Relationship of self-injurious behavior with peer discrimination and depression among AIDS orphans
Objective To explore the relationship of self-injurious behavior with peer discrimination and depression among AIDS orphans,so as to provide the basis for promoting the mental health of AIDS orphans.Methods From March 2021 to March 2022,626 AIDS orphans from 5 counties in Henan Province were selected by stratified cluster random sampling methods.Non-suicidal Self-injury-assessment Tool,Discrimination Experience Scale,and Zung Self-rating Depression Scale were used to investigate AIDS orphans'self-injurious behavior,peer discrimination and depression.Multivariate Logistic regression model was used to analyze the relationship between self-injurious behavior and peer discrimination of AIDS orphans.Multivariate linear regression analysis was used to explore the moderating effect of depression between self-injurious behavior and peer discrimination of AIDS orphans.Results The detection rates of self-injurious behavior,peer discrimination and depression of AIDS orphans were 80.0％,73.3％and 67.6％respectively.The detection rates of the three items mentioned above were 86.9％,81.5％,and 77.5％for double orphaned children,respectively,which were higher than 74.6％,67.0％,and 59.8％for single orphaned children,and the differences were statistically significant(x2=21.29,23.78,14.23,P＜0.01).The score of self-injurious behavior of AIDS orphans was positively correlated with peer discrimination and depression(r=0.55,0.40,P＜0.01).Depression played a moderating role in the relationship between self-injurious behavior and peer discrimination of AIDS orphans(β=0.03,P＜0.05).Conclusions AIDS orphans are more likely to engage in self-injurious behaviors after experiencing peer discrimination and psychological depression.The society and schools should adopt targeted intervention strategies to promote the mental health among AIDS orphans.
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