Sexual orientation disclosure and depression among Thai gay, bisexual, and other men who have sex with men: The roles of social support and intimate partner violence.
Sexual orientation disclosure and depression among Thai gay, bisexual, and other men who have sex with men: The roles of social support and intimate partner violence.
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DOI：
10.1371/journal.pone.0294496
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在同性恋、双性恋和其他男男性行为者（GBM）中，向社会群体披露性取向可能是患抑郁症的重要风险。本研究的主要目的是了解披露与抑郁之间的关系、社会支持与亲密伴侣暴力（IPV）经历、抑郁和披露之间的关系。本项目使用泰国的二次数据集，该数据集来自分布在大湄公河次区域的一项更大的横断面研究。这项研究利用了1468名年龄在15-24岁之间的泰国GBM受访者的网络答案。抑郁症患病率超过50%。在感兴趣的社会群体中，那些向所有人透露的人患抑郁症的几率最低。除“家庭成员”组（p = 0.052）外，所有组的相关性均有统计学意义（p<0.050）。对社会群体的充分披露与社会支持的增加之间存在统计学上显著的关联。大多数受访者（43.9%）的社会支持度较低，此外，与那些社会支持度高的人相比，这一群体的抑郁程度最高。抑郁结果降低与社会支持增加之间存在统计学上的显著关联。最近六个月内发生的IPV经历与抑郁症有统计学意义的关系（p = 0.002）。有过IPV受害者经历的人与有过IPV施暴者经历的人之间有显著的联系，后者与抑郁的几率增加有关。然而，个人的IPV经历类型并没有因披露状况而有所不同。这项研究为支持网络的差异对心理健康结果的影响提供了更有力的证据。此外，他们还提供了一个更广泛的考虑，即人们可能有不同的IPV经历，无论是作为加害者，受害者，还是两者兼而有之，以及这些经历如何影响抑郁症的健康结果。GBM社区仍然面临影响其长期健康结果的逆境和挑战，即使他们确实生活在被认为是可接受的国家。
Among gay, bisexual, and other men who have sex with men (GBM), sexual orientation disclosure to social groups can act as a significant risk for depression. The primary goal of this research is to understand the association between disclosure and depression, the association of social support and intimate partner violence (IPV) experiences, depression, and disclosure. This project uses a secondary dataset of Thailand from a larger cross-sectional study distributed in the Greater Mekong Sub-Region. This study utilized web-based answers from 1468 Thai GBM respondents between the ages of 15–24 years. Prevalence of depression was over 50%. Across the social groups of interest, those who disclosed to everyone had the lowest depression prevalence. This association was statistically significant for all groups (p<0.050) except for “Family members” (p = 0.052). There was a statistically significant association illustrated between full disclosure to social groups and increased social support. Most respondents (43.9%) had low social support, and additionally this group had the highest level of depression, compared to those with high social support. There was a statistically significant association for lowered depression outcomes and increased social support. IPV experiences that occurred within the last six months had a statistically significant relationship with depression (p = 0.002). There was a notable association between those with experiences of being a victim of IPV, alone and in conjunction with experience of being a perpetrator of IPV, which was associated with increased odds of depression. However, the type of IPV experiences an individual had did not differ based on disclosure status. This study provides strengthened evidence of the impact that differences in supportive networks can have on mental health outcomes. In addition, they provided a wider consideration for how people may have different IPV experiences, either as a perpetrator, victim, or both, and how those shapes health outcomes of depression. GBM communities still face adversity and challenges that affect their long-term health outcomes, even if they do live in what is considered an accepting country.
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10.5811/westjem.2012.3.11779
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