The Relationship of Depressive Symptoms, Self-Esteem, and Sexual Behaviors in a Predominantly Hispanic Sample of Men Who Have Sex With Men
The Relationship of Depressive Symptoms, Self-Esteem, and Sexual Behaviors in a Predominantly Hispanic Sample of Men Who Have Sex With Men
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DOI：
10.1177/1557988307312883
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发表时间：
2008-12-01
影响因子：
2.3
通讯作者：
McCain, Gail C.
中科院分区：
文献类型：
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作者：
De Santis, Joseph P.;Colin, Jessie M.;McCain, Gail C.
尽管开展了公共卫生运动和更安全的性行为信息，但许多男男性行为者(MSM)继续参与高危性行为，这可能使他们容易受到艾滋病毒感染和性传播感染。本研究的目的是确定以西班牙裔为主的MSM样本中抑郁症状、自尊和性行为之间的关系。这项相关性研究抽样了205名MSM(男=37岁，SD=+/-8)，代表了南佛罗里达州不同的种族构成。这一样本包括少数民族(79%)和大量在外国出生的男性(69%)。参与者完成了抑郁症状、自尊和性行为的测量。结果表明，较高水平的抑郁症状和较高水平的自尊与较低水平的安全性行为有统计学意义的关系。较低的收入、较低的教育水平和对西班牙语的偏好与较高的抑郁症状水平相关；较低的收入与较低的自尊水平相关；而外国出生和对西班牙语的偏好与较低水平的安全性行为相关。在这个MSM样本中，较高水平的抑郁症状和较高水平的自尊与高危性行为相关。需要进一步研究针对这些易受伤害的男男性接触者的特定文化心理健康和艾滋病毒预防战略。
Despite public health campaigns and safer sex messages, many men who have sex with men (MSM) continue to participate in high-risk sexual behaviors, which may make them vulnerable to HIV infection and sexually transmitted infections. The purpose of this study was to determine the relationship of depressive symptoms, self-esteem, and sexual behaviors in a predominantly Hispanic sample of MSM. This correlational study sampled 205 MSM (M = 37 years of age, SD = +/- 8) representing the diverse ethnic composition of South Florida. This sample consisted of ethnic minorities (79%) with a large number of foreign-born men (69%). Participants completed measures of depressive symptoms, self-esteem, and sexual behaviors. Results indicated that higher levels of depressive symptoms and higher levels of self-esteem had a statistically significant relationship to lower levels of safer sexual behaviors. Lower income, lower educational level, and preference for Spanish language were associated with higher levels of depressive symptoms; lower income was associated with lower levels of self-esteem; and foreign birth and a preference for Spanish language were associated with lower levels of safer sex behaviors. Higher levels of depressive symptoms and higher levels of self-esteem were associated with high-risk sexual behaviors in this sample of MSM. Further research needs to be directed at culturally specific mental health and HIV prevention strategies for these vulnerable MSM.