连州市男男性行为人群抑郁及生存质量现状及其影响因素

Investigation of current status of depression,quality of life and influencing factors among men who have sex with men in Lianzhou

目的了解连州市男男性行为者(MSM)抑郁症状及生存质量现状,分析相关影响因素。方法 2014年10月-2015年8月,通过同伴推动法(RDS),结合"滚雪球法"、网络征幕等多种方法招募MSM,进行面对面的问卷调查。结果共招募312名MSM,平均年龄(30.53±11.52)岁,抑郁均分为(16.37±8.77)分,检出可能及肯定有抑郁症状159人(占50.96%);文化程度低、月收入高及寻找男性性伴的场所为公园类者、有过女性性伴、最近6个月及最近1次发生男男性行为时无使用安全套者抑郁症状检出率较高(P值均<0.05)。生存质量总得分为(14.07±1.73)分,生理、心理、社会关系、环境等各领域得分分别为(14.98±1.95)、(14.01±2.42)、(13.73±2.56)、(13.46±1.98)分;回归分析结果显示,男性首次发生性行为年龄<20岁、非在婚、干预服务覆盖者及艾滋病相关知识知晓者,生存质量得分较高。结论应加大宣传干预力度,提高检测服务的便利和可及性,改善MSM人群的生存质量。

Objective To investigate current status of depressive symptoms and quality of life among men who have sex with men （MSM） in Lianzhou; to analyze related influencing factors. Methods Respondent-driven sampling method was combine with snow-ball sampling and network recruiting methods to recruited MSM for questionnaire-based survey from Oct 2014 to Aug 2015. Results A total of 312 MSM were recruited with average age of （30.53±11.52） years. The average score of depression was （16.37±8.77） points, 159 MSM were confirmed to have depressive symptoms （accounting for 50.96 %）. The depression rate was higher for MSM who had lower educational background, higher income , seeking male sexual partners in parks ,had female sexual partners , not using condoms in last 6 months or recent homosexual intercourse（all P〈0.05）. The overall score of the quality of life was （14.07±1.73） points, the scores for physiology , psychology, social relations and envi- ronment was （14.98±1.95） points, （14.01±2.42） points, （13.73±2.56） points and （13.46±1.98） points,respectively. Regression analysis showed that MSM who had first sexual intercourse younger than 20 years old, not covered by marriage or intervention service or with knowledge about HIV had higher quality of life. Conclusion Propaganda advocacy and intervention efforts should be enhanced, convenience and accessibility of testing services should he improved to promote quality of life of the MSM.