Yan Huamei, Wong Frank Y, Zheng Tony, Ning Zhen, Ding Yingying, Nehl Eric J, Lin Lavinia, He Na
Department of Epidemiology, School of Public Health, Fudan University, and The Key Laboratory of Public Health Safety of Ministry of Education, Shanghai 200032, China.
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Sex Health. 2014 Jul;11(3):285-7. doi: 10.1071/SH14017.
The primary objective was to examine prevalence and correlates of social support and depressive symptoms among male sex workers (known as 'money boys' (MBs)) and general men who have sex with men (MSM) in Shanghai. The Social Provision Scale (SPS), which consists of 24 items, scored out of 4 for social provision, was used to evaluate the functions of social relationships. The score for each item ranges from 1 to 4, with a higher score indicating more social provision. The overall mean SPS score was 68.1 (s.d.=6.53) for MBs and 69.3 (s.d.=6.99) for general MSM. Depression was measured with a 12-item version of the Center for Epidemiological Studies Depression Scale (CES-D), where a score of 9 has been recommended as the cutoff score to indicate possible depressive symptoms. The prevalence of depressive symptoms was 57.9%, with MBs having a higher level of depressive symptoms than general MSM (70.0% v. 46.1%) (odds ratio=1.86, 95% confidence interval=1.07-3.24). Social support was a protective factor for depressive symptoms (odds ratio=0.92, 95% confidence interval=0.89-0.96). MSM in China, particularly MBs, are vulnerable to low social support and high depressive symptoms, highlighting the need for tailored psychological programs targeting this population.
主要目的是调查上海男男性行为者（男妓，即“MB”）和一般男男性行为者（MSM）中社会支持及抑郁症状的患病率及其相关因素。社会支持量表（SPS）由24个项目组成，社会支持得分满分为4分，用于评估社会关系的功能。每个项目的得分范围为1至4分，得分越高表明社会支持越多。男妓的社会支持量表总体平均得分为68.1（标准差=6.53），一般男男性行为者为69.3（标准差=6.99）。使用流行病学研究中心抑郁量表（CES-D）的12项版本测量抑郁情况，建议将9分作为表明可能存在抑郁症状的临界值。抑郁症状的患病率为57.9%，男妓的抑郁症状水平高于一般男男性行为者（70.0%对46.1%）（优势比=1.86，95%置信区间=1.07 - 3.24）。社会支持是抑郁症状的一个保护因素（优势比=0.92，95%置信区间=0.89 - 0.96）。中国的男男性行为者，尤其是男妓，容易出现社会支持水平低和抑郁症状高的情况，这凸显了针对这一人群制定专门心理项目的必要性。
