多重歧视,与物质相关的应对以及艾滋病毒感染性少数群体男性的抑郁症
Christopher Chiu1,2,3, Hyo Jin Shin3, Hunter T Baldwin4
1Department of Psychiatry, Boston Medical Center, Boston, MA, USA.
Journal of homosexuality
|July 14, 2025
概括
多种形式的歧视与使用毒品的艾滋病毒阳性性少数群体男性中较高的抑郁率有关. 与物质相关的应对部分解释了这种关联,突出了解决多种污名的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 艾滋病毒/艾滋病研究研究
背景情况:
- 使用物质的艾滋病毒感染性少数群体男性 (SMM) 面临着严重的耻辱和不成比例的高抑郁率.
- 了解多种形式的歧视,物质使用和心理健康之间的相互作用对这一群体至关重要.
研究的目的:
- 检查多种形式的歧视 (包括与物质有关的歧视) 与使用毒品的艾滋病毒感染SMM中抑郁症状之间的关系.
- 调查与物质有关的应对在多重歧视和抑郁症之间的关联中的调解作用.
主要方法:
- 自我报告数据从195名在2017-2018年期间使用毒品的艾滋病毒感染的SMM中收集.
- 这些措施包括各种类别 (艾滋病毒,性取向,种族/种族,物质使用),与物质相关的应对策略和抑郁症状) 的经历歧视.
- 包括ANCOVA在内的统计分析被用来评估抑郁症状和间接关联的差异.
主要成果:
- 更多的被认可的歧视类别与增加的抑郁症状有显著的关联.
- 与物质使用相关的歧视是抑郁症状的重要预测因素.
- 与物质相关的应对部分调解了多重歧视和抑郁症状之间的关系.
结论:
- 在这种人群中,经历多种形式的歧视和抑郁症状之间存在累积的关联.
- 与物质有关的歧视和应对策略是影响抑郁症的关键因素.
- 需要针对多种形式的歧视进行干预,以减少使用毒品的感染艾滋病的SMM中抑郁率.
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