Anticipated suicidal ideation among female injecting drug users who are sex workers of negative or unknown HIV status in China
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AbstractIn China, female injection drug users who are also sex workers (IDUFSW) have a high prevalence of HIV and low prevalence of HIV testing. They are concerned about HIV infection and may be subjected to the risk of suicidal ideation if they become infected, due to stress and discrimination. During 2005 to 2006, we recruited 199 IDUFSW who self-reported negative/unknown HIV sero-status in Dazhou, Sichuan, China to investigate the prevalence of and factors associated with suicidal ideation if they became HIV positive.
Among participants, 40.7% responded affirmatively to the question “Whether you would commit suicide if you were infected with HIV in the future?” In multivariate analyses, hatred toward oneself, perception of dying within 2-3 years, perceived non-availability of HIV-related treatment, inability to cope with HIV-related trauma, and inclination to leave one’s family if one contracted HIV were significant factors related to anticipated suicidal ideation under the hypothetical situation of HIV infection. The odds ratios ranged from 2.38 to 10.36 (p<0.05).
These findings can facilitate planning of primary suicidal prevention services targeting high risk, non-HIV-positive IDUFSW. Such programs may enhance psycho-social support, empowerment, cultivation of positive coping strategies, and perceived accessibility to treatment, and be integrated with HIV testing.
Acceptance Date12/06/2017
All Author(s) ListJoseph T.F. Lau, Jing Gu, Hi Yi Tsui, Hongyao Chen, Zixin Wang, Wangnan Cao
Journal nameWomen and Health
Year2018
Volume Number58
Issue Number7
Pages774 - 789
ISSN0363-0242
eISSN1541-0331
LanguagesEnglish-United States
KeywordsDrugs, HIV, risk factors, sexual behavior, suicide

Last updated on 2020-30-05 at 01:26