摘要
目的了解年轻男男性行为者(young men who have sex with men,YMSM)焦虑、抑郁症状及与艾滋病相关因素的关系。方法以四川省绵阳市15~24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(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)进行焦虑、抑郁症状测评,相关因素分析单因素用χ2检验,多因素用非条件Logistic回归分析。结果SAS、SDS分别测定356人、355人,SAS、SDS量表标准分总分平均分别为(42.96±10.81)分、(45.63±12.40)分,焦虑、抑郁症状检出率分别为23.60%、33.24%。是否焦虑、抑郁症状检出HIV感染率差异无统计学意义(χ^2=2.235,1.718,均P>0.05),是否抑郁症状检出梅毒感染率差异有统计学意义(χ^2=6.840,P<0.05)。HIV感染风险认识(β=1.101,P=0.015)、近1周肛交数(β=1.111,P=0.005)、近1年诊断过性病(β=1.996,P=0.010)是焦虑症状独立影响因素,近6个月偶然性行为(β=0.692,P=0.037)、近1周肛交数(β=0.969,P=0.012)是抑郁症状的独立影响因素(均P<0.05)。结论YMSM焦虑、抑郁症状检出率高。焦虑、抑郁症状与艾滋病相关因素相关,对YMSM性行为影响具一定特征,健康风险大。艾滋病防治应将行为与心理干预相结合。
Objective To understand the relationship of anxiety and depression with AIDS knowledge, cognition of risk and sex behavior among young men who have sex with men(YMSM). Methods The study was conducted by the snowballs sampling method for the recruitment and serological examination of YMSM aged 15-24 in Mianyang city, Sichuan province.The anxiety and depressive symptoms were assessed by the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS). Chi-square test was used to implement single-factor analysis and non-conditional logistic regression for multiple-factor analysis. Results Totally 356 cases completed the SAS and 355 cases completed the SDS.And the total scores of SAS and SDS were (42.96±10.81) and (45.63±12.40). The detection rates of anxiety and depressive symptoms were 23.60% and 33.24% respectively.There was no statistical difference in the incidence of HIV infection with or without anxiety and depression (χ^2=2.235, 1.718, both P>0.05), and there was a statistical difference in the incidence of syphilis infection (χ^2=6.840, P <0.05). Multi-factor analysis results showed that HIV infection risk awareness(β=1.101, P=0.015), number of anal sex in nearly 1 week(β=1.111, P=0.005), and the diagnosis of STD in nearly 1 year(β=1.996, P=0.010) were independent factors influencing anxiety symptoms, meanwhile occasional sex in nearly six months(β=0.692, P=0.037), and the number of anal sex in nearly one week(β=0.969, P=0.012) were independent factors in depressive symptoms (P <0.05). Conclusion The detection rate of anxiety and depressive symptoms among YMSM is high.Anxiety and depressive symptoms are related to AIDS related factors, which has certain characteristics to the YMSM sex behavior and is of great health risk.AIDS prevention should combine behavior with psychological intervention.
作者
王毅
李六林
周万明
樊静
赵西和
唐宇
何静
刘江
周力
张晓军
王思源
Wang Yi;Li Liulin;Zhou Wanming;Fan Jing;Zhao Xihe;Tang Yu;He Jing;Liu Jiang;Zhou Li;Zhang XiaoJun;Wang Siyuan(Department of STD/AIDS Control and Prevention,Mianyang Center for Disease Control and Prevention,Mianyang 621000,China;Gay Love Group of Mianyang ,Mianyang 621000,China;Department of STD/AIDS Control and Prevention,Jiangyou 621700,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第1期80-84,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
四川省财政补助艾滋病防治项目(ZC2015007,SCWJWZC2016013)
绵阳市应用研究技术研究与开发项目(15S-01-10).
关键词
男男性行为者
焦虑
抑郁
艾滋病
相关因素
Men who have sex with men
Anxiety
Depression
AIDS
Related factor
