广东省佛山市男男性行为者抑郁状况、性行为特征及关联研究

刘琚; 郜艳晖; 梁自勉; 李艳; 杨翌

Abstract

刘琚,郜艳晖,梁自勉,李艳,杨翌.广东省佛山市男男性行为者抑郁状况、性行为特征及关联研究[J].Chinese journal of Epidemiology,2012,33(5):483-487

广东省佛山市男男性行为者抑郁状况、性行为特征及关联研究

Depressive symptoms and associated sex with behaviors among men who have sex with men in Foshan。Guangdong province

Received:November 11, 2011

DOI：

KeyWord: 男男性行为者抑郁症状性行为特征

English Key Word: Men who have sex with men Depressive symptoms Sex behavioral characteristies

FundProject:国家“十一五”科技重大专项(2009ZXl0001—018)；广东省科技厅项目(20098030801342)

Author Name	Affiliation	E-mail
Liu Jun	Department of Epidemiology and Heakh Statistics, School of Public Health Guattgdong Pkrmacentical University Guangzhou 510310 China
Gao Yanhui	Department of Epidemiology and Heakh Statistics, School of Public Health Guattgdong Pkrmacentical University Guangzhou 510310 China
Liang Zimian	Foshan Center for Disease Control and Prevention
Li Yan	Guangdong ProvinciaZ Center for Disease Contr of and Prevention
Yang Yi	Department of Epidemiology and Heakh Statistics, School of Public Health Guattgdong Pkrmacentical University Guangzhou 510310 China	yangyigz@163．com

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Abstract:

目的了解广东省佛山市男男性行为者(MSM)的抑郁状况、性行为特征及关联。方法通过同伴推动抽样法募集在佛山市居住至少6个月≥18岁的MSM，调查采用Zung抑郁自评量表及自行设计的问卷，对所有指标计算粗的人群比例、估计总体的比例及其95％置信区间(a)，用logistic回归模型分析抑郁症状和相关因素的关联。结果共募集佛山市249名MSM，平均年龄(31。9±8。5)岁。教育年限以7～9年(43。5％)和10。12年(25。 9％)居多。已婚者占49。7％；56。7％是双性恋，63。3％的首次性行为对象为异性，42。 3％和34。 1％的人在公园，公厕和网络上寻找性伴。估计的总体抑郁症状发生率为34。 8％(95％CI：28。2—42。 3)。与抑郁症状有关联的因素为低年龄(OR=3。31，95％Ci：1。39—7。 86)、小学及以下文化程度(OR=2。 23，95％c，：1。01—4。 93)、同性性行为方式为IZl交(OR=3。09，95％Chl。10～8。70)、在实体场所寻找性伴(OR=2。 38，95％C1：1。20。4。 75)。结论佛山市MSM的抑郁症状与社会人13学和性行为特征有关，对该人群进行心理干预时要考虑社会人口学和性行为因素。

English Abstract:

0bjective To understand the prevalence of depressive symptoms and as sociated SeXlla.1 characteristies among men who have sex with men(MSM)in Foshan.Guangdong provinee.Methods Respondent-driven sampling method was used to recruit MSM who were 18 years and older living in Foshan longer than 6months.Scales of depression demographical information and characteristics of sexaal behaviom were collected using a self-designed questionnaire.Respondent-Drivell Sampling Analysis T001 and SAS WgTe used to generate crude and estimated population proportion as well as 95％confidence intervals(c／).Multivariate logistic regression was performed to explore potential factors associated with depressive symptoms.Results Among249 respondents,the meanage(standard deviation)was 31.9(8.5)years,with 43.5％of them having had 7—9 years of education while 25. 9％had 10—12 years.49.7％of the respondents were currently married.56.7％of them had bisexual orientation.42. 3％ofthem met their sex partners in parks／toilets and 63.3％of them had their first sex with a female.The estimated prevalence of depressive symptolns was 34. 8％(28.2—42. 3)among MSM in Foshan.Younger age,lower education levels,only had oral sex,and regularly meeting sexual partners in parks were as sociated with depressivesymptoms,with the adjusted odd ratio(95％C／)as 3.31(1.39—7. 86),2. 23(1.01--4. 93),3.09(1.10—8.70)and 2. 38(1.20__4. 75),respectively.Conclusion Depression related symptoms might as sociate wilh the demographical and sexual characteristics of MSM in Foshan suggesting that psychological interventions should involve components as denmgraphical and sexual characteristics.

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