Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study

Abstract Background Alexithymia is common and causes serious harm to people living with HIV/AIDS. Therefore, this study aimed to examine its prevalence and associated factors among people living with HIV/AIDS in China. Methods A cross-sectional study was conducted in two designated AIDS medical inst...

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Main Authors: Huan Liu, Yisi Yang, Yingnan Tian, Shanshan Gao, Yunxia Ma, Yuxuan Wang, Ling Xin, Nana Luo, Xinyu Wang, Nan Meng, Ruiqian Zhuge, Qunkai Wang, Qunhong Wu, Baohua Liu
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-04932-4
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author Huan Liu
Yisi Yang
Yingnan Tian
Shanshan Gao
Yunxia Ma
Yuxuan Wang
Ling Xin
Nana Luo
Xinyu Wang
Nan Meng
Ruiqian Zhuge
Qunkai Wang
Qunhong Wu
Baohua Liu
author_facet Huan Liu
Yisi Yang
Yingnan Tian
Shanshan Gao
Yunxia Ma
Yuxuan Wang
Ling Xin
Nana Luo
Xinyu Wang
Nan Meng
Ruiqian Zhuge
Qunkai Wang
Qunhong Wu
Baohua Liu
author_sort Huan Liu
collection DOAJ
description Abstract Background Alexithymia is common and causes serious harm to people living with HIV/AIDS. Therefore, this study aimed to examine its prevalence and associated factors among people living with HIV/AIDS in China. Methods A cross-sectional study was conducted in two designated AIDS medical institutions in Harbin, China between January and December 2019. In total, 767 participants completed the 20-item Toronto Alexithymia Scale, the University of California Los Angeles Loneliness short-form, the Patient Health Questionnaire-9, the HIV Treatment Regimen Fatigue Scale, and the Alcohol Use Disorders Identification Test‐Consumption. The participants responded to several questions regarding their demographic characteristics, life satisfaction, disease-related economic burden, and their antiretroviral therapy (ART) side effects. Multivariate logistic regression assessed the relationship between alexithymia and associated factors. Odds ratios (OR) and 95% confidence intervals (CI) for OR were calculated. Results Approximately 36.1% of the participants were classified as having alexithymia. After adjusted age and education, the logistic regression model indicated that disease-related economic burden (OR = 1.477, 95% CI = 1.155–1.888), ART side effects (OR = 1.249, 95% CI = 1.001–1.559), loneliness (OR = 1.166, 95% CI = 1.101–1.236), and HIV treatment regimen fatigue (OR = 1.028, 95% CI = 1.017–1.039) were positively associated with alexithymia. Conclusions The mental health problems of people living with HIV/AIDS are essential to understand and deserve attention. Disease-related economic burdens are major associated factors. Multiple actors should provide better services and guarantees for patients.
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spelling doaj.art-e7da9979f9ba42cf8b87106635fa104a2023-06-18T11:21:26ZengBMCBMC Psychiatry1471-244X2023-06-0123111110.1186/s12888-023-04932-4Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional studyHuan Liu0Yisi Yang1Yingnan Tian2Shanshan Gao3Yunxia Ma4Yuxuan Wang5Ling Xin6Nana Luo7Xinyu Wang8Nan Meng9Ruiqian Zhuge10Qunkai Wang11Qunhong Wu12Baohua Liu13Department of Health Policy, School of Health Management, Harbin Medical UniversityHarbin Center for Disease Control and PreventionSchool of Business and Economics, University of San CarlosDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversityDepartment of Health Policy, School of Health Management, Harbin Medical UniversitySchool of Health Service and Healthy Elderly Care, Ningbo College of Health SciencesAbstract Background Alexithymia is common and causes serious harm to people living with HIV/AIDS. Therefore, this study aimed to examine its prevalence and associated factors among people living with HIV/AIDS in China. Methods A cross-sectional study was conducted in two designated AIDS medical institutions in Harbin, China between January and December 2019. In total, 767 participants completed the 20-item Toronto Alexithymia Scale, the University of California Los Angeles Loneliness short-form, the Patient Health Questionnaire-9, the HIV Treatment Regimen Fatigue Scale, and the Alcohol Use Disorders Identification Test‐Consumption. The participants responded to several questions regarding their demographic characteristics, life satisfaction, disease-related economic burden, and their antiretroviral therapy (ART) side effects. Multivariate logistic regression assessed the relationship between alexithymia and associated factors. Odds ratios (OR) and 95% confidence intervals (CI) for OR were calculated. Results Approximately 36.1% of the participants were classified as having alexithymia. After adjusted age and education, the logistic regression model indicated that disease-related economic burden (OR = 1.477, 95% CI = 1.155–1.888), ART side effects (OR = 1.249, 95% CI = 1.001–1.559), loneliness (OR = 1.166, 95% CI = 1.101–1.236), and HIV treatment regimen fatigue (OR = 1.028, 95% CI = 1.017–1.039) were positively associated with alexithymia. Conclusions The mental health problems of people living with HIV/AIDS are essential to understand and deserve attention. Disease-related economic burdens are major associated factors. Multiple actors should provide better services and guarantees for patients.https://doi.org/10.1186/s12888-023-04932-4AlexithymiaAntiretroviral therapy side effectsFinancial burdenLoneliness
spellingShingle Huan Liu
Yisi Yang
Yingnan Tian
Shanshan Gao
Yunxia Ma
Yuxuan Wang
Ling Xin
Nana Luo
Xinyu Wang
Nan Meng
Ruiqian Zhuge
Qunkai Wang
Qunhong Wu
Baohua Liu
Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study
BMC Psychiatry
Alexithymia
Antiretroviral therapy side effects
Financial burden
Loneliness
title Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study
title_full Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study
title_fullStr Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study
title_full_unstemmed Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study
title_short Prevalence and associated factors of alexithymia among people living with HIV/AIDS in China: a cross-sectional study
title_sort prevalence and associated factors of alexithymia among people living with hiv aids in china a cross sectional study
topic Alexithymia
Antiretroviral therapy side effects
Financial burden
Loneliness
url https://doi.org/10.1186/s12888-023-04932-4
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