高校学生男男性行为者负面情绪及影响因素分析

邓力; 魏泽北; 朱华雪; 朱晓阳

doi:10.16835/j.cnki.1000-9817.2022.03.011

高校学生男男性行为者负面情绪及影响因素分析

doi: 10.16835/j.cnki.1000-9817.2022.03.011

重庆市璧山区疾病预防控制中心, 402760

详细信息

作者简介:
邓力(1985-), 男, 重庆璧山人, 大学本科, 副主任医师, 主要从事传染病、艾滋病、结核病防治工作

通讯作者:
朱晓阳, E-mail: 25173844@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 G478 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2021-09-26
- 修回日期: 2021-11-22
- 网络出版日期: 2022-03-29
- 刊出日期: 2022-03-25

Negative emotions and influencing factors among college students men who have sex with men

Chongqing Bishan District Center for Disease Control and Prevention, Chongqing (402760), China

摘要

摘要: 目的分析在校青年男男性行为者(MSM)负面情绪调查结果及其影响因素，为缓解在校青年MSM焦虑、抑郁情绪提供参考。方法选取2019年6月—2020年6月重庆市198名近6个月发生同性性行为的在校青年MSM，采用汉密尔顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评估负面情绪，通过Logistic回归分析探讨在校青年MSM出现负面情绪的相关因素。结果在校青年MSM中存在焦虑或抑郁者比例为42.93%(85名)。负面情绪组学历为专科、社会支持评定量表(SSRS)评分＜20分、没有接受过宣传干预、近6个月肛交人数＞2人、近6个月肛交时偶尔和从未使用安全套的在校青年MSM的比例分别为50.59%，41.18%，54.12%，69.41%，77.65%，高于非负面情绪组的32.74%，18.58%，30.09%，47.79%，57.52%，差异均有统计学意义(χ²值分别为6.15，12.21，5.20，9.26，10.11，P值均＜0.05)。专科、SSRS评分＜20分、没有接受过宣传干预、近6个月肛交人数＞2人、近6个月肛交时偶尔和从未使用安全套与在校青年MSM存在负面情绪呈正相关(OR值分别为1.65，1.14，1.90，2.15，1.21，P值均＜0.05)。结论在校青年MSM的焦虑、抑郁检出率较高，且与学历、SSRS评分、肛交人数及肛交时安全套使用情况密切相关。应对此类人群加强心理疏导等措施，避免产生不良情绪及心理问题。
- 性行为 /
- 情绪 /
- 精神卫生 /
- 回归分析 /
- 学生 /
- 男(雄)性
Abstract: Objective To analyze the negative emotions of college students men who have sex with men (MSM) and associated factors, so as to provide reference for alleviating MSM anxiety and depression. Methods A total of 198 young MSM who had homosexual sex in recent 6 months during June 2019 to June 2020 were selected. Negative emotions were assessed by using Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD). Logistic regression analysis was used to explore the related factors of negative emotion of young MSM in school. Results The proportion of young MSM with anxiety or depression was 42.93% (n=85). In the negative emotion group, score of specialty and social support rating scale (SSRS) < 20 points, no publicity intervention, high number of anal sex (>2), occasional or non-condom use in recent anal intercourse were 50.59%, 41.18%, 54.12%, 69.14%, 77.64%, respectively, which were significantly higher than in the non negative emotion group (32.74%, 18.58%, 30.09%, 47.79%, 57.52%) (χ²=6.15, 12.21, 5.20, 9.26, 10.11, P < 0.05). Junior college, SSRS score < 20, no publicity intervention, high number of anal intercourse (>2), occasional or non-condom use in recent anal intercourse were positively correlated with negative emotions of young MSM in school (OR values were 1.65, 1.14, 1.90, 2.15, 1.21, P < 0.05). Conclusion Anxiety and depression are prevalent among young MSM in schools, which are closely related to educational background, SSRS score, the number of anal sex and condom use during anal intercourse.
- Sexual behavior /
- Emotions /
- Mental health /
- Regression analysis /
- Students /
- Male
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表 1 在校青年MSM负面情绪的单因素分析

Table 1. Univariate analysis of negative emotions in young MSM

变量	选项	负面情绪组(n=85)	非负面情绪组(n=113)	χ²值	P值
学历	专科	43(50.59)	37(32.74)	6.15	0.01
	本科及以上	42(49.41)	76(67.26)
SSRS评分	＜20	35(41.18)	21(18.58)	12.21	＜0.01
	≥20	50(58.82)	92(81.42)
接受过宣传干预	是	46(54.12)	79(69.91)	5.20	0.02
	否	39(45.88)	34(30.09)
定期检测	是	37(43.53)	54(47.79)	0.35	0.55
	否	48(56.47)	59(52.21)
近6个月同性商业	有	21(24.71)	26(23.01)	0.08	0.78
性行为	无	64(75.29)	87(76.99)
近6个月肛交	≤2	26(30.59)	59(52.21)	9.26	＜0.01
人数	＞2	59(69.41)	54(47.79)
近6个月肛交时安全套使用情况	总是	19(22.35)	48(42.48)	10.11	0.01
	偶尔	46(54.12)	51(45.13)
	从未	20(23.53)	14(12.39)
注：()内数字为构成比/%。

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表 2 在校青年MSM负面情绪的多因素Logistic回归分析(n=198)

Table 2. Multiple Logistic regression analysis of negative emotion of young MSM(n=198)

自变量	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
学历	0.50	0.15	10.42	< 0.01	1.65(1.22~2.23)
SSRS评分	0.13	0.04	11.84	< 0.01	1.14(1.06~1.22)
宣传干预	0.64	0.19	12.03	< 0.01	1.90(1.32~2.72)
近6个月肛交人数	0.77	0.33	5.50	0.02	2.15(1.13~4.07)
近6个月肛交时安全套使用情况	0.19	0.08	5.89	0.02	1.21(1.04~1.41)

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