Zhang Xiaoyue, Zhou Ying, Zhang Kaili
School of Nursing, Xuzhou Medical University, Xuzhou, China.
Front Psychol. 2023 Mar 30;14:1134198. doi: 10.3389/fpsyg.2023.1134198. eCollection 2023.
Mental health problems are prevalent among men who have sex with men (MSM). Social capital and perceived stress may affect the mental health of MSM. The purpose of this study was to understand the current status of mental health, social capital, and perceived stress among MSM and to explore which variables are influential factors of mental health.
This study adopted a convenience sampling method and posted recruitment information through online social platforms (Blued, QQ, and WeChat) from January 2022 to June 2022 to recruit participants. The questionnaire included a demographic questionnaire, Social Capital Questionnaire (SCQ), Perceived Stress Scale (PSS), and Self-Reporting Questionnaire 20 (SRQ-20). Descriptive analyses of demographic characteristics, social capital, perceived stress, and mental health were conducted using percentages, median, interquartile range, means, and standard deviations. and independent-samples were used to test the relationship between demographic characteristics and mental health, and multiple linear regression was used to analyze which variables were influencing factors of mental health. was used for data analysis, and significant differences were found at < 0.05.
A total of 546 MSM participated in this study. Total social capital score was 18.59 ± 2.62, cognitive social capital, social participation, and social network scores were 6.53 ± 1.05, 4.15 ± 0.97, and 7.91 ± 1.57. PSS score was 26.91 ± 6.44, and SRQ-20 score was 7.5 (3, 11). Education level, relationship status, employed information, monthly income, sexual orientation, perceived stress, and three dimensions of social capital were included in the multiple linear regression based on the results of , -test, and correlation analysis. Multiple linear regression analysis showed that relationship status (in a relationship), sexual orientation (heterosexual, bisexual, other), perceived stress, social participation, and social network had a significant effect on mental health.
Sex with men have poorer mental health. Relationship status, sexual orientation, perceived stress, social networks, and social participation are important factors influencing mental health. The general public should be called upon to treat them with a more tolerant attitude, improve the social environment, and promote their identification with their sexual orientation, thereby reducing perceived stress and promoting the mental health of this population. In addition, from the perspective of social capital, promoting MSM social participation and expanding social networks may also be an important way to promote MSM mental health.
心理健康问题在男男性行为者（MSM）中普遍存在。社会资本和感知压力可能会影响男男性行为者的心理健康。本研究的目的是了解男男性行为者的心理健康、社会资本和感知压力的现状，并探讨哪些变量是心理健康的影响因素。
本研究采用便利抽样方法，于2022年1月至2022年6月通过在线社交平台（Blued、QQ和微信）发布招募信息以招募参与者。问卷包括人口统计学问卷、社会资本问卷（SCQ）、感知压力量表（PSS）和自评问卷20（SRQ-20）。使用百分比、中位数、四分位间距、均值和标准差对人口统计学特征、社会资本、感知压力和心理健康进行描述性分析。 并使用独立样本 检验人口统计学特征与心理健康之间的关系，使用多元线性回归分析哪些变量是心理健康的影响因素。 使用 进行数据分析，在 < 0.05时发现显著差异。
共有546名男男性行为者参与了本研究。社会资本总分是18.59±2.62，认知社会资本、社会参与和社会网络得分分别为6.53±1.05、4.15±0.97和7.91±1.57。PSS得分是26.91±6.44，SRQ-20得分是7.5（3，11）。根据 、 -检验和相关分析的结果，多元线性回归纳入了教育水平、恋爱状况、就业信息、月收入、性取向、感知压力和社会资本的三个维度。多元线性回归分析表明，恋爱状况（处于恋爱关系中）、性取向（异性恋、双性恋、其他）、感知压力、社会参与和社会网络对心理健康有显著影响。
男男性行为者心理健康状况较差。恋爱状况、性取向、感知压力、社会网络和社会参与是影响心理健康的重要因素。应呼吁公众以更宽容的态度对待他们，改善社会环境，促进他们对自身性取向的认同，从而减轻感知压力，促进这一人群的心理健康。此外，从社会资本的角度来看，促进男男性行为者的社会参与和扩大社会网络也可能是促进男男性行为者心理健康的重要途径。
