Depressive symptoms and associated factors of men who have sex with men (MSM) among young people/students in a city

Abstract

Objective To understand HIV status and depressive symptoms among men who have sex with men (MSM) in the HIV-infected young people/social network. Methods Intervention network of local CDC was used to recruit HIV-inlected young people/students in the city. A mixed recruitment method of snowball sampling and respondent driven sampling method. A MSM young people/students with HIV infection. A total of 201 valid questionnaires were collected. Results Among them, 132(65.7%) were students, 121(60.2%) were HIV-positive, 108(53.7%) had depressive symptoms. The awareness rate was 92.0% (185). Binary-Logistic regression analysis showed that HIV infection( aOR = 4.06,95% CI =2.13-7.72), living alone ( aOR = 2.93, 95% CI = 1.31—6.52) and having sex before the age of 18 ( aOR = 4.13, 95% CI = 1.32—12.96) were significantly associated with depression, moreover, HIV knowledge was a protective factor that help to resist depression in young MSM ( aOR = 0.30, 95% CI =0.13-0.69) ( P <0.01). Conclusion Depressive symptoms are prevalent among HIV-infected MSM young people. It’s cost-effective to promote a multiple biomedical package of increasing HIV/AIDS awareness, reducing HIV infection and transmission to protect young people/students from depression. 【摘要】 目的 了解某市艾滋病病毒 (HIV)感染者推介 (社交网纟各中) 的青年/学生中男男性行为人群 (men who have sex with men, MSM)感染与抑郁情况, 为决策者做出决策提供依据。 方法 利用市疾病预防控制中心干预网绺发布招募信息, 动员青年/学生HIV感染者预约参加调查, 并通过滚雪球抽样和受试者推荐的混合抽样方法, 收集201名MSM进行横断面 调查。 结果 201名被试中, 学生132人(65.7%), HIV阳性者121例 (60.2%), 出现抑郁症状者108例 (53.7%), 艾滋病知 晓者 185 人 (92.0%)。HIV 感染 ( aOR = 4.06,95% CI = 2.13~7.72)、独居生活( aOR = 2.93,95% CI = 1.31 ~ 6.52)和 18 岁前发 生性行为 ( aOR = 4.13,95%CI =1.32~ 12.96)与青年/学生MSM抑郁呈正相关, 艾滋病知识知晓与抑郁呈负相关 ( aOR = 0.30,95% CI = 0.13~0.69), 无论是“国八条” ( aOR = 0.24,95% CI = 0.08 ~ 0.67)还是“青八条, ’知晓 ( aOR = 0.26,95% CI = 0.10 ~0.71)均与抑郁发生负性相关( P 值均<0.05)。 结论 HIV感染的青年/学生社交圈中MSM抑郁现象严峻。应采取有效 综合措施, 提高该人群对艾滋病的认识, 减少HIV的感染和传播, 帮助其预防抑郁。