中国广州男同性恋人群健康状况和生活满意度（英文）

Health and life satisfaction for Chinese gay men in Guangzhou,China

目的:了解中国广州男同性恋人群健康状况和生活满意度并分析其影响因素。方法:采用同伴推动抽样方法(respondent-driven sampling,RDS)来收集男同性恋样本,调查采用一对一的方式进行,问卷由被试自填。采用自编一般情况调查表、自杀情况问卷、抑郁-焦虑-应激自评量表、自我耻辱感量表、自尊量表、生活满意度量表、领悟社会支持量表对男同性恋样本进行调查。结果:在420名男同性恋有效样本中,抑郁、焦虑、应激水平较高,29.3%在过去1年内有过自杀意念,36.5%遭遇过亲密关系暴力,39.2%在过去6个月内有过无保护性行为,14.0%至少得过一种性病。多元回归分析显示自我耻辱感较低、自尊感较高、性关系中主动角色、抑郁水平较低、无亲密关系暴力的男同性恋者生活满意度较高。结论:中国广州男同性恋人群健康状况较差、生活满意度较低,自我耻辱感、性关系中的性角色、抑郁情绪、亲密关系暴力是影响男同性恋人群生活满意度的主要因素。

Objective： To understand Chinese gay men＇s health and life satisfaction in Guanzhou, and to analyze the main factors for life satisfaction.Methods： Male gay participants were recruited through respondent-driven sampling and facetoface investigations with self-administered questionnaires, including a general demographic questionnaire, a suicide questionnaire, the Depression–Anxiety Stress Scale, the Self-Stigma Scale,the Perceived Social Support Scale, the Rosenberg Self-Esteem Scale, and the Satisfaction with Life Scale.Results： Surveys were successfully conducted for 420 gay men. High levels of depression, anxiety,and stress were observed among the respondents. A total of 29.3% had suicidal tendency in the past year, 36.5% experienced dating violence, 39.2% had homosexual sex without protection in the past 6 months, and 14.0% were infected with at least one type of infection of sexually transmitted diseases. Multiple linear regression analysis showed that gay men who felt highly satisfied with life exhibited low levels of self-stigma, high self-esteem, and low levels of depression. Moreover, they did not suffer dating violence and playing passive sex roles.Conclusion： The survey confirmed that gay men in Guangzhou, China, have poor health and lower life satisfaction levels. Self-stigma, self-esteem, sex roles, depression, and dating violence are the main factors that influence the life satisfaction of them.