某市青年学生男男性行为人群抑郁状况及影响因素  

Depressive symptoms and associated factors of men who have sex with men(MSM)among young people/students in a city

作　　者：高迪思 马迎华[3] 吴静[5] 张雨青[1] GAO Disi;MA Yinghua;WU Jing;ZHANG Yuqing(Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences,Beijing 100101,China;不详)

机构地区：[1]中国科学院心理研究所心理健康重点实验室,北京100101 [2]中国科学院大学心理学系 [3]北京大学公共卫生学院/儿童青少年卫生研究所 [4]北京大学医学人文学院 [5]国家开放大学

出　　处：《中国学校卫生》2020年第12期1786-1790,共5页Chinese Journal of School Health

基　　金：国家自然科学基金项目(81673245)。

摘　　要：目的了解某市艾滋病病毒(HIV)感染者推介(社交网络中)的青年/学生中男男性行为人群(men who have sex with men,MSM)感染与抑郁情况,为决策者做出决策提供依据。方法利用市疾病预防控制中心干预网络发布招募信息,动员青年/学生HIV感染者预约参加调查,并通过滚雪球抽样和受试者推荐的混合抽样方法,收集201名MSM进行横断面调查。结果201名被试中,学生132人(65.7%),HIV阳性者121例(60.2%),出现抑郁症状者108例(53.7%),艾滋病知晓者185人(92.0%)。HIV感染(aOR=4.06,95%CI=2.13~7.72)、独居生活(aOR=2.93,95%CI=1.31~6.52)和18岁前发生性行为(aOR=4.13,95%CI=1.32~12.96)与青年/学生MSM抑郁呈正相关,艾滋病知识知晓与抑郁呈负相关(aOR=0.30,95%CI=0.13~0.69),无论是“国八条”(aOR=0.24,95%CI=0.08~0.67)还是“青八条”知晓(aOR=0.26,95%CI=0.10~0.71)均与抑郁发生负性相关(P值均<0.05)。结论HIV感染的青年/学生社交圈中MSM抑郁现象严峻。应采取有效综合措施,提高该人群对艾滋病的认识,减少HIV的感染和传播,帮助其预防抑郁。Objective To understand HIV status and depressive symptoms among men who have sex with men(MSM)in the HIV-infected young people/social network.Methods Intervention network of local CDC was used to recruit HIV-infected young people/students in the city.A mixed recruitment method of snowball sampling and respondent driven sampling method.A MSM young people/students with HIV infection.A total of 201 valid questionnaires were collected.Results Among them,132(65.7%)were students,121(60.2%)were HIV-positive,108(53.7%)had depressive symptoms.The awareness rate was 92.0%(185).Binary-Logistic regression analysis showed that HIV infection(aOR=4.06,95%CI=2.13-7.72),living alone(aOR=2.93,95%CI=1.31-6.52)and having sex before the age of 18(aOR=4.13,95%CI=1.32-12.96)were significantly associated with depression,moreover,HIV knowledge was a protective factor that help to resist depression in young MSM(aOR=0.30,95%CI=0.13-0.69)(P<0.01).Conclusion Depressive symptoms are prevalent among HIV-infected MSM young people.It's cost-effective to promote a multiple biomedical package of increasing HIV/AIDS awareness,reducing HIV infection and transmission to protect young people/students from depression.

关 键 词：同性恋 男性 抑郁 精神卫生 HIV感染 回归分析 学生 

分 类 号：G444[哲学宗教—心理学] R512.91[哲学宗教—发展与教育心理学]