| 戴振威,于飞,司明玉,吴奕锦,陈旭,付佳琪,黄依漫,王浩,肖伟军,米国栋,苏小游.男男性行为者自杀意念的影响因素分析[J].Chinese journal of Epidemiology,2022,43(8):1296-1300 |
| 男男性行为者自杀意念的影响因素分析 |
| Influencing factors of suicidal ideation among men who have sex with men |
| Received:March 11, 2022 |
| DOI：10.3760/cma.j.cn112338-20220311-00181 |
| KeyWord: 男男性行为者 抑郁 自杀意念 中介效应 领悟社会支持 |
| English Key Word: Men who have sex with men Depression Suicidal ideation Mediation effect Perceived social support |
| FundProject:国家卫生健康委员会亚洲区域合作专项（BLXM01）；中国医学科学院医学与健康科技创新工程（2020-I2M-2-015） |
| Author Name | Affiliation | E-mail | | Dai Zhenwei | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Yu Fei | Danlan Goodness, Beijing 100020, China | | | Si Mingyu | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Wu Yijin | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Chen Xu | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Fu Jiaqi | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Huang Yiman | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Wang Hao | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Xiao Weijun | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | | | Mi Guodong | Danlan Goodness, Beijing 100020, China | | | Su Xiaoyou | School of Population Medicine and Public Health, Chinese Academy of Medical Sciences &
Peking Union Medical College, Beijing 100005, China | suxiaoyou@hotmail.com |
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| Abstract: |
| 目的 分析MSM自杀意念现状，并进一步探究领悟社会支持和抑郁对自杀意念的影响及其可能路径。方法 研究对象为≥18岁且HIV检测结果阴性的MSM，最近1年发生男男性行为（口交/肛交）。采用横断面调查和便利抽样方法，2020年12月至2021年3月通过男性社交平台Blued 7.5软件招募MSM并开展问卷调查，问卷包括一般资料问卷、简版领悟社会支持问卷、简版流调中心抑郁量表。采用Mplus 8.3软件进行统计学分析。采用结构方程模型进行MSM自杀意念的影响因素分析。结果 MSM研究对象1 394人中，有自杀意念的MSM占25.7%（358/1 394），领悟社会支持可对自杀意念产生直接影响（β=-0.11，P=0.009），也可通过抑郁对自杀意念产生间接影响（β=-0.18，P<0.001）。结论 领悟社会支持水平越高、抑郁水平越低的MSM的自杀意念越低，通过网络社交媒体提高MSM领悟社会支持、降低其抑郁，可能是预防其产生自杀意念的手段之一。 |
| English Abstract: |
| Objective To investigate the prevalence of suicidal ideation among MSM, and to explore the influence of perceived social support and depression on suicidal ideation and the possible pathway. Methods MSM who are ≥ 18 years, HIV-negative, and ever had sex with men (oral sex/anal sex) in the last year participated in is study. Cross-sectional survey and convenient sampling method were used to recruit MSM through a male social interaction platform Blued 7.5 software from December 2020 to March 2021, with a questionnaire survey. Demographic questionnaire, Perceived Social Support Questionnaire and Center for Epidemiologic Studies Depression Scale were employed to collect data. Mplus 8.3 was used for data analysis. Results Among 1 394 eligible MSM participants, 25.7% (358/1 394) had suicidal ideation. Perceived social support could have a direct effect on suicidal ideation (β=-0.11, P=0.009), and an indirect effect on suicidal ideation through depression (β=-0.18, P<0.001). Conclusions Suicidal ideation was found to be lower in MSM with a higher level of perceived social support and a lower level of depression. Using social media to improve MSM's perceived social support and reduce depressive symptoms might be an effective means to prevent suicidal ideation. |
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