University of California-Los Angeles, School of Nursing, Los Angeles, California 90095, USA.
Issues Ment Health Nurs. 2012 Oct;33(10):641-9. doi: 10.3109/01612840.2012.691605.
Homeless gay and bisexual (G/B) men are at risk for suicide attempts and have high risk of depressed mood, defined as elevated level of depressive symptoms. This study describes baseline socio-demographic, cognitive, psychosocial, and health- and drug-related correlates of depressed mood in 267 stimulant-using homeless G/B young men who entered a study designed to reduce drug use. G/B men without social support were 11 times more likely to experience depressed mood than their counterparts who had support; those who reported severe body pain were almost six times more likely to report depressed mood than those without pain. Other factors that increased risk of depressed mood included being homeless in the last four months, injecting drugs, reporting poor or fair health status, and high levels of internalized homophobia. This study is one of the first studies to draw a link between pain experienced and depressed mood in homeless young G/B men. Understanding the correlates of depressed mood among homeless G/B young men can help service providers design more targeted treatment plans and provide more appropriate referrals to ancillary care services.
无家可归的男同性恋和双性恋者(G/B)面临自杀风险,且抑郁情绪高发,即抑郁症状水平升高。本研究描述了 267 名使用兴奋剂的无家可归的 G/B 年轻男性在进入旨在减少药物使用的研究时的基线社会人口统计学、认知、心理社会以及与健康和药物相关的抑郁情绪的相关因素。没有社会支持的 G/B 男性出现抑郁情绪的可能性是有支持的男性的 11 倍;报告严重身体疼痛的男性出现抑郁情绪的可能性几乎是没有疼痛的男性的六倍。增加抑郁情绪风险的其他因素包括在过去四个月无家可归、注射毒品、报告健康状况差或一般,以及内化恐同水平高。这项研究是最早将疼痛体验与无家可归的年轻 G/B 男性的抑郁情绪联系起来的研究之一。了解无家可归的年轻 G/B 男性抑郁情绪的相关因素,可以帮助服务提供者设计更有针对性的治疗计划,并提供更适当的转介到辅助护理服务。