广州市男男性行为者抑郁状况及影响因素分析  

Depression Status and Related Influencing Factors of Men Who Have Sex With Men in Guangzhou City

作　　者：赖志胜[1] 李艳芳 卢次勇[2] 黄丽娟[1] 湛柳华[1] 戴丽萍[1] 蔡梅英[1] 陈昱丰 陈力[1] LAI Zhisheng;LI Yanfang;LU Ciyong;HUANG Lijuan;ZHAN Liuhua;DAI Liping;CAI Meiying;CHEN Yufeng;CHEN Li(Yuexiu Center for Disease Control and Prevention,Guangzhou 510000,Guangdong Province,China;Sun Yatsen University,Guangzhou 510000,Guangdong Province,China)

机构地区：[1]广州市越秀区疾病预防控制中心,广州510000 [2]中山大学,广州510000

出　　处：《预防医学情报杂志》2019年第12期1354-1358,共5页Journal of Preventive Medicine Information

基　　金：国家自然科学基金项目(项目编号：8167120313);广州市卫生计生科技一般引导项目(项目编号：20181A010066);广州市越秀区科技计划项目(项目编号：2017-WS-003)

摘　　要：目的了解广州市男男性行为者(men who have sex with men,MSM)的抑郁状况并探讨其影响因素。方法2017-06/12采用方便抽样法,在广州市越秀区疾病预防控制中心和岭南伙伴社区支持中心招募MSM进行匿名式问卷调查,问卷内容主要包括人口学特征、性行为特征、Kinsey量表、流调中心用抑郁自评量表及儿童期虐待量表。利用R version 3.6.1进行数据分析,采用t检验、卡方检验和Wilcoxon秩和检验等进行单因素分析,采用Logistic回归进行多因素分析。结果共调查463名MSM,抑郁症状检出率为43.84%(203/463)。单因素分析结果显示,儿童期虐待量表总得分(t=5.398,P=0.000)以及分量表中情感虐待(t=6.095,P=0.000)、躯体虐待(t=3.249,P=0.001)、性虐待(t=2.879,P=0.004)、躯体忽视(t=2.034,P=0.042)和情感忽视(t=3.503,P=0.001)的得分均会影响MSM抑郁症状的检出率。多因素Logistic回归分析结果显示,儿童期虐待分量表中情感虐待得分较高是MSM抑郁症状发生的危险因素。结论广州市MSM的抑郁症状检出率较高,抑郁症状的发生与儿童期的情感虐待相关。今后应加强对MSM的心理干预。Objective To investigate the depression status of men who have sex with men(MSM) in Guangzhou and explore its related influencing factors. Methods Convenient sampling method was used to recruit MSM for an anonymous questionnaire survey in Yuexiu Center for Disease Control and Prevention and Lingnan MSM partner support center from June 2017 to December 2017. The contents of the survey included demographic characteristics, sexual behavior, Kinsey scale, center for epidemiological studies depression scale and childhood trauma questionnaire. The results were analyzed by R version 3.6.1, t test,chi-square test and Wilcoxon signed-rank test were used to test statistical comparisons of variables for significance, and Logistic regression was used to analyze the related factors of depression among MSM. The results were analyzed by R version 3.6.1. Results A total of 463 MSM were involved and 43.84%(203/463) had depression symptoms. Univariate analysis indicated that the risk factors related to depression included the higher total score of childhood trauma questionnaire(t=5.398, P=0.000) and the higher scores of childhood emotional abuse(t=6.095, P=0.000), physical abuse(t=3.249, P=0.001), sexual abuse(t=2.879, P=0.004), physical neglect(t=2.034, P=0.042) and emotional neglect(t=3.503, P=0.001).Multivariate logistic regression showed that the higher score of childhood emotional abuse was the risk factor related to depression of MSM. Conclusion The detection rate of depression symptoms among MSM in Guangzhou is high. The occurrence of depression symptoms is related to the childhood emotional abuse. Psychological intervention should be provided for the MSM.

关 键 词：男男性行为者 艾滋病 抑郁 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]