Sexual risk behaviour, sexual victimisation, substance use and other factors related to depression in men who have sex with men in Wenzhou, China: a cross-sectional study

Pan, Xiaohong; Li, Runhua; Ma, Qiaoqin; Wang, Hui; Jiang, Tingting; He, Lin; Zeng, Shidian; Wang, Dayong; Ye, Zhenmiao; Zhu, Haishen; Zhao, Dongshe; Xia, Shichang

doi:10.1136/bmjopen-2016-013512

Cited by 15 publications

(9 citation statements)

References 60 publications

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“…Depression Depression is among the most researched mental health issues among Chinese MSM. Among studies of Chinese MSM of varied HIV status, moderate-to-severe depressive symptoms have been documented with varied rates ranging from 26.8% [59] to 53.5% [16]. Depression increases the vulnerability of HIV for Chinese MSM, such that those who suffer from depressive symptoms are more likely to engage in inconsistent condom use during anal sex [16,31,59,64].…”

Section: Measurement Of Mental Healthmentioning

confidence: 99%

“…Mental health issues are particularly concerning among MSM in China, the world's most populous country. Along with the significant uptrend in the HIV epidemic among MSM in China [13,14], recent reports suggest that Chinese MSM also suffer from a variety of mental health issues, including depression, anxiety, suicidal ideation, and alcohol dependence [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

et al. 2020

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Purpose of Review Men who have sex with men (MSM) in China experience elevated risks of mental health issues in comparison to the general population in China, which contribute to vulnerability to HIV/STI risks and can comprise the effectiveness of HIV prevention efforts. A conceptual framework for understanding this mental health disparity is minority stress theory, which posits that experiences of external prejudice events (i.e., distal stressors) and internal stress processes such as internalized homophobia and concealment (i.e., proximal stressors) contribute to sexual minorities' elevated risk of psychological distress. To deepen the understanding of mental health among Chinese MSM and explore the potential utility of minority stress theory in this population, this paper synthesizes research evidence regarding prevalent mental health issues as well as how minority stress may be linked to psychological health in Chinese MSM. Recent Findings Results indicate that Chinese MSM experience a high prevalence of several mental health issues including depression, anxiety, suicidal behaviors, and alcohol dependence. Summary This review further reveals minority stress to be an important determinant of psychological distress among Chinese MSM, though evidence is mixed regarding the relationship between proximal minority stress and psychological health. Nonetheless, there is a lack of mental health services and interventions focusing on MSM in China. Culturally relevant, competent, and LGBT-affirmative mental health interventions are needed for Chinese MSM. To guide future intervention research, we provide considerations for reducing minority stress and promoting psychological health among Chinese MSM.

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Section: Measurement Of Mental Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

et al. 2020

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“…Victimisation is associated with compromised emotional health and suicidal ideation in its victims ( 11 ). Victimisation is linked to suicidal ideation and being drunk once in the past year among men who have sex with men in China ( 12 ). Males who experienced interpersonal violence were more likely to have been sexually abused as a child ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

Victimisation, Depression and Suicidal Ideation among Lesbian, Gay and Bisexual Adults in Malaysia

Ibrahim

Aen

Amit

et al. 2022

MJMS

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Background: Lesbian, gay and bisexual (LGB) individuals have been found to experience a high prevalence of psychological conditions. The present study aims to examine the relationship between victimisation, depression and suicidal ideation among LGB adults in Malaysia. Methods: This study used a cross-sectional design. We distributed the questionnaire online using snowball sampling and self-identified LGB adults responded to the survey. Scales on sexual minority-specific victimisation, depression and suicidal ideation were employed. The data were analysed using Spearman rank order correlation and Kruskal-Wallis tests. Results: The study included 220 adults in Malaysia (156 males and 64 females; 58 lesbian, 112 gays and 50 bisexuals). Ninety-two participants (41.8%) reported experiencing sexual minority- specific victimisation; 29 participants (13.2%), 35 participants (15.9%) and 23 participants (10.5%) were mildly, moderately and severely depressed, respectively and 44.0% participants were experiencing current suicidal ideation. The correlations were fair (rs = 0.30) between victimisation and depression, poor (rs = 0.16) between victimisation and suicidal ideation, and moderate (rs = 0.60) between depression and suicidal ideation. There were no differences between homosexual and bisexual participants in victimisation, depression and suicidal ideation. Conclusion: This study contributes to a better understanding of the relationship between victimisation, depression and suicidal ideation among LGB adults in Malaysia.

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“…In the present meta-analysis, the first study to report the prevalence of depression in MSM was the article of Mills et al [ 55 ], and the most recent study which measured the prevalence of depression in MSM was the article of Clark et al [ 32 ]. The highest number of studies was related to 2018 with 14 articles [ 26 , 31 , 34 , 46 , 47 , 50 , 58 , 60 , 62 , 69 , 71 , 77 , 84 , 89 ] and 2017 with 11 articles [ 28 , 30 , 38 , 40 , 41 , 43 , 54 , 56 , 67 , 70 , 73 ]. The smallest sample size was related to the study of Armstrong et al [ 25 ] with 56 people, and the highest was related to the study of Tomori et al [ 71 ] with 11,771 people.…”

Section: Resultsmentioning

confidence: 99%

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis

Nouri

Moradi

2022

Ann Gen Psychiatry

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Background Depression due to stigma resulting from their sexual identity, isolation, social exclusion, and insufficient access to care and counseling services has become a health problem among men who have sex with men (MSM). Objectives This study aimed to determine the global prevalence of depression among MSM as a systematic review and meta-analysis. Methods This study was a systematic review and meta-analysis performed in five steps of search strategy, screening and selecting articles, data extraction, evaluation of the risk of bias, and meta-analysis. In this study, the determined keywords were searched in the databases of PubMed, Scopus, Embase, and Web of Science from January 1913 to July 2021 to find the initial articles, from which data were extracted according to the set checklist in the data extraction stage. Finally, the studies were included in the present meta-analysis according to the inclusion and exclusion criteria, to be evaluated using the Newcastle Ottawa scale checklist. I Square and Q Cochrane were also used to assess the degree of heterogeneity. The analyses were performed using the random-effects model in STATA 16. Results The results showed the quality score of the majority of cross-sectional studies included in the meta-analysis (62 studies) was equal to six or seven (moderate), and five ones had a high-quality score. After combining these studies, the pooled prevalence of depression among MSM in the world was 35% (95% CI 31%–39%, I square; 98.95%, P-value < 0.001). Population subgroup analysis showed the pooled prevalence of depression among MSM living with HIV was 47% (95% CI 39%-55%, I square; 95.76%, P-value < 0.001). Continent subgroup analysis showed the highest pooled prevalence of depression among Asian MSM at 37% (95% CI 31%-43%, I square; 99.07%, P-value < 0.001). Also, in the subgroup analysis of the sampling method, the pooled prevalence in the studies which used the respondent-driven sampling method was equal to 34% (95% CI 25%-43%, I square; 99.32%, P-value < 0.001). Sensitivity analysis revealed the pooled prevalence of depression in studies included in the meta-analysis was near or around the pooled estimate. Conclusion The pooled prevalence of depression among MSM was almost three times higher than the general male population. Therefore, particular and therapeutic interventions such as screening, and harm reduction programs for mental disorders, especially depression, are suggested to be considered in service packages.

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Sexual risk behaviour, sexual victimisation, substance use and other factors related to depression in men who have sex with men in Wenzhou, China: a cross-sectional study

Cited by 15 publications

References 60 publications

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

Victimisation, Depression and Suicidal Ideation among Lesbian, Gay and Bisexual Adults in Malaysia

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis

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