Study Of The Mental Health And The Influencing Factors With Rural Area PLWHA In A County Of Henan

AIDS spreading has exceeded the public health domain becomes a social question and political issue in just only about 20 several years form be discovered by now in the world. The AIDS patient possibly has the more complex psychological questions compared to others disease patients for AIDS lethal, the infection and the discrimination following it. The level of psychologically healthy with PLWHA is extremely low. The psychologically healthy not only affects their life time, the anti-viral curative effect, the productive labor, the quality of life, moreover has the vital significance harmoniously on own initiative using the security behavior and social stability. In recent years, the psychological question and barrier with PLWHA crowd have been taken seriously in domestic and foreign. The psychological concern and the psychological intervention already became the important link of Preventing and controlling AIDS in China. Research of mental healthy and the intervention measure is still at the starts stage in domestic. Psychological consultation and treatment not only was very weak in AIDS prevents and controls system in domestic moreover still the blank in the most districts and the crowd. The organization of psychological consultation and the mental healing in view of the PLWHA have not been set up. The majority of AIDS/HIV patients specially the countryside patients cannot obtain the convenient and effective psychological service. The mental hygiene with PLWHA should be taken seriously widely by the Government department, the academic circle and the entire society. The countryside PLWHA urgent needs conveniently and effective psychological service.Henan is one of the most serious areas of AIDS epidemic situation in Chain. Up to September 30, 2007, there were 38186 example infected by HIV reported in the entire province, accounts for 74% by the paid blood supply, the farmer accounts for 97%. The countryside PLWHA crowd is the typical minority groups.Most of them was infected for selling the blood, there was very greatly different with whom infected by taking drugs and sex. Lower education level, poor, the inhabited area accumulation and so on is the common characteristic with PLWHA crowd countryside. At present, research of mental hygiene was still few to countryside PLWHA in domestic and foreign. Moreover research of mental health with PLWHA was blank in Henan. We had been investing the mental hygiene condition to 192 example AIDS/HIV by self-made the ordinary circumstances survey form, SCL-90, EPQ and social support rate scale from April, 2007 to July in south Henan. They were registered in the local CDC without serious body symptom at present and above 18 years old. The following results were obtained by this investigation:1.Condition of mental health with PLWHA crowd in countrysideResults of SCL-90 demonstrated: SCL-90 total scores, numbers of positive items and every factor's score of 192 examples in countryside with HIV/AIDS were higher than those of Chinese normal. SCL-90 total scores, numbers of positive items and every factor's scores of 145 AIDS cases were higher than those of 47 cases infected with HIV. There were significant differences between the different level of education and income. No remarkable of SCL-90 total numbers of positive items and every factor's score was found between difference sex, age, and infection ways. The positive rate of psychological problems of people with HIV/AIDS reached 83.9%. The first 5 psychological questions are in turn: depression, force symptom, biased, sensitivity of Interpersonal relationship and anxious. The rate of psychological question was remarkable difference in AIDS /HIV patients and at different income level. There were prominent mental problems in PLWHA crowd. The countryside PLWHA urgent needs conveniently and effective psychological service. Much attention should be paid to the AIDS patient, the low education and the low income individual when providing psychological help.2.The characteristic of individuality and the society support with countryside PLWHAThe characteristic of personality with PLWHA crowd in countryside is the model neuroticism (N: 65.79±7.39), the model lowly lie (L: 36.59±7.42), tendency energetic psychoticism (P: 55.99±8.85), tendency extroversion (E: 54.67±12.24). EPQ-P scores of male PLWHA was obviously lower than female's, its scores of EPQ-L was obviously higher than female's. There was remarkable difference in EPQ-E scores of different disease degree and different income level. Others Personality scores were no discovered different. There was no difference in age section and lever about EPQ scores. Extroversion-introversion had been influenced by disease degree and income level possibly.Social support situation of Countryside PLWHA: The total society supports (35.09±8.81), subjective support (20.54±4.68), objective support (7.66±4.27), and exploitability of support (7.12±2.69). Objective support score of AIDS patient compares as HIV's non-significance difference, but total score of society supports, the subjective support score and the exploitability of support score obviously were lower than the HIV infected person. The society supports had the elevate tendency along with the income increases. There was no difference of society supports in the different sex and education level. Analysis of correlation discovery: the social support had obviously related with the personality factor.3.The multi-factor Logistic regression analysis discovered: EPQ-E, EPQ-N, disease degree and the income level, these 4 factors entered the equation, could be forecast directly the rate of psychological question in the PLWHA crow. The hazard factor is the nervous personality. The protection factor is the extroverted personality, has not developed is the AIDS patient, the higher income. The society supports is meaningful when the single factor Logistic regression analysis, but when multi-factor Logistic regression analysis, it not been able to enter the equation, this consistent with the multiple linear regression analysis result.4.Path analysis resultCarried on the path analysis on the foundation of the multiple linear regressions, establishment path model, and plan path diagram. The factors direct influencing on psychologically health of PLWHA in countryside were disease degree, income level, EPQ-E, and EPQ-N. The factors of Extrovision-introvision and Neuroticism were not only the direct variable also the middle variable. They were the intermediary which the psychologically health of countryside PLWHA be influenced by society support, EPQ-L and EPQ-P.We thought through the above results:1 The countryside PLWHA urgent needs conveniently and effective psychological service. May train the basic unit worker of preventing and controlling AIDS the knowledge of psychology consultation and the skill of psychological intervention, enable them to monitor and protect psychologically healthy of countryside PLWHA crow.2 The personal education is one of the important parts in psychological intervention work on PLWHA crow in countryside.3 Enhancing society support is advantageous to the promotion psychologically healthy in countryside PLWHA crow.