男男性行为人群的约会暴力与自杀意念

Dating violence and suicidal ideation among men who have sex with men

目的:调查男男性行为人群(MSM)约会暴力及自杀意念的现况,并分析两者间的关系。方法:对某省会城市453名MSM进行匿名调查,收集研究对象6种类型的约会暴力(控制、情感虐待、安全威胁、躯体虐待、性虐待、威胁公开身份)及自杀意念的相关信息。结果:62.0%(281/453)的研究对象报告自己在过去1周或抑郁最严重时有过自杀意念。过去6个月,75.5%(342/453)的研究对象遭遇过至少一种类型的约会暴力。多因素分析结果显示,在控制了其他因素后,约会暴力(OR=5.84,95%CI:3.59~9.50)是MSM自杀意念的危险因素。结论:应将约会暴力放进MSM自杀的干预体系中。

Objective:To investigate the dating violence and suicidal ideationinmen who have sex with men(MSM)and analyze the relationship between them.Methods:An anonymous survey was conducted on 453 MSM in a provincial capital city.The information on six types of dating violence(control,emotion abuse,security threatening,physical abuse,sexual abuse,threatening to disclose one’s identity)and suicidal ideation was collected.Results:The rate of suicide ideation in the last week or during the most serious depression was 62.0%(281/453)among all the respondents and in the past 6 months,75.5%(342/453)experienced at least one type of violence.Multivariate analysis showed that after controlling for other factors,dating violence(OR=5.84,95%CI:3.59-9.50)was a risk factor for suicidal ideation in HIV-positive MSM who was addicted to recreational drug abuse.Conclusion:It suggests that dating violence should be included insuicide intervention system of HIV positive MSM who abuse recreational drugs.