Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510317, China.
School of Medicine, South China University of Technology, Guangzhou 510641, China.
Int J Environ Res Public Health. 2022 Oct 27;19(21):14010. doi: 10.3390/ijerph192114010.
This study aimed to examine temporal trends and differences in sexuality between depressed and non-depressed adults aged 18-59 in the United States from 2005 to 2016. A total of 21,437 people (5432 with depression) were enrolled in this cross-sectional study. From 2005-2008 to 2013-2016, the average age at first sexual intercourse decreased, while the proportion of normal frequency of sexual activity and heterosexual sexual orientation increased among all the participants. Some differences in sexuality were found between the depressed and non-depressed groups. The average age at first sexual intercourse ( < 0.001), the proportion of normal frequency of sexual activity ( < 0.001), and heterosexual sexual orientation ( < 0.001) were lower in depressed participants, and the differences did not change over time ( = 0.926 of average age at first sexual intercourse, = 0.823 of normal frequency of sexual activity, = 0.926 of heterosexual sexual orientation). Moreover, these differences were associated with marital status ( < 0.001 by average age at first sexual intercourse), employment status ( < 0.001 by average age at first sexual intercourse), education status ( = 0.023 by heterosexual sexual orientation) and family income status ( = 0.013 by average age at first sexual intercourse and = 0.017 by normal frequency of sexual activity). In conclusion, the study found that the age at first sexual intercourse decreased and the frequency of sexual intercourse increased in all the participants, and differences in sexuality between depressed and non-depressed participants were present; however, these differences had no further increase or decrease during the 12-year period. These differences were associated with marital status, employment status, education status, and family income status. These findings show differences in sexuality between depressed and non-depressed patients but are somewhat different from previous studies; the results may provide directions for future research and social work.
本研究旨在考察 2005 年至 2016 年间美国 18-59 岁抑郁和非抑郁成年人的性取向随时间的变化趋势和差异。本横断面研究共纳入 21437 人（5432 人患有抑郁症）。从 2005-2008 年到 2013-2016 年，所有参与者的首次性行为平均年龄下降，而正常性行为频率和异性性取向的比例增加。在抑郁组和非抑郁组之间发现了一些性取向的差异。抑郁组参与者的首次性行为平均年龄（<0.001）、正常性行为频率的比例（<0.001）和异性性取向（<0.001）较低，且这些差异随时间无变化（首次性行为平均年龄的 =0.926，正常性行为频率的 =0.823，异性性取向的 =0.926）。此外，这些差异与婚姻状况（首次性行为平均年龄，<0.001）、就业状况（首次性行为平均年龄，<0.001）、教育程度（异性性取向，=0.023）和家庭收入状况（首次性行为平均年龄，=0.013；正常性行为频率，=0.017）有关。总之，该研究发现，所有参与者的首次性行为年龄下降，性行为频率增加，抑郁和非抑郁参与者的性取向存在差异；然而，在 12 年期间，这些差异没有进一步增加或减少。这些差异与婚姻状况、就业状况、教育程度和家庭收入状况有关。这些发现表明抑郁和非抑郁患者之间存在性取向差异，但与以往研究有些不同；结果可能为未来的研究和社会工作提供方向。
