中国女同性恋人群抑郁现状及影响因素

Depression status and its influencing factors of lesbians in China

目的了解中国女同性恋(女同)人群抑郁状况,探讨影响女同人群抑郁症状发生的因素,为更好地进行女同人群的健康教育和后续心理干预提供建议和参考。方法 2018年7月1日―2018年12月30日,通过问卷星对女同人群进行网络问卷调查。描述其抑郁状况分布,并用χ^(2)检验、独立样本t检验进行单因素分析,用Logistic回归分析模型分析女同人群抑郁症状的影响因素。结果 56.1%的女同存在抑郁症状。研究结果显示,和与家人同住相比,与女性朋友同住(OR=0.399,95%CI:0.182~0.872,P=0.021)、社会支持(OR=0.953,95%CI:0.926~0.980,P=0.001)和心理韧性(OR=0.934,95%CI:0.895~0.975,P=0.002)水平高的女同更不容易抑郁;少数民族(OR=5.849,95%CI:1.474~23.206,P=0.012)、童年期不良经历(OR=1.317,95%CI:1.065~1.628,P=0.011)是抑郁症状发生的危险因素。结论中国女同人群抑郁症状发生率较高,应关注性少数群体的心理状况,重视社会支持的积极作用,提供更多精神卫生资源,促进其心理健康。

Objective To investigate the depression status of lesbians in China,and to explore the related factors of depressive symptoms,so as to provide suggestions for better health management for lesbians.Methods An online questionnaire survey was conducted among lesbians from July 1,2018 to December 30,2018.The distribution of lesbian depression was described.Chi-square test and two independent samples T test were used for univariate analysis.Logistic regression analysis model was performed to analyze the factors influencing depressive symptoms.Results 56.1% of lesbians had symptoms of depression.The results of the research showed that lesbians who lived with female friends(OR=0.399,95% CI:0.182-0.872,P=0.021),had a higher level of social support(OR=0.953,95% CI:0.926-0.980,P=0.001) and mental resilience(OR=0.934,95% CI:0.895-0.975,P=0.002) were less likely to get depressed.However,lesbians from ethnic minorities(OR=5.849,95% CI:1.474-23.206,P=0.012) were more likely to suffer from depression compared with Chinese Han lesbians.Adverse childhood experiences(OR=1.317,95% CI:1.065-1.628,P=0.011) were risk factors of depression.Conclusions The incidence of depressive symptoms is high among lesbians in China,and attention should be paid to the psychological health status of sexual minorities.The positive effects of social support needs to be taken seriously to promote their mental health.