我国男男性行为人群抑郁症状检出情况

Prevalence of depressive symptoms among men who have sex with men in China

目的综合评价我国男男性行为人群(men who have sex with men,MSM)抑郁情绪检出状况,为MSM开展心理健康教育提供科学依据。方法检索Pubmed、中国知网、维普、万方数据库,收集2010年1月1日—2017年12月31日发表的有关我国MSM抑郁相关文章,并对文献进行质量评价,应用Stata 12.0软件进行meta分析。结果最终纳入21篇文献,包含22个研究,合并样本量8 013例,其中3 518例有抑郁症状,MSM抑郁症状检出率为46.3%(95%CI=40.8%~51.9%)。亚组分析显示,不同量表、研究对象、研究时间差异具有统计学意义。流调中心抑郁量表(CESD)和Zung抑郁自评量表(SDS)抑郁症状检出率分别为48.9%和40.8%,男性性服务者(MB)抑郁症状检出率(63.8%)高于普通MSM(44.9%)和现存活的HIV感染者和艾滋病患者(44.1%),研究时间在2013—2016年的研究比2006—2012年抑郁症状检出率高,分别为46.1%和44.2%。结论我国MSM人群抑郁症状检出率较高,心理状况较差,应多给予关注,提高其社会支持和生活质量。

[Objective]To estimate the prevalence of depressive symptoms among men who have sex with men（MSM） in China,provide scientific reference for psychological health education in this population. [Methods] Electronic search strategy was carried out in Pub Med CNKI, VIP and Wanfang databases to collect data of articles related to MSM depression in China from January 1,2010 to December 31, 2017. Quality of the included studies was evaluated, and meta analysis was performed by Stata 12.0.[Results] 21 articles involving 22 studies and 8 013 cases were included, and 3 518 cases were detected with depressive symptoms. The detection rate among MSM was 46.3%（95% CI =40.8%-51.9%）. Statistical differences were observed when the studies were stratified by scale, participant and study time. The detection rate of depressive symptoms was 48.9% and 40.8% by Center for Epidemiologic Studies Depression Scale（CESD） and Self-Rating Depression Scale（SDS） respectively. The detection rate of depressive symptoms in male sex workers（MB）（63.8%） was higher than that in normal MSM（44.9%） and people living with HIV/AIDS（44.1%）. The studies carried out during the period of 2013-2016 reported a higher detection rate than 2006-2012（46.1% vs 44.2%）. [Conclusion] The detection rate of depressive symptoms among MSM is high in China, which indicates the mental state of this population is poor. Much attention should be paid to the mental health of MSM for improving their social support and quality of life.