男男性接触者焦虑、抑郁与艾滋病高危性行为的关系

Anxiety,Depression and High-risk Behaviors among Men Who Have Sex with Men

目的:探讨男男性接触者(Men who have sex with men,MSM)心理症状与艾滋病高危性行为的关系。方法:采用无记名方式,运用焦虑自评量表(SAS)和抑郁自评量表(SDS),对在酒吧中活动的MSM 进行焦虑、抑郁症状评定,并对其性取向、性行为和性伴特征进行问卷调查。结果:焦虑、抑郁心理症状检出率分别为45.5%和57.5%。已婚、非同性恋和有过性病史的人比未婚、同性恋和没有性病史的MSM 符合焦虑的比例高(分别为62.5%/41.5%,54.1%/62.5%,72.2%/42.3%,x^2=4.61,3.91,5.81,P<0.05);受教育程度为高中及以下、非同性恋和有过性病史的MSM 抑郁症状检出率较受教育程度为大专以上者、同性恋和没有性病史者高(分别为76.9%/48.7%,70.3%/47.3%,83.3%/54.4%,x^2=11.67,8.89,5.52,P<0.01)。焦虑、抑郁症状与多性伴和艾滋病高危性行为相关联(r=0.19～0.28,P<0.01)。经Logistic 回归分析表明,进入焦虑症状方程的变量为一生中异性性伴数、近2个月同性商业性伴和近6个月无保护阴道性交,进入抑郁症状方程的变量为为受教育程度、性取向和近2个月同性商业性伴。结论:在MSM 人群中进行行为干预时,应当注意他们的心理健康方面的问题。

Objective： To study anxiety and depression among men who have sex with men （MSM） in gay bars, and to explore the relationship between mental health and the risk sexual behavior. Methods： Anonymous questionnaires were conducted in 167 MSM in three gay bars. The scale of anxiety and depression, sexual orientation, sexual behavior and the character of sexual partners were included in questionnaire. Anxiety and depression rating was done according to SAS and SDS, respectively, Results： The rate of anxiety was 45.5% and that of depression was 57.5%. The rate of anxiety was significantly higher in married, non-gay man, suffered from STDs （62.5%/41.5%, 54.1%/62.5%, 72.2%/42.3%, X^2=4.61,3.91,5.81, P〈0.05）. The rate of depression was higher in those with education less than college, non-gay man, suffered from STDs （76.9%/48.7%, 70.3%/47.3%, 83.3%/54.4%, X^2 = 11.67,8.89, 5.52, P〈0.01）. Anxiety was correlated with sexual orientation and multi-sexual partners （r=0.19-4）.28, P〈0.01）. By Logistic regression analysis, multi-sexual partners and high-risk sexual risk behavior were predictors of anxiety, the predictors of depression were education, sexual orientation and multi-sexual partners.Conclusion： Affective problem is a key factor during the behavior intervention among MSM.