Prevalence of loneliness among HIV/AIDS patients:a meta-analysis
Objective To systematically evaluate the prevalence of loneliness among patients with HIV/AIDS through a meta-analysis.Methods Relevant literature was retrieved from English(PubMed,Embase,Cochrane Library,and Web of Science)and Chinese databases[China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform,VIP Chinese Journal Service Platform]up to May 12,2024.Studies reporting the prevalence of loneliness among patients with HIV/AIDS were included.The analysis was performed using R 4.2.3,incorporating a subgroup analysis to explore potential sources of heterogeneity.Results A total of 29 studies were included,comprising a sample size of 15 056 patients with HIV/AIDS.The meta-analysis revealed that the prevalence of loneliness among patients with HIV/AIDS was 52.0％(95％CI:44.7％-59.2％).Subgroup analysis revealed a higher prevalence of loneliness among females(46.0％,95％CI:35.0％-57.1％)than among males(42.6％,95％CI:34.6％-50.5％).Patients aged 50-59 years(36.5％,95％CI:15.0％-58.1％)exhibited a higher prevalence than did those aged 60 and above(33.2％,95％CI:23.9％-42.5％).Studies conducted before 2015 reported a higher prevalence(63.1％,95％CI:49.8％-76.4％)compared to that reported in those from 2015-2019(54.5％,95％CI:37.2％-71.8％)and 2020-2022(38.5％,95％CI:28.4％-48.6％).Individuals living alone showed higher loneliness rates(52.8％,95％CI:30.2％-75.3％)than did those not living alone(33.4％,95％CI:16.0％-50.8％).Unmarried individuals reported higher prevalence of loneliness(48.9％,95％CI:39.9％-57.9％)compared to that in married individuals(30.7％,95％CI:19.6％-41.8％).Heterosexual individuals exhibited a higher prevalence(41.5％,95％CI:28.1％-54.8％)than did homosexuals(34.1％,95％CI:17.7％-50.5％)and bisexual individuals(35.0％,95％CI:0-69.2％).Patients with depression reported a higher loneliness rate(78.0％,95％CI:65.2％-90.7％)than that of non-depressed patients(25.4％,95％CI:6.5％-44.3％).Loneliness assessed using the UCLA-20 scale showed a prevalence of 61.2％(95％CI:44.1％-78.3％),which was higher than that assessed by other methods.Additionally,the prevalence among Chinese HIV/AIDS patients was 58.6％(95％CI:41.5％-75.7％),exceeding rates in other countries.Conclusions The prevalence of loneliness among HIV/AIDS patients is relatively high,particularly among younger,female,single,living alone,heterosexual,and depressed individuals.These findings underscore the urgent need for enhanced mental health screening and interventions targeting these key populations to improve their quality of life and health outcomes.
HIV/AIDSprevalence of lonelinessmeta-analysismental health
万方数据
维普
