Department of Community Medicine, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India.
Department of Community Medicine, Smt. N.H.L Municipal Medical College, Ahmedabad, Gujarat, India.
Indian J Psychiatry. 2014 Apr;56(2):161-4. doi: 10.4103/0019-5545.130498.
Men who have sex with men (MSM), a unique group of people, feel, and believe they will face hardships in society once their identity is disclosed, but this does not deter them from dressing and behaving like the opposite sex in public life or fighting for their rights.
To study the mental health status of MSM and their determinants.
Descriptive cross-sectional study was conducted among 410 MSM in the drop in centers of non-governmental organization working for MSM in Ahmedabad city through purposive sampling.
Prevalence of psychiatric morbidity was 52.9%. The mean score obtained in anxiety/insomnia subscale (5.4 ± 4.2) and severe depression (5.4 ± 4.6) was higher than other two subscale somatic symptoms (4.0 ± 3.2) and social dysfunction symptoms (4.6 ± 3.8). Among General Health Questionnaire 28 questions, "more MSM had a more than usual feeling" that they are "getting difficulty in staying asleep once you are off", "lost much sleep over worry", "been getting edgy and bad tempered", "felt constantly under strain", "been feeling nervous and strung-up all time." Prevalence of psychiatric morbidity is more in never married MSM and also in less educated MSM. MSM with sexually transmitted infection (STI) symptoms suffer from psychiatric illness more than MSM who didn't have STI symptoms.
Various determinants like partner characteristic, presence of STI symptoms, marital status, and living arrangement affect the mental health of MSM.
男男性行为者（MSM）是一个独特的群体，他们感到并相信，一旦自己的身份被公开，他们将在社会上面临困难，但这并没有阻止他们在公共生活中穿着和表现得像异性，或为自己的权利而斗争。
研究 MSM 的心理健康状况及其决定因素。
通过目的抽样，在艾哈迈达巴德市非政府组织的男男性接触者（MSM）下降中心，对 410 名 MSM 进行了描述性横断面研究。
精神疾病发病率为 52.9%。焦虑/失眠亚量表（5.4±4.2）和严重抑郁（5.4±4.6）的平均得分高于其他两个亚量表躯体症状（4.0±3.2）和社会功能障碍症状（4.6±3.8）。在一般健康问卷 28 个问题中，“更多的 MSM 感到”他们“一旦入睡就难以入睡”、“因担心而失眠”、“变得急躁和脾气暴躁”、“一直感到紧张”、“一直感到紧张和紧张”。从未结婚的 MSM 和受教育程度较低的 MSM 中，精神疾病发病率更高。有性传播感染（STI）症状的 MSM 比没有 STI 症状的 MSM 更容易患精神病。
伴侣特征、性传播感染症状的存在、婚姻状况和生活安排等各种决定因素都会影响 MSM 的心理健康。
