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中国女同性恋人群抑郁现状及影响因素

王丽茵,  丁昌棉,  郭孟兰,  魏礼清,  肖琛嫦,  燕虹,  李十月

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文章导航 > 中华疾病控制杂志  > 2021 >  25(12): 1393-1397
王丽茵, 丁昌棉, 郭孟兰, 魏礼清, 肖琛嫦, 燕虹, 李十月. 中国女同性恋人群抑郁现状及影响因素[J]. 中华疾病控制杂志, 2021, 25(12): 1393-1397. doi: 10.16462/j.cnki.zhjbkz.2021.12.006
引用本文: 王丽茵, 丁昌棉, 郭孟兰, 魏礼清, 肖琛嫦, 燕虹, 李十月. 中国女同性恋人群抑郁现状及影响因素[J]. 中华疾病控制杂志, 2021, 25(12): 1393-1397. doi: 10.16462/j.cnki.zhjbkz.2021.12.006
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WANG Li-yin, DING Chang-mian, GUO Meng-lan, WEI Li-qing, XIAO Chen-chang, YAN Hong, LI Shi-yue. Depression status and its influencing factors of lesbians in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1393-1397. doi: 10.16462/j.cnki.zhjbkz.2021.12.006
Citation: WANG Li-yin, DING Chang-mian, GUO Meng-lan, WEI Li-qing, XIAO Chen-chang, YAN Hong, LI Shi-yue. Depression status and its influencing factors of lesbians in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(12): 1393-1397. doi: 10.16462/j.cnki.zhjbkz.2021.12.006
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中国女同性恋人群抑郁现状及影响因素

doi: 10.16462/j.cnki.zhjbkz.2021.12.006
  • 1.

    430071 武汉，武汉大学健康学院预防医学系

  • 2.

    678400 芒市，德宏州人民医院病案管理科

  • 3.

    430083 武汉，武汉科技大学城市学院医学部

基金项目: 

国家自然科学基金 81673196

详细信息
    通讯作者:

    Yan Hong, E-mail: yanhmjxr@whu.edu.cn

  • 中图分类号: R395.6;R181

Depression status and its influencing factors of lesbians in China

  • 1.

    Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, China

  • 2.

    Medical Records Management Department, People' s Hospital of Dehong District, Mangshi 678400, China

  • 3.

    Department of Medicine, City College, Wuhan University of Science and Technology, Wuhan 430083, China

Funds: 

National Natural Science Foundation of China 81673196

    摘要
  • 摘要:   目的  了解中国女同性恋(女同)人群抑郁状况，探讨影响女同人群抑郁症状发生的因素，为更好地进行女同人群的健康教育和后续心理干预提供建议和参考。  方法  2018年7月1日―2018年12月30日，通过问卷星对女同人群进行网络问卷调查。描述其抑郁状况分布，并用χ2检验、独立样本t检验进行单因素分析，用Logistic回归分析模型分析女同人群抑郁症状的影响因素。  结果  56.1%的女同存在抑郁症状。研究结果显示，和与家人同住相比，与女性朋友同住(OR=0.399, 95% CI: 0.182~0.872, P=0.021)、社会支持(OR=0.953, 95% CI: 0.926~0.980, P=0.001)和心理韧性(OR=0.934, 95% CI: 0.895~0.975, P=0.002)水平高的女同更不容易抑郁；少数民族(OR=5.849, 95% CI: 1.474~23.206, P=0.012)、童年期不良经历(OR=1.317, 95% CI: 1.065~1.628, P=0.011)是抑郁症状发生的危险因素。  结论  中国女同人群抑郁症状发生率较高，应关注性少数群体的心理状况，重视社会支持的积极作用，提供更多精神卫生资源，促进其心理健康。
    Abstract:   Objective  To investigate the depression status of lesbians in China, and to explore the related factors of depressive symptoms, so as to provide suggestions for better health management for lesbians.  Methods  An online questionnaire survey was conducted among lesbians from July 1, 2018 to December 30, 2018. The distribution of lesbian depression was described. Chi-square test and two independent samples T test were used for univariate analysis. Logistic regression analysis model was performed to analyze the factors influencing depressive symptoms.  Results  56.1% of lesbians had symptoms of depression. The results of the research showed that lesbians who lived with female friends (OR=0.399, 95% CI: 0.182-0.872, P=0.021), had a higher level of social support (OR=0.953, 95% CI: 0.926-0.980, P=0.001) and mental resilience (OR=0.934, 95% CI: 0.895-0.975, P=0.002) were less likely to get depressed. However, lesbians from ethnic minorities (OR=5.849, 95% CI: 1.474-23.206, P=0.012) were more likely to suffer from depression compared with Chinese Han lesbians. Adverse childhood experiences (OR=1.317, 95% CI: 1.065-1.628, P=0.011) were risk factors of depression.  Conclusions  The incidence of depressive symptoms is high among lesbians in China, and attention should be paid to the psychological health status of sexual minorities. The positive effects of social support needs to be taken seriously to promote their mental health.
    • HTML全文

  • 表  1  2018年7月1日―2018年12月30日中国不同人口学特征女同人群抑郁状况[n(%)]

    Table  1.   Depression status among lesbians in groups with different demographic characteristics in China from July 1, 2018 to December 30, 2018 [n(%)]

    变量 合计(N=301) 有抑郁症状(n=169) 无抑郁症状(n=132) χ2值 P值
    年龄(岁) 10.008 0.018
      ＜21 44(14.6) 21(12.4) 23(17.4)
      21~＜26 116(38.5) 70(41.4) 46(34.8)
      26~＜31 97(32.3) 46(27.2) 51(38.6)
      ≥31 44(14.6) 32(18.9) 12(9.1)
    民族 5.747 0.017
      汉族 283(94.0) 154(91.1) 129(97.7)
      其他 18(6.0) 15(8.9) 3(2.3)
    婚姻 0.130 0.718
      未婚/离异 280(93.0) 158(93.5) 122(92.4)
      与男性在婚 21(7.0) 11(6.5) 10(7.6)
    教育程度 1.770 0.413
      高中及以下 50(16.6) 31(18.3) 19(14.4)
      大专或本科 223(74.1) 125(74.0) 98(74.2)
      研究生及以上 28(9.3) 13(7.7) 15(11.4)
    户口所在地 0.013 0.910
      农村 51(16.9) 29(17.2) 22(16.7)
      城市 250(83.1) 140(82.8) 110(83.3)
    职业 4.539 0.103
      学生 72(23.9) 38(22.5) 34(25.8)
      全职 201(66.8) 110(65.1) 91(68.9)
      兼职或其他 28(9.3) 21(12.4) 7(5.3)
    居住状况 18.221 < 0.001
      与家人同住 93(30.9) 55(32.5) 38(28.8)
      与女性朋友同住 67(22.3) 24(14.2) 43(32.6)
      集体宿舍 71(23.6) 40(23.7) 31(23.5)
      独居 70(23.3) 50(29.6) 20(15.2)
    月收入(元) 4.771 0.189
      ＜3 000 78(25.9) 48(28.4) 30(22.7)
      3 000~＜6 000 120(39.9) 72(42.6) 48(36.4)
      6 000~＜9 000 64(21.3) 31(18.3) 33(25.0)
      ≥9 000 39(13.0) 18(10.7) 21(15.9)
    性取向 1.056 0.304
      同性恋 245(81.4) 141(83.4) 104(78.8)
      双性恋/其他 56(18.6) 28(16.6) 28(21.2)
    下载: 导出CSV

    表  2  2018年7月1日―2018年12月30日中国不同社会心理状况女同人群抑郁状况(x ±s)

    Table  2.   Depression status of lesbians with different psychosocial status in China from July 1, 2018 to December 30, 2018 (x ±s)

    变量 合计 无抑郁症状 有抑郁症状 t值 P值
    社会支持得分(分) 59.33±13.18 64.92±10.49 54.96±13.44 7.221 < 0.001
    性少数群体压力得分(分)
      性取向相关歧视 15.71±4.05 14.81±3.85 16.41±4.07 -3.459 0.001
      被拒绝预期歧视 14.35±5.88 12.61±5.40 15.70±5.90 -4.720 < 0.001
      性取向隐瞒 14.18±6.01 12.55±5.62 15.44±6.01 -4.259 < 0.001
      内化歧视 7.63±3.59 7.13±3.17 8.02±3.85 -2.211 0.028
    心理韧性得分(分) 35.71±8.30 39.48±7.23 32.76±7.89 7.597 < 0.001
    童年期不良经历得分(分) 1.14±1.58 0.72±1.24 1.47±1.73 -4.364 < 0.001
    下载: 导出CSV

    表  3  2018年7月1日―2018年12月30日中国女同人群抑郁影响因素的Logistic回归分析

    Table  3.   Logistic regression analysis on influencing factors of depression among lesbians in China from July 1, 2018 to December 30, 2018

    变量 β值 sx Wald值 OR(95% CI)值 P值
    人口学因素
      年龄(岁)
        ＜21 1.000
        21~＜26 0.205 0.436 0.222 1.228(0.523~2.884) 0.638
        26~＜31 0.071 0.480 0.022 1.074(0.419~2.751) 0.882
        ≥31 0.701 0.606 1.337 2.016(0.614~6.614) 0.248
    人口学因素
      民族
        汉族 1.000
        其他 1.766 0.703 6.309 5.849(1.474~23.206) 0.012
      居住状况
        与家人同住 1.000
        与女性朋友同住 -0.919 0.399 5.300 0.399(0.182~0.872) 0.021
        集体宿舍 -0.153 0.409 0.140 0.858(0.385~1.914) 0.709
        独居 0.662 0.409 2.619 1.940(0.870~4.326) 0.106
    社会心理因素
      性少数群体压力 1.000
        性取向相关歧视 0.035 0.043 0.655 1.035(0.952~1.125) 0.418
        被拒绝预期歧视 0.032 0.034 0.884 1.033(0.966~1.104) 0.347
        性取向隐瞒 0.020 0.037 0.306 1.021(0.949~1.097) 0.580
        内化歧视 -0.008 0.048 0.027 0.992(0.904~1.089) 0.870
      社会支持 -0.048 0.015 11.051 0.953(0.926~0.980) 0.001
      心理韧性 -0.068 0.022 9.537 0.934(0.895~0.975) 0.002
      童年期不良经历 0.275 0.108 6.460 1.317(1.065~1.628) 0.011
    下载: 导出CSV
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  • 收稿日期:  2020-08-04
  • 修回日期:  2020-11-10
  • 网络出版日期:  2021-12-27
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