2023年重庆市男男性行为人群心理健康现状及社会支持分析  

Analysis on the mental health status and social support among men who had sex with men in Chongqing in 2023

作　　者：贾璐僖 尹臻一 谭天宇 李龙 张维[3] 吴国辉[3] 周莉[1] JIA Luxi;YIN Zhenyi;TAN Tianyu;LI Long;ZHANG Wei;WU Guohui;ZHOU Li(Deapartment of Epidemiology,School of Public Health,Chongqing Medical University,Chongqing 401331,China;Institute of Environmental and Health Related Product Safety,Chinese Center for Disease Control and Prevention,Beijing 100021,China;Chongqing Center for Disease Control and Prevention,Chongqing 400042,China)

机构地区：[1]重庆医科大学公共卫生学院流行病教研室,重庆401331 [2]中国疾病预防控制中心环境与健康相关产品安全所,北京100021 [3]重庆市疾病预防控制中心,重庆400042

出　　处：《预防医学情报杂志》2025年第4期521-527,共7页Journal of Preventive Medicine Information

基　　金：重庆市科卫联合医学科研项目(项目编号:2023MSXM113);重庆市科卫联合医学科研项目(项目编号:2024MSXM147)。

摘　　要：目的调查了解重庆地区艾滋病检测门诊男男性行为者(MSM)人群的心理状况,探究影响其焦虑与抑郁的相关因素及与社会支持和自尊之间的关系,为促进该人群心理健康提供理论依据。方法采用方便抽样的方法,于2023年抽取在重庆市疾病预防控制中心艾滋病门诊就诊的MSM进行心理状况、社会支持和自尊情况等内容的现场问卷调查。使用Epi Data 3.1进行问卷数据录入与整理,利用SPSS 22.0软件进行统计分析。采用卡方检验进行组间构成比的比较。运用非条件二元Logistic回归模型进行焦虑、抑郁症状的多因素分析,检验水准α为0.05。结果重庆地区393名MSM人群的抑郁和焦虑阳性检出率分别为39.95%(157/393)和47.84%(188/393)。单因素分析结果显示,年龄因素、近6个月内性角色、社会支持程度、自尊评级与抑郁检出率存在统计学关联(χ^(2)=6.161、7.082、43.983和47.182,P均<0.05),社会支持程度、自尊评级与焦虑检出率存在统计学关联(χ^(2)=24.590、45.888,P均<0.05)。多因素Logistic回归结果显示,较低社会支持程度和评级为较低自尊都可能是出现抑郁、焦虑症状的危险因素(P均<0.05)。结论重庆市MSM人群心理状况不佳,尤其是低社会支持和低自尊评级的男男性行为者。应关注此人群心理状况,强化心理干预,降低焦虑、抑郁发生风险。Objective To investigate the psychological status of men who had sex with men(MSM)attending the HIV(human immunodeficiency virus)testing clinic in Chongqing,to explore the related factors influencing their anxiety and depression and the relationship with social support and self-esteem,and to provide theoretical basis for promoting their mental health.Methods Convenience sampling was used to conduct an on-site questionnaire survey on the psychological status,social support and self-esteem among MSM attending the HIV testing clinic in Chongqing Center for Disease Control and Prevention in 2023.Epidata 3.1 was used for data entry and collation and SPSS 22.0 software was used for statistical analysis.Chi-square test was utilized to compare the proportional compositions among groups.A non-conditional binary logistic regression model was applied for the multivariate analysis of anxiety and depressive symptoms,with the significance levelαset at 0.05.Results Among 393 MSM in Chongqing,the positive detection rates for depression and anxiety were 39.95%(157/393)and 47.84%(188/393),respectively.Univariate analysis showed that factors such as age,sexual role in the past six months,level of social support,and self-esteem rating were statistically associated with the detection rate of depression(χ^(2)=6.161,7.082,43.983 and 47.182,all P<0.05).Additionally,the level of social support and self-esteem rating were statistically associated with the detection rate of anxiety(χ^(2)=24.590 and 45.888,all P<0.05).Multivariate logistic regression analysis indicated that lower social support level and lower self-esteem rating might be risk factors for symptoms of depression and anxiety(all P<0.05).Conclusions The mental health status of MSM in Chongqing was poor,particularly among those with low social support and low self-esteem rating.Attention should be given to the psychological conditions of them,and psychological interventions should be strengthened to reduce the risk of anxiety and depression.

关 键 词：男男性行为者 心理健康 社会支持 影响因素 

分 类 号：R512.91[医药卫生—内科学]