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首页> 外文期刊>AIDS care. >Trends in hospitalizations with psychiatric diagnoses among HIV-infected women in the USA, 1994-2004.
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Trends in hospitalizations with psychiatric diagnoses among HIV-infected women in the USA, 1994-2004.

机译：1994年至2004年，美国HIV感染妇女中接受精神科诊断的住院治疗趋势。

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Psychiatric illnesses commonly co-occur with HIV infection and such illnesses have been linked to women's poorer medication adherence and suicide. Using hospital discharge data from the 1994-2004 Nationwide Inpatient Sample, we conducted this study to describe hospitalizations with psychiatric diagnoses from 1994 through 2004 and evaluate the association of specific psychiatric disorders among hospitalized HIV-infected women in the USA with their lack of adherence to medical treatment and suicide attempt. Multivariable logistic regression analyses were used to examine trends in hospitalizations with psychiatric diagnoses among nonpregnant HIV-infected women and the association between specific disorders and women's lack of adherence to medical treatment and suicide attempt. Between 1994 and 2004, the estimated number of all hospitalizations among nonpregnant HIV-infected women increased by 8%, while the number of hospitalizations with a psychiatric diagnosis in this population increased by 73%. After adjusting for demographic factors and alcohol/substance abuse, we found that HIV-infected women were more likely to be hospitalized for mood (odds ratio (OR): 2.35; 95% confidence interval (CI): 1.93-2.88), anxiety (OR: 2.24, 95%CI: 1.74-2.88), and psychotic (OR: 1.45, 95%CI: 1.10-1.90) disorders in 2004 than in 1994. There was a significant association of alcohol/substance abuse with mood, adjustment, anxiety, personality, and psychotic disorders. Noncompliance with medical treatment was significantly associated with psychotic disorders, whereas suicide attempt/self-inflicted injury was significantly associated with mood, adjustment, anxiety, personality, and psychotic disorders. The number of hospitalizations with a psychiatric diagnosis among HIV-infected women in the USA has increased substantially. As HIV-infected women live longer, these results highlight the need for targeted public health interventions to address mental health issues in this population.
机译：精神疾病通常与艾滋病毒感染同时发生，并且这些疾病与妇女较差的药物依从性和自杀有关。利用1994-2004年全国住院患者样本中的出院数据，我们进行了这项研究，以描述1994年至2004年期间接受精神科诊断的住院情况，并评估了美国住院的HIV感染女性与缺乏依从性相关的特定精神疾病医疗和自杀未遂。多变量logistic回归分析用于检查未怀孕的HIV感染妇女的精神病住院治疗趋势，以及特定疾病与妇女缺乏依从性和自杀企图之间的关联。在1994年至2004年之间，估计未感染HIV的女性中所有住院的人数增加了8％，而该人群中有精神病诊断的住院人数增加了73％。在调整了人口统计学因素和酗酒/滥用药物后，我们发现感染HIV的女性更有可能因情绪而住院（优势比（OR）：2.35; 95％置信区间（CI）：1.93-2.88），焦虑症（ OR：2.24、95％CI：1.74-2.88）和精神病（OR：1.45、95％CI：1.10-1.90）与2004年相比（1994年）。酒精/物质滥用与情绪，调节，焦虑，人格和精神病。不遵守药物治疗与精神疾病显着相关，而自杀未遂/自我伤害与情绪，适应，焦虑，人格和精神疾病显着相关。在美国，被艾滋病毒感染的妇女中有精神病诊断的住院人数已大大增加。随着感染了艾滋病毒的妇女的寿命更长，这些结果突出表明需要针对性的公共卫生干预措施，以解决该人群的心理健康问题。

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