摘要
目的：了解我国HIV阳性男男性行为人群（MSM）的抑郁、焦虑状况,探讨抑郁、焦虑的相关因素。方法：在MSM社区HIV感染者小组的帮助下,在HIV阳性MSM中采用＂滚雪球＂的方法,共招募HIV阳性MSM 600人,采用电子调查问卷进行调查,获有效问卷541份。使用自编HIV阳性MSM人群健康状况调查表调查研究对象的社会人口学特征及健康行为等,流调中心用抑郁量表（CES-D）和焦虑自评量表（SAS）调查抑郁（CES-D评分≥16分者为有抑郁症状）、焦虑（SAS评分≥50分者为有焦虑症状）状况。结果：研究对象抑郁、焦虑症状检出率分别为44.7%（242/541）和25.1%（136/541）。多因素非条件logistic回归分析表明,抑郁症状的危险因素包括最近1年考虑过自杀（OR=3.31,95%CI：1.73-5.34）、未将HIV感染状况告知男性固定性伴（OR=0.47,95%CI：0.30-0.73）和被歧视经历评分高（OR=1.19,95%CI：1.11-1.29）;与月收入≤1500元者相比,月收入为〉5000元者有抑郁症状的可能性降低（OR=0.34,95%CI：0.17-0.71）。焦虑症状危险因素包括最近1年考虑过自杀（OR=2.43,95%CI：1.40-4.21）、接受抗病毒治疗（OR=1.74,95%CI：1.06-2.84）和被歧视经历评分高（OR=1.12,95%CI：1.05-1.20）;与月收入≤1500元者相比,月收入为〉5000元者检出焦虑症状的可能性降低（OR=0.44,95%CI：0.20-0.94）。结论：本研究提示HIV阳性MSM人群抑郁或焦虑症状检出率高,需要引起重视;降低社会歧视、促进性伴交流与支持、改善经济状况可能有助于提高HIV阳性MSM的心理健康水平。
Objective： To know about the prevalence rates of depression and anxiety and its related factors among human immunodeficiency virus（ HIV）-infected men w ho have sex w ith men（ MSM） in China.Methods：Under the help of MSMgroup,totally 600 HIV-infected MSMw ere recruited by snow balling sample among HIVpositive MSM,and 541 effective electronic questionnaire w ere received.Participants completed self-made questionnaire of HIV-positive MSMhealthy condition w hich included social demographic and health behavior et al.The Center for Epidemiologic Studies Depression Scale（ CES-D） and Self-Rating Anxiety Scale（ SAS） w ere used to survey the condition of depression（ CES-D score ≥16） and anxiety（ SAS score ≥50） respectively.Results： The percentage of having depression and anxiety symptoms w as 44.7%（ 242 /541） and 25.1%（ 136 /541） respectively.Multiple unconditioned logistic regression analysis show ed that the risk of having depressive symptoms included considered suicide in the past year（ OR = 3.31,95% CI： 1.73- 5.34）,nondisclosure their HIV infection to maleprimary sexual partners（ OR = 0.47,95% CI： 0.30- 0.73）,discrimination experience（ OR = 1.19,95% CI： 1.11-1.29）.Compared w ith monthly income of 1500 yuan or less,participants w ho earned 5000 yuan monthly w ere less likely to have depressive symptoms（ OR = 0.34,95% CI： 0.17- 0.71）.Factors associated w ith anxiety symptoms included considered suicide in the past year（ OR = 2.43,95% CI： 1.40- 4.21）,accepted antiviral therapy（ OR= 1.74,95% CI： 1.06 ~ 2.84）,discrimination experience（ OR = 1.12,95% CI： 1.05 ~ 1.20）.Participants earned 5000 yuan monthly（ OR = 0.44,95% CI： 0.20 ~ 0.94） could decrease the risk of having anxiety symptom compared w ith w hose monthly income of 1500 yuan or less.Conclusion： The prevalence rate of depression and anxiety symptom among HIV-infected MSMis high and need more attention.It may be helpful to call for the strategy of promoting mental health on decr
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2015年第4期251-257,共7页
Chinese Mental Health Journal
关键词
HIV感染
男男性行为者
抑郁症状
焦虑症状
现况调查
HIV infection
men who have sex with men（MSM）
depression
anxiety
cross-sectional studies
