中国科学院心理健康重点实验室知识库

目的了解某市艾滋病病毒(HIV)感染者推介(社交网络中)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络发布招募信息,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

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-infected 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．

国家自然科学基金项目(81673245)