男男性行为人群抑郁状况调查

Survey of Depression Status Among Men Having Sex With Men

目的了解男男性行为者(MSM)人群抑郁症状现状。方法应用流调中心用抑郁自评量表(CES-D)及相应的评价标准,采用应答者趋动招募抽样法(RDS)对MSM人群进行招募和自填式匿名调查和评价。结果共调查201人,抑郁评分最高为52分,最低为0分,中位数13.00±9.562,不同人口学特征抑郁评分中位数除年龄组差异有统计学意义(P<0.05),其余均无统计学意义。抑郁症状检出为37.8%(可能有13.9%,肯定有23.9%),不同年龄、文化、职业、婚姻状况、性取向等差异均无统计学意义(P>0.05)。感受不同压力水平抑郁症状检出及变化趋势差异有统计这意义(P<0.05),感到压力非常大抑郁症状检出率最高为63.2%(肯定有42.1%),随着压力减小而下降。在过去6个月有性病史抑郁症状检出为46.4%(肯定有为36.2%),无性病史者为34.3%(肯定有抑郁为18.9%),差异有统计学意义(P<0.05)。结论 MSM人群抑郁症状检出率高,压力及性病加重了抑郁症状发生,是MSM社群及其普遍的健康问题,应高度关注,针对性开展心理干预活动。

Objective To understand the depression status among men having sex with men （MSM）. Methods The anonymous self-administrated questionnaire survey was conducted among MSM by respondent-driven sampling （RDS）with self-rating depression scale （CES-D） developed by epidemiological research center and corresponding evaluation criterion.Result A total of 201 questionnaires were returned. The highest score of depression was 52,the lowest was 0,the average was 13.00 （median ） 9.562,the difference was significant among the MSM with different age. The detection rate of depression was 37.8%.The differences on age,education background,occupation,marriage status and sexual attitude had no significance（P0.05）.The difference on the detection of stress had significance（P0.05）. The detection rate of highly stressed was 63.2%.The detection rate of depression among the MSM with STD history was 46.4% and without STD history was 34.3% during the past 6 months,the difference was significant（P0.05）. Conclusion The depression detection rate among MSMI was high,stress and STD were the major risk factors. Depression is a major health problem among MSM. More attention should be paid on them and mental intervention should be conducted among them.