Kongjareon Yamol, Samoh Nattharat, Lim Sin How, Peerawaranun Pimnara, Jonas Kai J, Guadamuz Thomas E
Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand.
Department of Social and Preventive Medicine and Centre of Excellence for Research in AIDS, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
AIDS Care. 2020 Aug;32(8):954-958. doi: 10.1080/09540121.2020.1734174. Epub 2020 Mar 12.
HIV-related factors and suicide-risk status were assessed among YMSM aged 18-24 years recruited through various MSM-related online social apps in Bangkok (= 1394). The online survey assessed demographic characteristics, sexual behaviours and suicide-risk status. Measure of suicide risk was taken from the Suicidal Behaviors Questionnaire-Revised (cut-off score of seven or higher). Among participants, 249 (17.9%) reported suicide-risk. In multivariable logistic regression, correlates of suicide-risk status included having sometimes or often ever participated in group sex (AOR=1.58, 95% CI: 1.17-2.14), having received money or opportunities for sex (AOR=1.54, 95% CI: 1.09-2.17), often seeking partners online (AOR=1.59, 95% CI: 1.05-2.39), inconsistent condom use (AOR=1.67, 95% CI: 1.26-2.21), and self-assessed as having "medium" or "high" HIV risk (AOR=2.53, 95% CI: 1.61-3.98 and AOR=3.35, 95% CI: 1.92-5.82, respectively). Findings suggest that HIV risk behaviours shown by YMSM are significantly associated with higher risk of suicide.
在通过曼谷各种与男男性行为者相关的在线社交应用程序招募的18至24岁的男男性行为者（n = 1394）中，评估了与艾滋病毒相关的因素和自杀风险状况。在线调查评估了人口统计学特征、性行为和自杀风险状况。自杀风险的测量采用修订后的自杀行为问卷（临界值为7分或更高）。在参与者中，249人（17.9%）报告有自杀风险。在多变量逻辑回归中，自杀风险状况的相关因素包括有时或经常参与群交（比值比=1.58，95%置信区间：1.17-2.14）、接受金钱或性交易机会（比值比=1.54，95%置信区间：1.09-2.17）、经常在网上寻找伴侣（比值比=1.59，95%置信区间：1.05-2.39）、避孕套使用不一致（比值比=1.67，95%置信区间：1.26-2.21），以及自我评估为艾滋病毒感染风险“中等”或“高”（比值比分别为2.53，95%置信区间：1.61-3.98和比值比=3.35，95%置信区间：1.92-5.82）。研究结果表明，男男性行为者表现出的艾滋病毒风险行为与更高的自杀风险显著相关。
