The reliability and validity of Reward Probability Index-Chinese version applied among individuals with opioid dependence / 中华行为医学与脑科学杂志

Objective:To evaluate the reliability and validity of the Reward Probability Index-Chinese version (C-RPI) among individuals with opioid dependence.Methods:A total of 160 individuals with opioid dependence were recruited from the methadone maintenance treatment(MMT) programs in Wuhan.The C-RPI was used in the investigation, and items/exploratory factors and confirmatory factors were adopted to analyze with IBM SPSS 22.0 and AMOS 24.0, respectively.Results:The correlation between each item and the total score of the scale was 0.325-0.657 (all P<0.01) and the item discrimination of the scale was good.Exploratory factor analysis extracted two factors, including reward probability and environmental suppressors, and a load of each item on its factor ranged from 0.519 to 0.744.The fitting indexes of confirmatory factor analysis were as follows: χ 2/ df=1.623, RMR=0.030, RMSEA=0.063, IFI=0.902, TLI=0.885, CFI =0.900.The internal consistency coefficient (Cronbach's α) of the C-RPI was 0.800; and there was no ceiling/floor effect on each dimension and total scale. Conclusion:The classification of dimensions for the C-RPI is reasonable, and the scale has good reliability and validity to measure the ability to obtain environmental rewards for individuals with opioid dependence.

Prevalence of and risk factors for depressive symptoms among people living with HIV/AIDS receiving antiretroviral treatment in Wuhan, China: a short report.

We aimed to explore the prevalence of and risk factors for depressive symptoms (DS) among people living with HIV/AIDS (PLWHA) receiving antiretroviral treatment (ART) in Wuhan, Hubei, China. A cross-sectional study evaluating adult PLWHA receiving ART in nine designated clinical hospitals was conducted from October to December 2015. The validated Beck Depression Inventory (BDI) was used to assess DS in eligible participants. Socio-demographical, epidemiological and clinical data were directly extracted from the case reporting database of the China HIV/AIDS Information Network. Multinomial regression analysis was used to explore the risk factors for DS. 394 participants were finally included in all analyses. 40.3% were found to have DS with 13.7% having mild DS and 26.6% having moderate to severe DS. The results of multinomial regression analysis suggested that being married or living with a partner, recent experience of ART-related side effects, and/or history of HCV infection were positively associated with mild DS, while increasing age was positively associated with moderate to severe DS.

Mode of antiretroviral treatment based on the medical needs of people living with HIV/AIDS / 中华流行病学杂志

Objective To explore and evaluate the model of antiretroviral treatment that oriented to the medical needs of people living with HIV/AIDS (HIV/AIDS),based on the local prevalence of HIV/AIDS.Methods A total of 268 HIV/AIDS were selected the CDC of 13 administrative district in Wuhan from 2012 to 2013 and 275 HIV/AIDS were selected in the hospitals of 13 administrative district in Wuhan from 2013 to 2014.The antiretroviral effect of the two groups was compared and the related factors were analyzed.Results An antiretroviral treatment network that oriented to the medical needs of HIV/AIDS was developed.Data showed that the adherence of patients was better than that when the treatment was carried out at the CDC offices and the status of immuno-recovery on HIV/AIDS was more effective than the hospital-based treatment (P＜0.05).Data from multivariable logistic regression analysis showed that different patterns did play different roles on the effects of treatment.Conclusions The mode of antiretroviral treatment that oriented to the medical needs of HIV/AIDS could effectively improve the adherence and outcomes of treatment.We believe this model could also be adopted elsewhere.

Social support for 330 HIV/AIDS patients under antiretroviral treatment and related factors in Wuhan / 中华流行病学杂志

<p><b>OBJECTIVE</b>To investigate the current status of social support for HIV/AIDS patients under antiretroviral treatment (ART) and related factors in Wuhan.</p><p><b>METHODS</b>Social Support Rating Scale (SSRS) was used to analyze the current status of social support for HIV/AIDS patients under ART in Wuhan. Student's t test, analysis of variance (ANOVA) and multiple linear regression model were used to identify the related factors.</p><p><b>RESULTS</b>The scores of subjective support, objective support, utilization of social support, and overall social support for 330 HIV/AIDS patients were significant lower than the national norm (P < 0.05). Multiple linear regression analysis showed that the subjective support (β' = -0.260), objective support (β' = -0.196) and overall social support (β' = -0.141) for the patients who were unmarried, divorced or widowed were worse than those for the patients who were married (P < 0.05). The patients with higher educational level had more objective support (β' = 0.250) and utilization of social support (β' = 0.232) than those with lower educational level (P < 0.05). The subjective support for patients without HIV related symptoms in the past two weeks was better than those with HIV related symptoms (β' = 0.232, P < 0.05).</p><p><b>CONCLUSION</b>The current status of social support for HIV/AIDS patients under ART in Wuhan was worse than that for healthy people. More attention should be paid to HIV/AIDS patients with worse social support.</p>

Social support for 330 HIV/AIDS patients under antiretroviral treatment and related factors in ;Wuhan / 中华流行病学杂志

Objective To investigate the current status of social support for HIV/AIDS patients under antiretroviral treatment(ART)and related factors in Wuhan. Methods Social Support Rating Scale(SSRS)was used to analyze the current status of social support for HIV/AIDS patients under ART in Wuhan. Student’s t test,analysis of variance(ANOVA)and multiple linear regression model were used to identify the related factors. Results The scores of subjective support,objective support,utilization of social support,and overall social support for 330 HIV/AIDS patients were significant lower than the national norm(P<0.05). Multiple linear regression analysis showed that the subjective support(β′=-0.260),objective support(β′=-0.196)and overall social support(β′=-0.141) for the patients who were unmarried,divorced or widowed were worse than those for the patients who were married(P<0.05). The patients with higher educational level had more objective support(β′=0.250)and utilization of social support(β′=0.232)than those with lower educational level (P<0.05). The subjective support for patients without HIV related symptoms in the past two weeks was better than those with HIV related symptoms(β′=0.232,P<0.05). Conclusion The current status of social support for HIV/AIDS patients under ART in Wuhan was worse than that for healthy people. More attention should be paid to HIV/AIDS patients with worse social support.

Social support for 330 HIV/AIDS patients under antiretroviral treatment and related factors in ;Wuhan / 中华流行病学杂志

Objective To investigate the current status of social support for HIV/AIDS patients under antiretroviral treatment(ART)and related factors in Wuhan. Methods Social Support Rating Scale(SSRS)was used to analyze the current status of social support for HIV/AIDS patients under ART in Wuhan. Student’s t test,analysis of variance(ANOVA)and multiple linear regression model were used to identify the related factors. Results The scores of subjective support,objective support,utilization of social support,and overall social support for 330 HIV/AIDS patients were significant lower than the national norm(P<0.05). Multiple linear regression analysis showed that the subjective support(β′=-0.260),objective support(β′=-0.196)and overall social support(β′=-0.141) for the patients who were unmarried,divorced or widowed were worse than those for the patients who were married(P<0.05). The patients with higher educational level had more objective support(β′=0.250)and utilization of social support(β′=0.232)than those with lower educational level (P<0.05). The subjective support for patients without HIV related symptoms in the past two weeks was better than those with HIV related symptoms(β′=0.232,P<0.05). Conclusion The current status of social support for HIV/AIDS patients under ART in Wuhan was worse than that for healthy people. More attention should be paid to HIV/AIDS patients with worse social support.