Does Social Support Predict Depressive Symptoms? A Longitudinal Study of Midlife and Older Men Who Have Sex with Men from the Multicenter AIDS Cohort Study.
Does Social Support Predict Depressive Symptoms? A Longitudinal Study of Midlife and Older Men Who Have Sex with Men from the Multicenter AIDS Cohort Study.
复制标题
DOI：
10.1891/lgbtq-2020-0042
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Coulter RWS
中科院分区：
文献类型：
--
作者：
Henderson ER;Egan JE;Haberlen SA;Detels R;Teplin LA;Friedman MR;Plankey MW;Coulter RWS
本研究旨在确定中年（40-64岁）和老年（65岁以上）同性恋，双性恋和其他男性同性恋者（MSM）之间的社会支持类别，以及社会支持是否可以预防这一人群的抑郁症状。这项研究对基线时年龄在40岁或以上的1，329名个体进行了5次随访，使用了2016年4月至2018年10月收集的多中心艾滋病队列研究（MACS）健康老龄化子研究的数据。我们确定了四类社会支持：以伴侣为中心的，即来自主要伴侣的高水平支持和来自朋友和家人的中等支持;以朋友为中心的，即来自朋友和选择的家人的高水平支持;低，即来自所有来源的低水平支持;和强大的，即来自所有来源的高水平支持。我们发现年龄，种族/民族，就业状况，性别认同，教育，关系状况和艾滋病毒状况的类成员的差异。最后，与低支持类的MSM相比，其他类的男性在最后一次访问时抑郁症状的几率较低。最常见的社会支持类型是以伴侣为中心的，而最不常见的类型是强大的。这些发现表明，任何社会支持的存在，无论来源如何，都可以防止抑郁症状。
The present study was designed to identify social support classes across time among midlife (40–64 years) and older (65+ years) gay, bisexual, and other men who have sex with men (MSM), and whether social support protects against depressive symptoms in this population. This study applied longitudinal latent class analysis across five visits on 1,329 individuals age 40 or older at baseline using data from the Multicenter AIDS Cohort Study (MACS) Healthy Aging substudy collected from April 2016 to October 2018. We identified four classes of social support across time: Partner-centered, that is, high levels of support from one’s primary partner(s) and moderate support from friends and family; Friend-centered, that is, high levels of support from friends and chosen family; Low, that is, low levels of support from all sources; and Robust, that is, high levels of support from all sources. We found differences in class membership by age, race/ethnicity, employment status, sexual identity, education, relationship status, and HIV status. Finally, compared to MSM in the low support class, men in the other classes had lower odds of depressive symptoms at the final visit. The most common type of social support was partner-centered, while the least common type was robust. These findings suggest that the presence of any social support, regardless of the source, protects against depressive symptoms.