School of Psychology, Nanjing Normal University, Nanjing, China.
J Homosex. 2024 Jul 2;71(8):1991-2009. doi: 10.1080/00918369.2023.2217678. Epub 2023 May 31.
Previous studies that have addressed the growing mental health problems among sexual minorities in mainland China, but failed to inform mental health programs and public health policies with consistent detection results. To obtain robust results on aggregate detection rates and moderators of these problems, we performed a meta-analysis of the related Chinese and English literature published before 2022. Ultimately, 305 eligible studies (n = 127, n = 71, n = 55, n = 13, n = 39) were pooled in the analysis. The results revealed "Money boys" and people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) had higher detection rates than general men who have sex with men. Depression was more prevalent in gays than lesbians, and the latter had a higher detection rate of suicide. Detection rates of anxiety and depression among sexual minorities in China were moderated by detection time, measurement tools, and their detection thresholds. Suggested future priorities include developing more targeted measurement tools that consider the living conditions and psychological characteristics of local sexual minorities, enhancing mental health programs for sexual minorities, and devising more practical and effective interventions to prevent and reduce their mental health problems.
以往的研究已经关注到中国大陆性少数群体日益严重的心理健康问题，但未能以一致的检测结果为依据，为心理健康项目和公共卫生政策提供信息。为了获得关于这些问题的综合检出率和调节因素的可靠结果，我们对截至 2022 年之前发表的相关中文和英文文献进行了荟萃分析。最终，共有 305 项符合条件的研究（n=127，n=71，n=55，n=13，n=39）被纳入分析。研究结果表明，“男妓”和感染人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）的人与一般男男性行为者相比，有更高的检出率。同性恋者中抑郁更为普遍，而后者自杀的检出率更高。中国性少数群体的焦虑和抑郁检出率受到检测时间、测量工具及其检测阈值的调节。未来的优先事项包括开发更有针对性的测量工具，这些工具要考虑到当地性少数群体的生活条件和心理特征，加强针对性少数群体的心理健康项目，并制定更实际和有效的干预措施，以预防和减少他们的心理健康问题。
