深圳市男男性行为者焦虑和抑郁状况及其相关因素分析

发布时间：2018-03-20 13:26

本文选题：艾滋病　切入点：男男性行为者　出处：《中国艾滋病性病》2017年07期 　论文类型：期刊论文

【摘要】：目的调查深圳市男男性行为者(MSM)焦虑和抑郁状况并分析其相关因素,探索针对该人群的重点干预方向。方法与深圳市的男同社会组织合作,成功招募596名MSM,调查相关情况。采用单因素和多因素Logistic回归分析MSM焦虑和抑郁相关影响因素。结果 596名MSM中,检出焦虑症状者217人,占比36.41%,以轻度症状为主,占比31.71%(189人);检出抑郁症状者307人,占比51.51%;其中中度抑郁症状者148人,占比24.83%;检出重度抑郁症状者14人,占比2.35%。单因素Logistic回归分析结果显示,艾滋病相关知识知晓情况(χ~2=5.521,P=0.019)、最近6个月是否与男性发生肛交性行为(χ~2=7.693,P=0.006)、最近一次与男性发生肛交性行为是否使用安全套(χ~2=5.105,P=0.024)、是否会因为同性性行为感到羞耻(χ~2=10.738,P=0.005)这4个因素,会影响调查对象的焦虑症状检出率;与男性发生肛交性行为安全套使用频率(χ~2=8.628,P=0.013)、最近一次与男性发生肛交性行为是否使用安全套(χ~2=8.438,P=0.004)、认为自己属于哪种性取向(χ~2=8.837,P=0.032)、是否会因为同性性行为感到羞耻(χ~2=12.486,P=0.002)这4个因素,会影响调查对象的抑郁症状检出率。多因素Logistic回归分析结果显示,最近一次与男性发生肛交性行时是否使用安全套、是否会因为同性性行为感到羞耻这两个因素,会影响焦虑和抑郁症状检出率。结论当前深圳地区的MSM的焦虑和抑郁状况较严重,正确使用安全套是控制MSM艾滋病病毒传播的重要措施。
[Abstract]:Objective to investigate the anxiety and depression of MSM in Shenzhen, analyze the related factors, and explore the direction of intervention. Univariate and multivariate Logistic regression analysis was used to analyze the influencing factors of MSM anxiety and depression. Results among 596 MSM patients, 217 patients (36.41%) were diagnosed with anxiety symptoms, mainly mild symptoms. Results of univariate Logistic regression analysis showed that 148 of them had moderate depressive symptoms (24.83%), 14 of them had severe depressive symptoms (2.35%). AIDS-related knowledge (蠂 2 / 5.521 / P / 0. 019), whether or not you have anal sex with men in the last 6 months (蠂 ~ 2 / 7. 693 / P = 0.006), or whether you have sex with men with a condom (蠂 ~ 2 / 2 / 5. 105 / P / 0. 024), and whether you will be ashamed of having same-sex sex (蠂 ~ 2 / 10. 738 / P = 0.005). It will affect the prevalence of anxiety symptoms; The frequency of condom use for anal sex with men (蠂 2 / 8.628 / P0. 013), and the last time you had anal sex with men (蠂 2 / 2 / 8 / 438 / P 0.004), and whether you would be ashamed of the same sex (蠂 2 = 12. 486 / P0. 002), whether you consider yourself a member of sexual orientation (蠂 2 / 2 / 8 / 837 / P / 0. 032, 蠂 2 / 2 / 12. 486 / P / 0. 002), Multivariate Logistic regression analysis showed whether condoms were used during the most recent anal sex with men and whether they were ashamed of having same-sex sex. Conclusion the prevalence of anxiety and depression in MSM in Shenzhen area is serious and the correct use of condom is an important measure to control the spread of MSM HIV.
【作者单位】：深圳市罗湖区疾病预防控制中心;
【基金】：深圳市罗湖区软科学研究计划项目(2014042)~~
【分类号】：R512.91;R749

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