在中国的HIV阳性MSM中,与艾滋病毒相关的耻辱,抑郁和自杀念头:一个温和的调解模型
Jiaqi Fu1, Xu Chen1, Zhenwei Dai1
1School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
BMC public health
|October 27, 2023
概括
与艾滋病毒相关的耻辱和抑郁症显著增加了与男性发生性关系 (MSM) 的中国男性的自杀想法风险. 抑郁症部分调解了这种关系,突出了针对这一群体进行有针对性的心理健康干预的需要.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 艾滋病毒疫情不成比例地影响了中国的与男性发生性关系的男性 (MSM).
- 中国的MSM经历了重大的心理健康挑战,包括抑郁和自杀念头.
- 与艾滋病毒相关的耻辱是影响该人口心理健康的关键因素.
研究的目的:
- 调查抑郁症在与艾滋病毒相关的耻辱和自杀念头之间的关系中扮演的调解角色.
- 评估中国MSM中与艾滋病毒污名,抑郁和自杀念头有关的机制.
- 为开发针对HIV阳性MSM的有针对性的干预提供证据.
主要方法:
- 一项通过Blued地缘社交网络应用程序进行的国家横截面研究.
- 使用了艾滋病毒污名度表和流行病学研究中心抑郁症度表 (CES-D10).
- 使用描述性分析,物流回归和结构方程建模 (SEM) 与244名艾滋病毒阳性MSM.
主要成果:
- 感知与艾滋病毒相关的耻辱感对自杀念头有显著的直接影响.
- 抑郁症显著介导了与艾滋病毒相关的耻辱和自杀念头之间的途径.
- 在耻辱与自杀念头的关联中观察到抑郁症的部分调解效应.
结论:
- 与艾滋病毒相关的耻辱和抑郁都独立地与中国艾滋病毒阳性MSM的自杀念头有关.
- 抑郁症作为一个重要的调解者,将艾滋病污名与增加的自杀念头联系起来.
- 解决艾滋病毒污名和抑郁症的干预措施对于减少这一人口中的自杀念头至关重要.
更多相关视频
相关概念视频
Sexually Transmitted Infections
328
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
328
Stress and Mental Health
163
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
163
Depressive Disorders: Etiology
104
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
104
Long-term Depression
30.9K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
30.9K
Psychological and Sociocultural Causes of Schizophrenia
92
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
92
Self-Help Support Groups
33
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
33


