当前的异性婚姻与中国男男性行为者的焦虑症状水平显著降低有关。
Current heterosexual marriage is associated with significantly decreased levels of anxiety symptoms among Chinese men who have sex with men.
机构信息
Institute of Preventive Medicine, China Medical University, Shenyang, 110122, China.
Institute of Chronic Diseases, Liaoning Provincial Center for Disease Control and Prevention, Shenyang, China.
出版信息
BMC Psychiatry. 2020 Apr 6;20(1):151. doi: 10.1186/s12888-020-02563-7.
BACKGROUND
The high heterosexual marriage rate could be a 'double-edge' sword for the emotional health of Chinese men who have sex with men (MSM). The aim of this study was to determine if current marriage and breakdown of marriage (divorce) have different effects on the mental health of Chinese MSM.
METHODS
Eight hundred seven MSM were recruited using respondent-driven sampling from four cities in northeastern China. Gay-related stressful events (GRSE) were measured using the Gay Related Stressful Life Events Scale; social support was measured by the Social Support Rating Scale (SSRS); and depressive and anxiety symptoms were assessed using the Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), respectively.
RESULTS
Of the study participants, 13.4% were married to women and 4.5% were divorced. The rates of marriage or divorce were 35.3 and 75.8% for participants 30-39 and > 40 years of age, respectively. The current married MSM had the highest SDS (50.0 ± 10.9) and SSRS (35.8 ± 8.6) levels, but the lowest SAS (38.7 ± 12.1) levels. Divorced MSM had the highest SAS (44.4 ± 9.6) and lowest SSRS (30.8 ± 8.1) levels. Age, GESE number, and HIV infection were predictors for SDS and SAS, and current marriage was associated with significantly decreased level of SAS (β = - 0.136, P = 0.001) based on multiple linear analysis.
CONCLUSIONS
Current marriage is associated with significantly decreased levels of anxiety symptoms among Chinese MSM. More studies are needed to understand the mechanisms underlying the effects of different marriage status on the emotional distress of Chinese MSM.
背景
高异性恋婚姻率可能对中国男男性行为者（MSM）的情感健康是一把“双刃剑”。本研究旨在确定当前婚姻和婚姻破裂（离婚）对中国 MSM 的心理健康是否有不同的影响。
方法
采用滚雪球抽样法，从中国东北四个城市招募了 807 名 MSM。使用性取向相关压力生活事件量表（Gay Related Stressful Life Events Scale）测量与性取向相关的压力生活事件；使用社会支持评定量表（Social Support Rating Scale，SSRS）测量社会支持；使用抑郁自评量表（Self-Rating Depression Scale，SDS）和焦虑自评量表（Self-Rating Anxiety Scale，SAS）分别评估抑郁和焦虑症状。
结果
在研究参与者中，13.4%的人与女性结婚，4.5%的人离婚。30-39 岁和>40 岁的参与者中，婚姻或离婚的比例分别为 35.3%和 75.8%。目前已婚的 MSM 的 SDS（50.0±10.9）和 SSRS（35.8±8.6）得分最高，但 SAS（38.7±12.1）得分最低。离婚的 MSM 的 SAS（44.4±9.6）得分最高，SSRS（30.8±8.1）得分最低。年龄、GESE 数量和 HIV 感染是 SDS 和 SAS 的预测因素，而当前婚姻与 SAS 水平显著降低有关（β=-0.136，P=0.001），这是基于多元线性分析得出的结果。
结论
目前的婚姻与中国 MSM 的焦虑症状显著降低有关。需要进一步研究来了解不同婚姻状况对中国 MSM 情绪困扰的影响机制。
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