社会支持与HIV阳性妇女产后抑郁的关系:焦虑的中介效应
The relationship between social support and postpartum depression among HIV-positive women:the mediating effect of anxiety
黄嘉月 1曹军 2黄廖娟 1胡慧 2覃茜 1李佩芸 1潘彦佐 1秦燕 2肖信3
作者信息
- 1. 广西壮族自治区人民医院预防保健科,南宁 530000
- 2. 南宁市第四人民医院预防保健科,南宁 530000
- 3. 广西壮族自治区人民医院科研部,南宁 530000
- 折叠
摘要
目的 研究HIV阳性妇女社会支持与其产后抑郁的关系,并在此基础上探讨焦虑的中介效应.方法 采用横断面研究、方便抽样法,对在南宁市某传染病专科医院进行分娩的HIV阳性妇女进行问卷调查.使用偏相关检验分析各研究变量间的相关性,并通过Process宏程序中的简单中介效应分析焦虑在社会支持与产后抑郁关系中的中介效应.结果 共纳入349名HIV阳性妇女进行调查.分析结果显示,HIV阳性妇女社会支持、主观支持、客观支持及支持利用度与焦虑呈负相关(r=-0.251～-0.314,P＜0.01),社会支持、主观支持、客观支持及支持利用度与产后抑郁呈负相关(r=-0.257～-0.345,P＜0.05),焦虑与产后抑郁呈正相关(r=0.729,P＜0.001).焦虑在社会支持、主观支持、支持利用度与产后抑郁之间起部分中介作用,中介效应占总效应的比例分别为60.34％、57.88％、57.58％;焦虑在客观支持与产后抑郁的关系中起到完全中介作用,中介效应占总效应的比例为74.06％.结论 社会支持及其各维度可直接影响HIV阳性妇女产后抑郁的发生,也可以通过焦虑间接作用于其产后抑郁,可通过增加HIV阳性妇女的社会支持,降低HIV阳性妇女焦虑的发生,进而降低因社会支持不足而导致的产后抑郁的发生.
Abstract
Objective To investigate the relationship between social support and postpartum depression among HIV-positive women,and to explore anxiety's mediating effect on this association.Methods A cross-sectional study with convenience sampling was conducted among HIV-positive women who gave birth at a specialized infectious diseases hospital in Nanning.A questionnaire survey was utilized to evaluate the interrelationships among the study variables using partial correlation tests,and a simple mediation analysis was performed to explore the intermediary role of anxiety in the relationship between social support and postpartum depression,employing the Process macro.Results The study included 349 HIV-positive women.Social support,including subjective support,objective support,and support utilization,was negatively correlated with anxiety(r=-0.251 to-0.314,P＜0.01),and postpartum depression(r=-0.257 to-0.345,P＜0.05).Anxiety was positively correlated with postpartum depression(r=0.729,P＜0.001).Anxiety partially mediated the relationship between social support,subjective support,support utilization,and postpartum depression,accounting for 60.34％,57.88％,and 57.58％of the total effect,respectively.Anxiety fully mediated the relationship between objective support and postpartum depression,accounting for 74.06％of the total effect.Conclusions Social support and its various facets can directly and indirectly influence the occurrence of postpartum depression among HIV-positive women through the mediating role of anxiety.Enhancing social support for HIV-positive women could reduce anxiety levels and thereby decrease the risk of postpartum depression.
关键词
艾滋病病毒/社会支持/焦虑/产后抑郁/中介效应Key words
HIV/social support/anxiety/postpartum depression/mediating effect引用本文复制引用
出版年
2024
NETL
NSTL
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