摘要:
目的 了解上海市艾滋病自愿咨询检测（voluntary counseling and testing，VCT）门诊就诊的男男性行为者（men who have sex with men，MSM）抑郁症状发生情况及其影响因素。方法 采用横断面研究设计，于2015年3~8月对上海市2个艾滋病VCT门诊就诊的MSM进行面对面问卷调查。结果 共调查738名MSM，抑郁症状检出率为38.8%（286/738）。多因素Logistic回归分析发现童年目睹家庭内躯体暴力（OR=1.80，95%CI：1.23~2.63，P=0.002）、不清楚性伴是否被诊断HIV（OR=1.70，95%CI：1.20~2.40，P=0.003）或性伴已被诊断HIV（OR=1.86，95%CI：1.07~3.24，P=0.028）的MSM出现抑郁症状的风险偏高；而年龄≥ 46岁（OR=0.13，95%CI：0.04~0.43，P=0.001）、性角色为"1"（OR=0.56，95%CI：0.39~0.82，P=0.003）、目前有固定男性性伴（OR=0.58，95%CI：0.42~0.80，P=0.001）的MSM出现抑郁症状的风险偏低。结论 上海市VCT门诊MSM抑郁症状检出率高，建议将抑郁症状筛查加入VCT门诊服务并建立心理咨询门诊转介机制。
Abstract:
Objective To examine the prevalence of depressive symptoms and related factors in men who have sex with men (MSM) attending HIV voluntary counseling and testing (VCT) clinics in Shanghai. Methods MSM attending two VCT clinics in Shanghai from March to August, 2015 were recruited into a cross-sectional study. Information of depressive symptoms and related factors was collected by face-to-face questionnaire interviews. Results A total of 738 MSM were successfully recruited and the prevalence of depressive symptoms was 38.8% (286/738). Multivariate Logistic regression indicated that the risk factors for depressive symptoms in MSM were witness of physical domestic violence in childhood (OR=1.80,95% CI:1.23-2.63, P=0.002), uncertainty of sexual partners' HIV statuses (OR=1.70,95% CI:1.20-2.40, P=0.003) or having HIV-positive partners (OR=1.86,95% CI:1.07-3.24, P=0.028), whereas the protective factors were age ≥ 46 (OR=0.13,95% CI:0.04-0.43, P=0.001), sexual role as ‘1’ (OR=0.56,95% CI:0.39-0.82, P=0.003), and having male regular sexual partners (OR=0.58,95% CI:0.42-0.80, P=0.001). Conclusions The prevalence of depressive symptoms is high in MSM attending VCT clinics. Thus, system for depressive symptoms screening and referral needs to be established in VCT clinics.
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