Abstract:Objective To investigate the current status of suicide ideation among young men who have sex with men (YMSM), and to analyze the associated factors. Methods MSM aged 15-24 years in Mianyang City, Sichuan Province were recruited by the method of rolling snowball sampling, and then serological examination was performed. Single factors associated with suicide ideation were analyzed by χ2 test, while multiple factors by unconditional logistic regression analysis. Results A total of 350 eligible subjects were investigated. 20.0% (70/350) of the subjects had suicide ideation, and 45.7% (32/70) suicide ideation was caused by emotional factors. 6.6% (23/350) committed suicide. The HIV infection rates of subjects with and without suicide ideation were 14.3% and 7.9% (χ2=2.753, P=0.097) respectively. Multivariate analysis showed that having an experience of sexual abuse (OR=8.748), having been hurt due to sexual orientation (OR=2.529), having a negative attitude towards own sexual orientation (OR=3.164), having been snubbed by family members due to sexual orientation (OR=22.727) and having commercial sexual behavior in the last six months (OR=4.630) were the risk factors for suicide ideation in the YMSM. Conclusions The high incidence rate of suicide ideation and the obvious negative impacts of sexual abuse and social-, family- and self-discrimination in YMSM increase the potential risk of HIV infection. Reducing discriminatory environment and enhancing protection of minors are the important contents of suicide crisis intervention in YMSM.
王毅, 李六林, 周万明, 樊静, 赵西和, 唐宇, 何静, 刘江, 周力, 张晓军. 绵阳市年轻男男性行为者自杀意念及关联因素分析[J]. 实用预防医学, 2018, 25(12): 1448-1451.
WANG Yi, LI Liu-li, ZHOU Wan-ming, FAN Jing, ZHAO Xi-he, TANG Yu, HE Jing, LIU Jiang, ZHOU Li, ZHANG Xiao-jun. Suicide ideation and its associated factors among young men who have sex with men in Mianyang City. , 2018, 25(12): 1448-1451.
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