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Abstract：
HIV seropositive individuals and their heterosexual partners/spouses, either seropositive or seronegative, are facing several mental health challenges. The objective of this study was to examine gender differences in depressive symptoms among HIV-positive concordant and HIV-discordant couples. We identified heterosexual couples from participants of a randomized controlled trial conducted in Anhui province, China. A total of 265 couples, comprising 129 HIV+ male/HIV- female couples, 98 HIV- male/HIV+ female couples, and 38 HIV-positive concordant couples, were included in the analyses. We collected data using the computer-assisted personal interview method. We used a linear mixed-effects regression model to assess whether gender differences in depressive symptoms varied across couple types. HIV-positive women reported a significantly higher level of depressive symptoms than their partners/spouses. HIV-positive women with HIV-positive partners had higher depressive symptoms than those with HIV-negative partners, whereas HIV-positive men reported similar levels of depressive symptoms regardless of their partners\' serostatus. Among the concordant couples, those with the highest annual family income showed the greatest gender differences in depressive symptoms. We suggest that family interventions should be gender- and couple-type specific and that mental health counseling is warranted not only for HIV-positive women but also for HIV-negative women in an HIV-affected relationship.
摘要：
艾滋病毒血清阳性的人及其异性恋伴侣/配偶，血清阳性或血清阴性，面临着一些心理健康挑战。这项研究的目的是研究HIV阳性和HIV不和谐夫妇中抑郁症状的性别差异。我们从安徽省进行的一项随机对照试验的参与者中确定了异性恋夫妇，中国。共有265对夫妇，包括129对艾滋病毒+男性/艾滋病毒-女性夫妇，98例艾滋病毒-男性/艾滋病毒+女性夫妇，和38对HIV阳性夫妇，包括在分析中。我们使用计算机辅助个人访谈方法收集数据。我们使用线性混合效应回归模型来评估抑郁症状的性别差异是否因夫妻类型而异。艾滋病毒阳性妇女报告的抑郁症状明显高于其伴侣/配偶。与艾滋病毒呈阳性伴侣的艾滋病毒阳性妇女的抑郁症状高于与艾滋病毒呈阴性伴侣的妇女，而HIV阳性男性报告的抑郁症状水平相似，无论其伴侣的血清状态如何。在和谐的夫妇中，家庭年收入最高的人在抑郁症状方面表现出最大的性别差异。我们建议家庭干预措施应针对性别和夫妻类型，并且不仅对HIV阳性妇女，而且对HIV感染关系中的HIV阴性妇女都有必要进行心理健康咨询。
