Volume 43 Issue 5
May  2022
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HONG Yeting, HUANG Ying, LIN Kaihao, YAN Yao, CHENG Weibin, YANG Yi, JIANG Hongbo. Impact of childhood sexual abuse on depression among young men who have sex with men in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 711-714. doi: 10.16835/j.cnki.1000-9817.2022.05.016
Citation: HONG Yeting, HUANG Ying, LIN Kaihao, YAN Yao, CHENG Weibin, YANG Yi, JIANG Hongbo. Impact of childhood sexual abuse on depression among young men who have sex with men in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 711-714. doi: 10.16835/j.cnki.1000-9817.2022.05.016

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

doi: 10.16835/j.cnki.1000-9817.2022.05.016
  • Received Date: 2021-12-05
  • Rev Recd Date: 2022-03-20
  • Available Online: 2022-05-20
  • Publish Date: 2022-05-25
  •   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.
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  • [1]
    CUI Z, HUANG H, ZHANG T, et al. Low awareness of and willingness to use PrEP in the Chinese YMSM: an alert in YMSM HIV prevention[J]. HIV Med, 2021, 22(3): 185-193. doi: 10.1111/hiv.12990
    [2]
    MAO X, WANG Z, HU Q, et al. HIV incidence is rapidly increasing with age among young men who have sex with men in China: a multicentre cross-sectional survey[J]. HIV Med, 2018, 19(8): 513-522. doi: 10.1111/hiv.12623
    [3]
    XU W, ZHENG L, SONG J, et al. Relationship between childhood sexual abuse and HIV-related risks among men who have sex with men: findings from mainland China[J]. Arch Sex Behav, 2018, 47(7): 1949-1957. doi: 10.1007/s10508-017-1104-4
    [4]
    CHANG X, JIANG X, MKANDARWIRE T, et al. Associations between adverse childhood experiences and health outcomes in adults aged 18-59 years[J]. PLoS One, 2019, 14(2): e211850.
    [5]
    WILLIAMS J K, WILTON L, MAGNUS M, et al. Relation of childhood sexual abuse, intimate partner violence, and depression to risk factors for HIV among black men who have sex with men in 6 US cities[J]. Am J Public Health, 2015, 105(12): 2473-2481. doi: 10.2105/AJPH.2015.302878
    [6]
    ZUNG W. Self-Rating Depression Scale[J]. Arch Gen Psychiatry, 1965, 12: 63-70. doi: 10.1001/archpsyc.1965.01720310065008
    [7]
    XU Y, ZHENG Y. Prevalence of childhood sexual abuse among lesbian, gay, and bisexual people: a Meta-analysis[J]. J Child Sex Abuse, 2015, 24(3): 315-331. doi: 10.1080/10538712.2015.1006746
    [8]
    MA Y. Prevalence of childhood sexual abuse in China: a Meta-analysis[J]. J Child Sex Abuse, 2018, 27(2): 107-121. doi: 10.1080/10538712.2018.1425944
    [9]
    TOMORI C, MCFALL A M, SRIKRISHNAN A K, et al. The prevalence and impact of childhood sexual abuse on HIV-risk behaviors among men who have sex with men (MSM) in India[J]. BMC Public Health, 2016, 16: 784. doi: 10.1186/s12889-016-3446-6
    [10]
    赖志胜, 李艳芳, 卢次勇, 等. 广州市男男性行为者抑郁状况及影响因素分析[J]. 预防医学情报杂志, 2019, 35(12): 1354-1358. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201912005.htm

    LAI Z S, LI Y F, LU C Y, et al. Depression status and related influencing factors of men who have sex with men in Guangzhou City[J]. J Prev Med Inf, 2019, 35(12): 1354-1358. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX201912005.htm
    [11]
    高晓娟, 章任重, 李佑芳, 等. 昆明市男男性行为者的抑郁状况及影响因素分析[J]. 中国艾滋病性病, 2018, 24(2): 170-173. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201802017.htm

    GAO X J, ZHANG R Z, LI Y F, et al. Depression and related influential factors among men who have sex with men in Kunming[J]. China J AIDS STD, 2018, 24(2): 170-173. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201802017.htm
    [12]
    谢言, 刘瑛, 杨咏梅. 上海市自愿咨询检测门诊男男性行为者的抑郁症状及相关因素[J]. 中华疾病控制杂志, 2018, 22(12): 1248-1251.

    XIE Y, LIU Y, YANG Y M. Analysis on depressive symptoms and related factors of men who have sex with men attending HIV voluntary coun-seling and testing clinics in Shanghai[J]. Chin J Dis Control Prev, 2018, 22(12): 1248-1251.
    [13]
    高迪思, 马迎华, 吴静, 等. 某市青年学生男男性行为人群抑郁状况及影响因素[J]. 中国学校卫生, 2020, 41(12): 1786-1790. doi: 10.16835/j.cnki.1000-9817.2020.12.006

    GAO D S, MA Y H, WU J, et al. Depressive symptoms and associated factors of men who have sex with men (MSM) among young people/students in a city[J]. Chin J Sch Health, 2020, 41(12): 1786-1790. doi: 10.16835/j.cnki.1000-9817.2020.12.006
    [14]
    KIPKE M D, KUBICEK K, AKINYEMI I C, et al. The healthy young men's cohort: health, stress, and risk profile of black and latino Young Men Who Have Sex with Men (YMSM)[J]. J Urban Health, 2020, 97(5): 653-667. doi: 10.1007/s11524-019-00398-6
    [15]
    王毅, 李六林, 周万明, 等. 绵阳市年轻男男性行为者儿童期性虐待经历对个体行为及心理健康的影响[J]. 中国艾滋病性病, 2018, 24(9): 912-915. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201809015.htm

    WANG Y, LIU L L, ZHOU W M, et al. Impact of childhood sexual abuse experience on individual behavioral and mental health by young men who have sex with man[J]. Chin J AIDS STD, 2018, 24(9): 912-915. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYA201809015.htm
    [16]
    BLANCO L, NYDEGGER L A, CAMARILLO G, et al. Neurological changes in brain structure and functions among individuals with a history of childhood sexual abuse: a review[J]. Neurosci Biobehav Rev, 2015, 57: 63-69. doi: 10.1016/j.neubiorev.2015.07.013
    [17]
    PUTNAM F W. Ten-year research update review: child sexual abuse[J]. J Am Academy Child Adolesc Psychiatry, 2003, 42(3): 269-278. doi: 10.1097/00004583-200303000-00006
    [18]
    KIPKE M D, KUBICEK K, WEISS G, et al. The health and health behaviors of young men who have sex with men[J]. J Adolesc Health, 2007, 40(4): 342-350. doi: 10.1016/j.jadohealth.2006.10.019
    [19]
    EMETU R E. Perceptions of physical sexual health among young men who have sex with men with a previous history of childhood sexual abuse[J]. J Child Sex Abuse, 2018, 27(5): 554-569. doi: 10.1080/10538712.2018.1484832
    [20]
    LI J, MO P K H, WU A M S, et al. Roles of self-stigma, social support, and positive and negative affects as determinants of depressive symptoms among HIV infected men who have sex with men in China[J]. AIDS Behav, 2017, 21(1): 261-273. doi: 10.1007/s10461-016-1321-1
    [21]
    SETH R, SRIVASTAVA R N. Child sexual abuse: management and prevention, and protection of children from Sexual Offences (POCSO) Act[J]. Ind Pediatr, 2017, 54(11): 949-953. doi: 10.1007/s13312-017-1189-9
    [22]
    PENG J, SHAO J, ZHU H, et al. A systems approach to addressing child maltreatment in China[J]. Child Abuse Neglect, 2015, 50: 33-41. doi: 10.1016/j.chiabu.2015.08.008
    [23]
    SCHAFER K R, GUPTA S, DILLINGHAM R. HIV-infected men who have sex with men and histories of childhood sexual abuse: implications for health and prevention[J]. J Assoc Nurses AIDS Care, 2013, 24(4): 288-298. doi: 10.1016/j.jana.2012.08.008
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