Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: Results from NHANES III

Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: Results from NHANES III
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DOI:
10.2105/ajph.90.4.573
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发表时间:
2000-04-01
影响因子:
12.7
通讯作者:
Mays, VM
Mays, VM
中科院分区:
医学2区
文献类型:
--
作者:
Cochran, SD;Mays, VM

文献摘要

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目标.本研究调查了报告有同性性伴侣史的男性中自杀症状和情感障碍的终生患病率。在第三次全国健康和营养检查调查中,对17至39岁的男性进行了情感障碍和性行为模式的终身史评估。该研究将这部分男性分为3组:报告同性性伴侣的人,报告只有女性性伴侣的人,以及报告没有性伴侣的人。比较各组的自杀症状和情感障碍史。共有2.2%(95%置信区间[CI] = 1.3%,3.1%)的男性报告有同性性伴侣。这些人证明了更大的自杀症状的终身患病率比男性报告只有女性伴侣。然而,同性恋/双性恋经历的男性并不比完全异性恋的男性更容易满足其他情感障碍的终身诊断标准。这些数据进一步证明了有同性恋经历的男性自杀症状的风险增加。结果还暗示,男同性恋者复发抑郁症的风险较小,平均在青春期早期出现症状。
Objectives. This study examined lifetime prevalence of suicide symptoms and affective disorders among men reporting a history of same-sex sexual partners.Methods. in the third National Health and Nutrition Examination Survey, men aged 17 to 39 years were assessed for lifetime history of affective disorders and sexual behavior patterns. The study classified this subset of men into 3 groups: those reporting same-sex sexual partners, those reporting only female sexual partners, and those reporting no sexual partners. Groups were compared for histories of suicide symptoms and affective disorders.Results. a total of 2.2% (95% confidence interval [CI] = 1.3%, 3.1%) of men reported same-sex sexual partners. These men evidenced greater lifetime prevalence rates of suicide symptoms than men reporting only female partners. However, homosexually/bisexually experienced men were no more likely than exclusively heterosexual men to meet criteria for lifetime diagnosis of other affective disorders.Conclusions. These data provide further evidence of an increased risk for suicide symptoms among homosexually experienced men. Results also hint at a small, increased risk of recurrent depression among gay men, with symptom onset occurring, on average, during early adolescence.