly diagnosed HIV/AIDS patients in the early stage of HIV/AIDS diagnosed. OBJECTIVE This study aims to apply structural equation modeling to investigate suicidal ideation among newly diagnosed HIV-infected patients to provide a basis for subsequent intervention studies. METHODS A cross-sectional survey of suicidal ideation among newly diagnosed HIV/AIDS patients was conducted from November 2019 to January 2021 at the HIV Voluntary Counseling & Testing Clinic of the Centers for Disease Control and Prevention in Shenzhen by convenience sampling, using a uniform self-administered questionnaire combined with a professional scale. Descriptive analysis, Chi-square test, logistic regression analysis, Spearman rank correlation, and structural equation modeling were used to analyze the risk factors associated with suicidal ideation and their direct and indirect effects. RESULTS A total of 263 newly diagnosed HIV/AIDS patients were collected in the study, aged 18-65 years, 39.9% of patients had suicidal ideation. Age, believing that he is a victim of intentional HIV transmission, HIV self-test results, depression, stigma, and social support were significant influential factors for suicidal ideation in newly diagnosed HIV/AIDS patients. The results of structural equation modeling analysis showed that the effect of age on suicidal ideation was -0.151; the effect of self-perception of being infected with HIV by intentional transmission on suicidal ideation was 0.154; the effect of depression on suicidal ideation was 0.171; the effect of social support on suicidal ideation was -0.148; and the effect of perceived discrimination on suicidal ideation was 0.392. CONCLUSIONS Mental health problems are a key influence on suicidal ideation among newly diagnosed HIV/AIDS patients, and interventions for HIV-infected patients should focus not only on their physical health but also on their mental health.

Prevalence of delayed antiretroviral therapy initiation among people living with HIV: A systematic review and meta-analysis

“…Number of participants ranged from 244 in a Chinese cohort [49] to 34528 in an African cohort [43], and a total of 121142 participants across 15 countries participated in the 29 included studies. More than half of the studies (n = 16) [37,[46][47][48][49][50][51][52][53][54][55][56][57][58][59][60] were conducted in Asia, followed by Africa (n = 9), Europe (n = 3) [32,35,40] and North America (n = 1) [39]. The target population included ART-initiated patients and HIV-positive patients including patients who did not start treatment.…”

“…Seven studies reported the mean time to initiate ART after HIV confirmation, ranging from five to 40 days [32,35,36,46,47,49,52]. In addition, 18 studies used a cohort [32-37, 39, 41-45, 48-52, 54] design, 10 studies used a cross-sectional design [40,46,47,53,[55][56][57][58][59][60], and one study [38] used quasi-experimental study. We evaluated the quality of 28 of 29 studies.…”