绵阳市年轻男男性行为者焦虑、抑郁症状现状调查
|
摘要
目的了解年轻男男性行为者(YMSM)焦虑、抑郁症状现状。方法以四川省绵阳市15～24周岁男男性行为者为对象,用滚雪球抽样法进行招募调查和血清学检测。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行焦虑、量表标准分总分平均(42.96±10.81)分,焦虑症状检出23.60%(84/356);SDS量表严重指数总分平均(0.46±0.12)分,抑郁症状检出40.00%(142/355),焦虑、抑郁共病率19.20%(67/349)。不同抑郁症状检出程度HIV、梅毒感染率均差异均有统计学意义(P<0.05),随焦虑、抑郁程度上升HIV感染率上升趋势差异均有统计学意义(分别有趋势检验χ~2=6.614、7.701,P均<0.05)。不同文化程度、职业、户籍焦虑症状检出,不同文化程度、职业、收入、性取向抑郁症状检出差异均有统计学意义(P<0.05)。结论 YMSM焦虑、抑郁普遍存在,心理健康状况差,增加了HIV感染风险,应强化心理干预。
Objective To explore anxiety and depression symptoms among YMSM(young men who have sex with men).Methods The snowball sampling method was used to recruit YMSM aged 15-24 in Mianyang of Sichuan Province, to perform investigation and serological testing. SAS(self-rating anxiety scale) and SDS(self-rating depression scale) were applied to measure anxiety and depression symptoms. Results SAS and SDS were used to determine 356 people and 355 people respectively, the total average score of SAS standard score was(42.96±10.81), the prevalence of anxiety was 23.60%(84/356);the total average score of SDS severity index was(0.46±0.12), the prevalence of depression was 40.00%(142/355), anxiety/depression infection was 19.20%(67/349). It showed statistically significant(P<0.05) on HIV and syphilis infection among different depression symptom, there was a statistically significant increase in the incidence of HIV infection with increased anxiety and depression(trend tests of χ~2 were 6.614 and 7.701 respectively, P<0.05). Statistically significant was found in education levels,occupations,checking out anxiety symptoms and education level,occupations,income,depression symptoms of sexual orientation(P<0.05). Conclusion Our study reveals that, because of anxiety depression is widespread and bad status of mental health, increase the risk of HIV infection, psychological intervention should be strengthened.
Objective To explore anxiety and depression symptoms among YMSM(young men who have sex with men).Methods The snowball sampling method was used to recruit YMSM aged 15-24 in Mianyang of Sichuan Province, to perform investigation and serological testing. SAS(self-rating anxiety scale) and SDS(self-rating depression scale) were applied to measure anxiety and depression symptoms. Results SAS and SDS were used to determine 356 people and 355 people respectively, the total average score of SAS standard score was(42.96±10.81), the prevalence of anxiety was 23.60%(84/356);the total average score of SDS severity index was(0.46±0.12), the prevalence of depression was 40.00%(142/355), anxiety/depression infection was 19.20%(67/349). It showed statistically significant(P<0.05) on HIV and syphilis infection among different depression symptom, there was a statistically significant increase in the incidence of HIV infection with increased anxiety and depression(trend tests of χ~2 were 6.614 and 7.701 respectively, P<0.05). Statistically significant was found in education levels,occupations,checking out anxiety symptoms and education level,occupations,income,depression symptoms of sexual orientation(P<0.05). Conclusion Our study reveals that, because of anxiety depression is widespread and bad status of mental health, increase the risk of HIV infection, psychological intervention should be strengthened.
引文
[1]葛琳,李东民,李培龙,等. 2010-2015年中国艾滋病哨点监测人群HIV、梅毒和HCV感染状况分析[J].疾病监测, 2017, 32(2):111-117.
[2]王毅,张洪波,徐杰,等.男男性行为人群的抑郁症状及相关因素[J].中国心理卫生, 2010, 24(5):366-367, 369.
[3]姜婷婷,潘晓红,王憓,等.浙江省男男性行为者抑郁和焦虑状况及其相关因素分析[J].中国艾滋病性病, 2016, 22(5):357-360,368.
[4]王毅,张洪波,徐杰,等.绵阳市年轻男男性行为者自杀意念及关联因素分析[J].实用预防医学,2018,25(12):1448-1451.
[5] GOLD R S, SKINNR M J. Situational factors and thought processes associated with unprotected intercourse in young gay men[J]. AIDS,1992, 6(9):1021-1030.
[6]彭小雪,李林涛,齐杰,等.深圳市男男性行为者焦虑和抑郁状况及其相关因素分析[J].中国艾滋病性病, 2017, 23(7):630-633.
[7]王毅,李六林,樊静,等.绵阳市不同寻找性伴场所MSM的性行为特征及HIV感染现状[J].实用预防医学,2018,25(9):1029-1034.
[8]汪向东,姜长青,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志社出版社, 1999:31-35.
[9]舒良.自评抑郁量表和抑郁状态问卷[J].中国心理卫生杂志,1999(增刊):194-196.
[10]杨秀兰,贾伟华,夏果,等.社会阶层背景对大学生抑郁、焦虑的影响分析[J].中华疾病控制杂, 2015, 19(12):1269-1272.
[11] CASAL C, ARAUJO E C, CORVELO T C. Risk factors and pregnancy outcomes in women with syphilis diagnosed using a molecular approach[J]. Sex Transm Infect, 2013, 89(3):257-261.
[12]郑迎军.年轻的MSM人群高危行为及梅毒和艾滋病感染状况[D].合肥:安徽医科大学, 2006:55.
[13]王骞,许俊亭.抑郁与焦虑共病障碍临床研究[J].临床精神医学杂志, 2007, 17(1):27-28.
[14]胡珊,钟晓妮,陈江鹏,等.男男性接触者焦虑与抑郁症状的相关性及其与艾滋病高危性行为的关系[J].第二军医大学学报,2015, 36(11):1247-1253.
[15] ENDRIS M, DERESSA T, BELYHUM Y, et al. Seroprevalence of syphilis and human immunodeficiency virus infections among pregnant women who attend the Univesity of Gondar teaching hospital,Nothwest Ethiopia:a cross sectional study[J]. BMC Ifect DIS, 2015,15(1):1-7.
[16] PERDUE T, HAGAN H, THIEDE H, et al. Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men[J]. AIDS Educ Prev, 2003, 15(1):81-92.
[17] JORM A F, KORTEN A E, RODGERS B, et al. Sexual orientation and mental health:results from a community survey of young and middle-aged aduts[J]. Br J Psychiatry, 2002, 180:423-427.
[18] CASS V C. Homosexual identity formation:A theoretical model[J].Jounal of Homosexuality, 1979, 4(3):219-235.
[2]王毅,张洪波,徐杰,等.男男性行为人群的抑郁症状及相关因素[J].中国心理卫生, 2010, 24(5):366-367, 369.
[3]姜婷婷,潘晓红,王憓,等.浙江省男男性行为者抑郁和焦虑状况及其相关因素分析[J].中国艾滋病性病, 2016, 22(5):357-360,368.
[4]王毅,张洪波,徐杰,等.绵阳市年轻男男性行为者自杀意念及关联因素分析[J].实用预防医学,2018,25(12):1448-1451.
[5] GOLD R S, SKINNR M J. Situational factors and thought processes associated with unprotected intercourse in young gay men[J]. AIDS,1992, 6(9):1021-1030.
[6]彭小雪,李林涛,齐杰,等.深圳市男男性行为者焦虑和抑郁状况及其相关因素分析[J].中国艾滋病性病, 2017, 23(7):630-633.
[7]王毅,李六林,樊静,等.绵阳市不同寻找性伴场所MSM的性行为特征及HIV感染现状[J].实用预防医学,2018,25(9):1029-1034.
[8]汪向东,姜长青,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志社出版社, 1999:31-35.
[9]舒良.自评抑郁量表和抑郁状态问卷[J].中国心理卫生杂志,1999(增刊):194-196.
[10]杨秀兰,贾伟华,夏果,等.社会阶层背景对大学生抑郁、焦虑的影响分析[J].中华疾病控制杂, 2015, 19(12):1269-1272.
[11] CASAL C, ARAUJO E C, CORVELO T C. Risk factors and pregnancy outcomes in women with syphilis diagnosed using a molecular approach[J]. Sex Transm Infect, 2013, 89(3):257-261.
[12]郑迎军.年轻的MSM人群高危行为及梅毒和艾滋病感染状况[D].合肥:安徽医科大学, 2006:55.
[13]王骞,许俊亭.抑郁与焦虑共病障碍临床研究[J].临床精神医学杂志, 2007, 17(1):27-28.
[14]胡珊,钟晓妮,陈江鹏,等.男男性接触者焦虑与抑郁症状的相关性及其与艾滋病高危性行为的关系[J].第二军医大学学报,2015, 36(11):1247-1253.
[15] ENDRIS M, DERESSA T, BELYHUM Y, et al. Seroprevalence of syphilis and human immunodeficiency virus infections among pregnant women who attend the Univesity of Gondar teaching hospital,Nothwest Ethiopia:a cross sectional study[J]. BMC Ifect DIS, 2015,15(1):1-7.
[16] PERDUE T, HAGAN H, THIEDE H, et al. Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men[J]. AIDS Educ Prev, 2003, 15(1):81-92.
[17] JORM A F, KORTEN A E, RODGERS B, et al. Sexual orientation and mental health:results from a community survey of young and middle-aged aduts[J]. Br J Psychiatry, 2002, 180:423-427.
[18] CASS V C. Homosexual identity formation:A theoretical model[J].Jounal of Homosexuality, 1979, 4(3):219-235.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |