School of Public Health, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Department of Psychiatry, University of California, San Francisco, CA, USA.
Arch Sex Behav. 2018 Oct;47(7):1959-1968. doi: 10.1007/s10508-017-1061-y. Epub 2017 Nov 16.
Research conducted among men who have sex with men (MSM) in high-income countries has demonstrated that negative mental health is one of the significant drivers of HIV infection, and few studies have examined the status of mental health among MSM in China. We sought to describe depression and loneliness and identify their correlates among Chinese MSM. A cross-sectional study was conducted among HIV-negative or unknown status MSM in 2014. Time-location sampling and online convenience sampling methods were employed. Depression was measured via a short version of CES-D (CES-D 10). Loneliness was measured from a single item in CES-D 10. Multivariable logistic regressions were conducted to identify independent correlates of depression and loneliness. A total of 507 individuals participated in the study. Of them, 26.8 and 35.5% reported moderate-to-severe symptoms of depression and feeling lonely, respectively. Depressed participants were more likely to have a sense of hopelessness for the future (AOR 3.20, 95% CI 1.90, 5.20) and report higher levels of internalized homophobia (AOR 2.32, 95% CI 1.47, 3.67). Participants who reported feeling lonely were more likely to have had condomless receptive anal intercourse in the past 6 months (AOR 1.67, 95% CI 1.08, 2.58) and feel hopeless for the future (AOR 2.40, 95% CI 1.60, 3.70). MSM in China have significant rates of depression and loneliness. HIV prevention efforts should address the mental health needs of Chinese MSM such as providing safe environments for social support and role models.
在中国，针对男男性行为者（MSM）的研究表明，负面的心理健康是导致 HIV 感染的重要因素之一，但很少有研究调查中国 MSM 的心理健康状况。我们旨在描述中国 MSM 的抑郁和孤独状况，并确定其相关因素。2014 年，我们在中国对 HIV 阴性或未知状态的 MSM 进行了一项横断面研究。采用时间地点抽样和在线便利抽样方法。采用 CES-D 10 的简短版本测量抑郁。孤独感通过 CES-D 10 中的一个项目来衡量。采用多变量逻辑回归来确定抑郁和孤独的独立相关因素。共有 507 人参加了这项研究。其中，26.8%和 35.5%的人报告有中度至重度抑郁症状和孤独感。抑郁的参与者更有可能对未来感到绝望（AOR 3.20，95%CI 1.90，5.20），并报告更高水平的内化恐同症（AOR 2.32，95%CI 1.47，3.67）。报告感到孤独的参与者在过去 6 个月内更有可能发生无保护的接受性肛交（AOR 1.67，95%CI 1.08，2.58），并对未来感到绝望（AOR 2.40，95%CI 1.60，3.70）。中国的 MSM 有相当高的抑郁和孤独率。艾滋病毒预防工作应满足中国 MSM 的心理健康需求，例如为社会支持和榜样提供安全的环境。
