广州市青年男男性行为者儿童期性虐待经历对抑郁的影响

洪也婷; 黄莹; 林铠浩; 严瑶; 程伟彬; 杨翌; 江洪波

doi:10.16835/j.cnki.1000-9817.2022.05.016

广州市青年男男性行为者儿童期性虐待经历对抑郁的影响

doi: 10.16835/j.cnki.1000-9817.2022.05.016

1.
广东药科大学公共卫生学院, 广州 510310
2.
广东省第二人民医院人工智能医疗应用研究所

基金项目:

广东省哲学社会科学规划2021年度青年项目 GD21YSH08

国家自然科学基金 81703282

详细信息

作者简介:
洪也婷(1999-), 女, 黑龙江省人, 在读硕士, 主要研究方向为传染病流行病学

通讯作者:
江洪波, E-mail: hongbojiang3@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R512.91 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2021-12-05
- 修回日期: 2022-03-20
- 网络出版日期: 2022-05-20
- 刊出日期: 2022-05-25

Impact of childhood sexual abuse on depression among young men who have sex with men in Guangzhou

1.
School of Public Health, Guangdong Pharmaceutical University, Guangzhou (510310), China

摘要

摘要: 目的了解广州市青年男男性行为者(young men who have sex with men，YMSM)儿童期性虐待(childhood sexual abuse，CSA)经历和抑郁症状的情况，探讨儿童期性虐待对抑郁的影响。方法采用方便抽样的方法，在广州市招募在广州居住时间≥3个月，年龄18~24周岁的365名YMSM作为研究对象，通过电子问卷收集调查对象的人口学特征、寻找性伴方式、性取向、CSA经历和抑郁症状等信息。采用χ²检验比较不同特征YMSM的CSA经历和抑郁情况，采用多因素Logistic回归模型分析CSA经历对抑郁的影响。结果 YMSM中CSA经历和抑郁症状报告率分别为31.51%(115/365)和47.95%(175/365)。初中及以下文化程度(75.00%)以及通过线下寻伴方式(62.22%)的YMSM抑郁症状报告率较高(χ²值分别为7.97，4.19，P值均 < 0.05)。调整了民族、户籍所在地、居住时间、学生、文化程度、个人月收入、性取向、寻伴方式等因素后，多因素Logistic回归模型显示有CSA经历(aOR=1.81，95%CI=1.12~2.93)的YMSM有抑郁症状的可能性高于无CSA经历者。结论广州市YMSM有CSA经历和抑郁症状的比例较高，CSA经历是抑郁症状的危险因素。应注重加强对YMSM的心理干预，尤其是有CSA经历的YMSM，从而减少抑郁症状的比例，提高该人群心理健康水平。
- 同性恋 /
- 男性 /
- 性 /
- 虐待 /
- 抑郁 /
- 回归分析
Abstract: Objective To investigate the experience of child sexual abuse (CSA) and depressive symptoms among young men who sex with men (YMSM) in Guangzhou, and then to explore the impact of CSA on depressive symptoms. Methods A convenient sampling method was used to recruit MSM. YMSM who aged 18-24 and have lived in Guangzhou for more than 3 months were included in this study. Data on demographic characteristics, homosexual partners seeking behaviors, sexual orientation, CSA experience and depression were collected through an electronic questionnaire. χ² tests were used to compare the proportion of CSA and depressive symptoms among YMSM with different characteristics. Logistic regressions were preformed to assess the impact of CSA on depression. Results The proportion of CSA experience and depressive symptoms among participants were 31.51% (115/365) and 47.95% (175/365), respectively. Participants with junior high school education or lower and who sought homosexual partners offline reported(75.00%, 62.22%) a higher proportion of depressive symptoms(χ²=7.97, 4.19, P < 0.05). After adjusting for factors e.g. ethnicity, residence, resident duration in Guangzhou, studentship, education, monthly income, sexual orientation and homosexual partners seeking behaviors, the multivariable Logistic regression model showed that YMSM with CSA experience (aOR=1.81, 95%CI=1.12-2.93) were more likely to have depressive symptoms than those without CSA experience. Conclusion The prevalence of CSA experience and depressive symptom is relatively high among YMSM in Guangzhou, and CSA experience is associated with higher risk of depressive symptoms. More attention should be paid to strengthen the psychological intervention for YMSM, especially for those who experienced CSA, so as to reduce the risk of depression and improve mental health among YMSM.
- Homosexuality /
- Male /
- Sex /
- Torture /
- Derpression /
- Regression analysis
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表 1 不同特征调查对象CSA情况检出率比较

Table 1. Comparison of characteristics among participants of experience of CSA

人口学指标	选项	人数	CSA经历	χ²值	P值
民族^a	汉族	340	106(31.18)		0.77^b
	少数民族	14	5(35.71)
户籍所在地	本市	96	39(40.63)	5.02	0.03
	非本市	269	76(28.25)
居住时间/年	≤1	77	23(29.87)	0.12	0.73
	>1	288	92(31.94)
学生	是	151	59(39.07)	6.83	0.01
	否	214	56(26.17)
文化程度	初中及以下	24	6(25.00)	3.38	0.18
	高中/中专	75	30(40.00)
	大专及以上	266	79(29.70)
个人月收入/元	< 3 000	183	74(40.44)	13.56	<0.01
	≥3 000	182	41(22.53)
性取向	同性恋	272	82(30.15)	0.92	0.34
	非同性恋	93	33(35.48)
寻找性伴方式	线下	45	18(40.00)	1.72	0.19
	线上	320	97(30.31)
注：a存在缺失值；b为Fisher确切概率法检验；线下寻找性伴方式包括酒吧/歌舞厅、茶室/会所、浴池、公园/公厕/草地和其他场所，线上寻找性伴方式包括互联网/交友软件；()内数字为检出率/%。

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表 2 不同特征调查对象抑郁症状检出率比较

Table 2. Comparison of characteristics among participants with depression

人口学指标	选项	人数	抑郁症状	χ²值	P值
民族^a	汉族	340	163(47.94)	0.81	0.37
	少数民族	14	5(35.71)
户籍所在地	本市	96	46(47.92)	< 0.01	1.00
	非本市	269	129(47.96)
居住时间/年	≤1	77	36(46.75)	0.06	0.81
	>1	288	139(48.26)
学生	是	151	73(48.34)	0.02	0.90
	否	214	102(47.66)
文化程度	初中及以下	24	18(75.00)	7.97	0.02
	高中/中专	75	32(42.67)
	大专及以上	266	125(46.99)
个人月收入/元	< 3 000	183	95(51.91)	2.32	0.13
	≥3 000	182	80(43.96)
性取向	同性恋	272	127(46.69)	0.67	0.41
	非同性恋	93	48(51.61)
寻找性伴方式	线下	45	28(62.22)	4.19	0.04
	线上	320	147(45.94)
儿童期性虐待	有	115	67(58.26)	7.16	0.01
	无	250	108(43.20)
注：a存在缺失值；线下寻找性伴方式包括酒吧/歌舞厅、茶室/会所、浴池、公园/公厕/草地和其他场所，线上寻找性伴方式包括互联网/交友软件；()内数字为检出率/%。

下载: 导出CSV

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