Liu Jun, Gao Yan-hui, Liang Zi-mian, Li Yan, Yang Yi
Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2012 May;33(5):483-7.
To understand the prevalence of depressive symptoms and associated sexual characteristics among men who have sex with men (MSM) in Foshan, Guangdong province.
Respondent-driven sampling method was used to recruit MSM who were 18 years and older, living in Foshan longer than 6 months. Scales of depression, demographical information, and characteristics of sexual behaviors were collected using a self-designed questionnaire. Respondent-Driven Sampling Analysis Tool and SAS were used to generate crude and estimated population proportion as well as 95% confidence intervals (CI). Multivariate logistic regression was performed to explore potential factors associated with depressive symptoms.
Among 249 respondents, the mean age (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% of them met their sex partners in parks/toilet and 63.3% of them had their first sex with a female. The estimated prevalence of depressive symptoms 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 associated with depressive symptoms, with the adjusted odd ratio (95%CI) 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.
Depression related symptoms might associate with the demographical and sexual characteristics of MSM in Foshan, suggesting that psychological interventions should involve components as demographical and sexual characteristics.
了解广东省佛山市男男性行为者（MSM）中抑郁症状的患病率及相关性特征。
采用应答驱动抽样方法招募年龄在18岁及以上、在佛山居住超过6个月的MSM。使用自行设计的问卷收集抑郁量表、人口统计学信息和性行为特征。使用应答驱动抽样分析工具和SAS生成粗率和估计的总体比例以及95%置信区间（CI）。进行多因素logistic回归以探索与抑郁症状相关的潜在因素。
在249名受访者中，平均年龄（标准差）为31.9（8.5）岁，其中43.5%的人接受过7-9年教育，25.9%的人接受过10-12年教育。49.7%的受访者目前已婚。56.7%的人有双性恋取向。42.3%的人在公园/厕所结识性伴侣，63.3%的人与女性首次发生性行为。佛山MSM中抑郁症状的估计患病率为34.8%（28.2-42.3）。年龄较小、教育水平较低、仅进行口交以及经常在公园与性伴侣见面与抑郁症状相关，调整后的比值比（95%CI）分别为3.31（1.39-7.86）、2.23（1.01-4.93）、3.09（1.10-8.70）和2.38（1.20-4.75）。
抑郁相关症状可能与佛山MSM的人口统计学和性特征有关，提示心理干预应包含人口统计学和性特征方面的内容。
