2016-2018年广州市男性同性恋人群抑郁症状与自杀意念的关联分析  

Association Between Depressive Symptoms and Suicidal Ideation Among Male Homosexuals in Guangzhou City From 2016 to 2018

作　　者：贾晓飞[1] 赖文健 张宏[1] 匡志明[1] 陈茜茜 陈晓敏 卢次勇[2] JIA Xiaofei;LAI Wenjian;ZHANG Hong;KUANG Zhiming;CHEN Qianqian;CHEN Xiaomin;LU Ciyong(Tianhe District Center for Disease Control and Prevention,Guangzhou 510655,Guangdong Province,China;Department of Medical Statistics and Epidemiology,School of Public Health,Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]广州市天河区疾病预防控制中心,广州510655 [2]中山大学公共卫生学院,广州510080

出　　处：《预防医学情报杂志》2020年第4期371-375,381,共6页Journal of Preventive Medicine Information

基　　金：国家自然科学基金项目(项目编号:81673252);广东省医学科研基金项目(项目编号:A2018521);广州市医药卫生科技项目(项目编号:20171A010329)。

摘　　要：目的探讨广州市男性同性恋人群的抑郁症状与自杀意念的关联。方法采用方便抽样法对2016-2018年到广州市天河区疾病预防控制中心接受艾滋病自愿咨询检测(VCT)的男性同性恋者进行匿名自填式问卷调查,调查内容包括一般人口学特征、性取向、抑郁症状、自杀意念、首次发生同性性吸引的年龄、儿童期虐待经历、校园欺负经历、吸烟和饮酒等。结果本研究共调查611名男性同性恋,男性同性恋人群中存在抑郁症状的人数为258人,流行率为42.23%,存在自杀意念的人数为116人,流行率为18.99%;多因素Logistic回归结果显示,男性同性恋人群抑郁症状与自杀意念存在显著关联(AOR=6.76,95%CI=3.90~11.32,P<0.01)。结论广州市男性同性恋人群自杀意念流行率较高,抑郁症状与该人群自杀意念显著相关,应重点关注男性同性恋人群的心理健康问题并开展有针对性的心理干预。Objective To explore the relationship between depressive symptoms and suicidal ideation in gay men.Methods Convenient sampling method was used to conduct an anonymous selfadministered questionnaire survey among gay men who conducted voluntary counseling and testing(VCT)at Center for Disease Control and Prevention in Tianhe District,Guangzhou from 2016 to 2018.The survey included general demographic characteristics,sexual orientation,depressive symptoms,suicidal ideation,age of the first occurrence of homosexual attraction,childhood abuse experience,school bullying experience,smoking,drinking and so on.Results A total of 611 gay men were investigated.Among them,258 had depressive symptoms,the prevalence was 42.23%,and 116 had suicidal ideation,the prevalence was 18.99%,the results of multivariate logistic regression showed that the prevalence of depressive symptoms was 42.23%and the prevalence of suicidal ideation was 18.99%.There was a significant association between depressive symptoms and suicidal ideation in gay men(AOR=6.76,95%CI=3.90-11.32,P<0.01).Conclusion The prevalence of suicidal ideation is high in gay men in Guangzhou.Depressive symptoms are significant associated with suicidal ideation in this population.Mental health problems among gay men should be paid more attention and psychologically intervened with targeted measures.

关 键 词：男性同性恋 抑郁 自杀 关联 

分 类 号：R52.91[医药卫生—内科学]