56056 University of Beira Interior, Covilhã, Portugal.
7147 San Francisco State University, San Francisco, CA, USA.
Int J Aging Hum Dev. 2020 Sep;91(2):198-213. doi: 10.1177/0091415019864600. Epub 2019 Jul 24.
The purpose of this study was to assess levels of depressive symptoms and quality of life in older gay and bisexual older Spanish and Portuguese men and explore associations between these two samples and these variables. Using online surveys, 191 older gay and bisexual men from Spain and Portugal (mean age = 70 years) completed the Spanish and Portuguese versions of the Center for Epidemiologic Studies-Depression Scale and World Health Organization Instrument to Assess Quality of Life. Overall, moderate levels of depression and quality of life were found. Gay men and Spanish men report higher levels of depressive symptoms than bisexual and Portuguese men. Gay men score higher on physical health dimensions; bisexual men score higher on the social relationships dimension. Lower levels of physical health, psychological symptoms, and social relationships were significant predictors of depressive symptoms. These exploratory findings offer both similarities and differences between the samples from the two countries-and with U.S. data-and further evidence of the pervasive experience of depression in the lives of sexual minority older men with a renewed awareness of myriad contexts within which individuals age.
本研究旨在评估年长的西班牙和葡萄牙男同性恋和双性恋者的抑郁症状水平和生活质量，并探讨这两个样本与这些变量之间的关联。本研究采用在线调查的方式，共有 191 名来自西班牙和葡萄牙的年长男同性恋和双性恋者（平均年龄=70 岁）完成了西班牙和葡萄牙版的《流行病学研究中心抑郁量表》和《世界卫生组织生活质量评估工具》。研究结果显示，整体上，这些参与者存在中度的抑郁症状和较低的生活质量。男同性恋者和西班牙男性报告的抑郁症状比双性恋者和葡萄牙男性更为严重。男同性恋者在身体健康维度上的得分较高；双性恋者在社会关系维度上的得分较高。较低的身体健康水平、心理症状和社会关系是抑郁症状的显著预测因素。这些探索性发现为来自这两个国家以及美国的数据提供了相似和不同之处的证据，进一步证明了性少数群体年长男性在生活中普遍存在抑郁症状，并重新认识到个体在不同背景下的衰老过程。
