上海社区男性生殖健康与焦虑抑郁关系的调查分析  

Investigation and analysis of correlation between male reproductive health and anxiety and depression in Shanghai communities

作　　者：朱艳雯[1] 高华[1] 李青[1] 田琦[1] 王文静[1] 洪祖蓓[1] 陈斌[2] 王鸿祥[2] 黄燕平[2] 狄文[1] 

机构地区：[1]上海交通大学医学院附属仁济医院妇产科,上海市妇科肿瘤重点实验室,上海200127 [2]上海交通大学医学院附属仁济医院泌尿科,上海200127

出　　处：《上海交通大学学报（医学版）》2016年第5期737-741,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海市卫生和计划生育委员会(2013-KJ-03);公共卫生三年行动计划重点学科-妇产科学(15GWZK0701)

摘　　要：目的了解上海社区20～85岁男性的生殖健康（更年期症状、前列腺症状和性功能）与焦虑抑郁的关系。方法采用多阶段整群随机抽样法,2013年11月—2014年1月在上海市黄浦区、嘉定区、普陀区、浦东新区抽取的29个街道中共抽取1 366名符合入选条件的调查对象,采用中国中老年男性筛查迟发型性腺功能减退症推荐调查表（SILOH）、老年男子症状问卷（AMS）、国际前列腺症状评分表（IPSS）、慢性前列腺炎症状评分表（NIH-CPSI）、国际勃起功能指数-5表（IIEF-5）、早泄诊断工具（PEDT）、中国早泄患者性功能评价表（CIPE-5）、焦虑自评量表（SAS）和抑郁自评量表（SDS）分别调查男性更年期症状、前列腺症状、性功能和心理健康情况。其中大于40岁者填写SILOH和AMS。分析各种男性生殖健康症状和焦虑抑郁的关系。结果SAS（或SDS）阳性组与SAS（或SDS）正常组比较,SILOH、AMS、IPSS、NIH-CPSI、IIEF-5、PEDT和CIPE-5各表的得分较差,且各男性生殖问题阳性率较高,差异具有统计学意义。SILOH、AMS、IPSS、NIH-CPSI、IIEF-5、PEDT和CIPE-5各表阳性组与阴性组比较,SAS和SDS的得分较差,且焦虑抑郁的阳性率较高,差异具有统计学意义。结论男性生殖健康状况与焦虑抑郁等心理问题相互影响。焦虑抑郁加重男性生殖健康状况;生殖健康状况出现问题,易造成焦虑抑郁。Objective To investigate the correlation between reproductive health（ climacteric symptoms,prostate sym ptom s, and sexual function） and anxiety and depression in males aged 20- 85 years in Shanghai communities. Methods The multi-stage cluster random sam pling was used and 1 366 eligible respondents were random lyenrolled during Nov. 2013 to Jan. 2014 from 29 sub-districts in Huangpu District, Jiading District, Putuo D istrict, and PuDong New D istrict in Shanghai. Sym ptom atic Inventory for Screening Late Onset Hypogonadism in Males（ SILO H）, Aging Male Symptom s Scale（ AM S）, International Prostate Symptom Score（ IPSS）, National Institutes of Health Chronic Prostatitis Symptom Index（ N IH-C PSI）, International Index of Erectile Function-5（ IIEF-5）, Premature Ejaculation Diagnostic T ool（ PED T）, Chinese Index of Sexual Function for Premature Ejaculation-5（ C IPE-5）, Self-rating Anxiety Scale（ SAS）, and Self-rating Depression Scale（ SD S） were used to investigate clim acteric sym ptom s, prostate symptom s, sexual function, and mental health. T hose over 40 years old were surveyed with SILO H and AM S. The correlation between male reproductive health and anxiety and depression was analyzed. Results Compared with the norm al SAS（ orSDS） group, scores of SILOH, AMS, IPSS, NIH-CPSI, IIEF-5, PEDT, and CIPE-5 in the SAS（ or SDS）positive group were less satisfactory and the positive rate of male reproductive problems was higher. The differences were statistically significant. The positive groups in SILOH, AMS, IPSS, NIH-CPSI, IIEF-5,PEDT, and CIPE-5 had less satisfactory scores of SAS and SDS and higher positive rate of anxiety and depression as compared with the negative groups. T he differences were statistically significant. Conclusion Male reproductive health interacts with mental problems such as anxiety and depression, which results in worse male reproductive health, while reproductive health problems are apt to cause anxiety and depression.

关 键 词：生殖健康 男性 焦虑 抑郁 问卷调查 社区 

分 类 号：R749[医药卫生—神经病学与精神病学] R588.1[医药卫生—临床医学]