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佛山市男男性行為者抑郁、焦慮癥狀現(xiàn)況及關(guān)聯(lián)因素研究

發(fā)布時(shí)間:2018-11-03 09:33
【摘要】:目的了解佛山市男男性行為者抑郁、焦慮癥狀發(fā)生情況,探討性行為特征與精神癥狀發(fā)生的關(guān)系及社會(huì)心理因素對(duì)精神癥狀的影響,為在該人群中開(kāi)展精神疾病評(píng)估和干預(yù)工作提供實(shí)證依據(jù)。 方法采用現(xiàn)況調(diào)查方法,通過(guò)同伴推動(dòng)抽樣法征募在佛山市居住至少6個(gè)月的18歲及以上的男男性行為者,由經(jīng)統(tǒng)一培訓(xùn)的調(diào)查員用自行設(shè)計(jì)的問(wèn)卷、社會(huì)支持量表、生命質(zhì)量量表、負(fù)性生活事件量表、沖動(dòng)性、攻擊性量表及Zung氏自評(píng)抑郁、焦慮量表進(jìn)行調(diào)查,獲取調(diào)查對(duì)象的一般人口學(xué)資料、性行為特征、其他社會(huì)心理資料以及抑郁和焦慮癥狀等信息。評(píng)定指標(biāo)為抑郁嚴(yán)重度指數(shù)(≥0.5界定為有抑郁癥狀),焦慮總標(biāo)準(zhǔn)分(≥50界定為有焦慮癥狀)。對(duì)所有指標(biāo)計(jì)算粗的人群比例、估計(jì)總體的比例及其95%置信區(qū)間,用logistic回歸模型分析抑郁、焦慮癥狀和相關(guān)因素的關(guān)聯(lián)。 結(jié)果249名調(diào)查對(duì)象的平均年齡為31.9±8.5歲,讀書(shū)年限以7~9年(43.5%)居多,已婚者占49.7%;56.7%是雙性戀,18.6%曾公開(kāi)性取向,63.3%的首次性行為對(duì)象為異性,42.3%和34.1%的人在公園/公廁和網(wǎng)絡(luò)上尋找性伴。估計(jì)的總體抑郁癥狀發(fā)生率(95%CI)為34.8%(28.2%~42.3%),總體焦慮癥狀發(fā)生率(95%CI)為13.0%(8.8%~17.7%),總體共病率(95%CI)為10.2%(6.8%~15.5%)。 與抑郁癥狀關(guān)聯(lián)的因素包括無(wú)計(jì)劃沖動(dòng)性(OR=2.50,95%CI:1.11~5.64);高自我攻擊性(OR=5.14,95%CI:2.41~10.92);首次性行為年齡(OR=4.06,95%CI:1.81~9.08)、同性性行為方式為僅口交(OR=14.27,95%CI:2.47~82.50)、在實(shí)體場(chǎng)所尋找性伴(OR=2.29,95%CI:1.06~4.96);近6個(gè)月同性無(wú)保護(hù)肛交(OR=10.01,95%CI:3.21~31.24)、近6個(gè)月異性性行為時(shí)使用安全套(OR=9.75,95%CI:2.62~36.27);生命質(zhì)量較低(OR=3.08,95%CI:1.29~7.35)。 與焦慮癥狀關(guān)聯(lián)的因素有小學(xué)及以下文化(OR=4.23,95%CI:1.51~11.87)、工作狀況(OR=7.11,95%CI:1.32~38.38)、高行動(dòng)沖動(dòng)性(OR=7.54,95%CI:2.11~26.98)、高自我攻擊性(OR=4.32,95%CI:1.49~12.48);同性性行為方式為僅肛交(OR=5.99,95%CI:1.58~22.71)、負(fù)性生活事件發(fā)生較多(OR=3.07,95%CI:1.14~8.25)。 結(jié)論男男性行為者具有較高的抑郁、焦慮癥狀發(fā)生率,應(yīng)關(guān)注該人群的精神健康問(wèn)題,盡早開(kāi)展心理危機(jī)評(píng)估與干預(yù)。高沖動(dòng)性、攻擊性人格特征、有高危同性性行為的男男性行為者是抑郁、焦慮癥狀的高危人群,應(yīng)采取有效措施減少男男性行為者的負(fù)性生活事件,提高生命質(zhì)量,,預(yù)防抑郁和焦慮癥狀發(fā)生,促進(jìn)身心健康。
[Abstract]:Objective to investigate the incidence of depression and anxiety in men who have sex with men in Foshan City, and to explore the relationship between the characteristics of sexual behavior and the occurrence of mental symptoms and the influence of psychosocial factors on mental symptoms. To provide empirical evidence for mental illness assessment and intervention in this population. Methods by means of peer driven sampling, men aged 18 and above who lived in Foshan for at least 6 months were recruited by a self-designed questionnaire and social support scale. Quality of life scale, negative life events scale, impulsive, aggressive scale and Zung's self-rating depression, anxiety scale were investigated to obtain the general demographic data and sexual behavior characteristics of the subjects. Other psychosocial data, as well as depression and anxiety symptoms and other information. The index of depression severity (鈮

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