男男同性HIV感染者焦虑、抑郁程度的关联因素分析

Analysis ofAssociated Factors of Anxiety and Depression in HIV-Infected Men Who Have Sex with Men

目的分析影响男男同性人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者不同焦虑、抑郁程度的相关因素,识别男男同性HIV感染者中存在焦虑、抑郁等心理问题的高危群体。方法采用基于网络的问卷调查方式,通过问卷星发放调查问卷,对男男同性HIV感染者采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)进行问卷调查,采用基于最优尺度变换的非线性典型相关分析方法分析男男同性HIV感染者的不同焦虑和抑郁程度的相关因素。结果395例男男同性HIV感染者中,年龄在30~39岁最多(40.5%),大多数未婚(65.8%),月收入在5千以下者最多(62.3%),63.3%的感染者是城市户籍,受教育水平为大学及以上者最多(57.2%);职业为机关企事业单位的占26.6%。具有焦虑和抑郁症状者占54.7%和65.3%,其中重度焦虑和抑郁者占11.9%和10.1%。最优尺度变换的非线性典型相关分析结果显示:城市户籍,月收入在5千元以上,在机关企事业单位工作的感染者与“无抑郁”有关联;而农村、月收入在3千元以下,职业为个体户等的感染者与“重度抑郁”有关联;月收入水平与焦虑的不同程度间也存在关联。结论经济收入水平、户籍、职业状况等特征与男男同性HIV感染者不同抑郁程度有关联。农村户籍以及经济收入水平较低的感染者是心理问题的高发人群,对具有这些特征的男男同性感染者应该给与有针对性的心理干预措施。

Objective To analyze the relevant factors that affect different levels of anxiety and depression in HIV-infected men who have sex with men,and identify the high-risk groups of anxiety,depression,and other psychological problems among HIV-infected men who have sex with men.Method A web-based questionnaire survey method was used,and questionnaires were distributed through a ques⁃tionnaire star.Male homosexual HIV infected individuals were surveyed using the Self-ratingAnxiety Scale(SAS)and Self-rating Depres⁃sion Scale(SDS).Nonlinear canonical correlation analysis based on optimal scale transformation was used to analyze the relevant factors of different levels of anxiety and depression in HIV-infected men who have sex with men.Results Among 395 HIV-infected men who have sex with men,most of them were aged from 30 to 39 years old(40.5%),most of them were unmarried(65.8%),most of them had a monthly income of less than 5000(62.3%),63.3%of the infected people were urban registered residences,and most of them were college educated or above(57.2%);26.6%of them work in government agencies,enterprises,and institutions.54.7%and 65.3%had symptoms of anxiety and depression,with 11.9%and 10.1%having severe anxiety and depression.The results of the nonlinear canonical correlation analysis of optimal scale transformation show that:urban registered residence,with a monthly income of more than 5000 yuan,infected people working in government agencies,enterprises,and institutions are associated with“no depression”.There is a correlation between“severe depression”and infected individuals in rural areas with a monthly income of less than 3000 yuan and occupation as self�employed individuals.There is also a correlation between monthly income levels and different levels of anxiety.Conclusion The eco⁃nomic income level,registered residence,occupational status and other characteristics are related to the different depression levels of HIV-infected men who have sex with men.The infected people with lower registered residence and economic income level in rural areas are the people with high incidence of psychological problems.Targeted psychological intervention measures should be given to HIV�infected men who have sex with men with these characteristics.