Mental health services use and depressive symptom scores among gay and bisexual men in Canada.
Mental health services use and depressive symptom scores among gay and bisexual men in Canada.
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DOI：
10.1007/s00127-022-02362-3
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发表时间：
2022-11
影响因子：
4.4
通讯作者：
Cox, Joseph
中科院分区：
文献类型：
--
作者：
Marbaniang, Ivan;Rose, Eric;Moodie, Erica E. M.;Hart, Trevor A.;Cox, Joseph
评估男同性恋和双性恋男性 (GBM) 心理健康服务 (MHS) 使用与抑郁症状评分之间的关联，并与加拿大异性恋男性进行比较。我们使用了 2015-2016 年加拿大社区健康调查周期的数据。使用 PHQ-9 问卷（两周前）评估抑郁症状。与任何有执照的心理健康专业人员（前一年）的 MHS 咨询被分类为 0、1、2–11、 ≥ 12。我们拟合线性回归模型来量化 MHS 使用和 PHQ-9 分数之间的关联，并使用性别认同的交互项（GBM 和异性恋男性）。针对社会经济和健康相关指标对模型进行了调整。在 21,383 名男性中，97.3% 的人自认为是异性恋，2.7% 的人自认为是 GBM。与异性恋男性相比，GBM 在前一年更频繁地使用任何 MHS（21% vs. 10%，p<0.05）并咨询≥2 名健康专业人员的心理健康问题（6% vs. 2%，p<0.05）。总体而言，与异性恋男性相比，GBM 的平均 PHQ-9 得分更高（3.9 vs. 2.3，p<0.05）。相对于不咨询，较高的 MHS 使用率（2-11， ≥ 12 次咨询）与较高的 PHQ-9 分数（高 1.4-4.9 分）相关。 GBM 和异性恋男性之间 MHS 使用与 PHQ-9 评分之间的关联没有统计学差异。我们的研究结果未能证明异性恋男性和 GBM 之间 MHS 使用与 PHQ-9 评分之间的关联存在差异。然而，GBM 在每一类咨询中始终具有较高的平均 PHQ-9 分数。考虑到 GBM 中 MHS 的使用率较高以及抑郁症状负担较高，因此需要进行更多研究。在线版本包含可在 10.1007/s00127-022-02362-3 获取的补充材料。
To evaluate the association between mental health services (MHS) use and depressive symptom scores among gay and bisexual men (GBM) and compare with heterosexual men in Canada. We used data from the 2015–2016 cycles of the Canadian Community Health Survey. Depressive symptoms were assessed using the PHQ-9 questionnaire (prior two weeks). MHS consultations with any licensed mental health professional (prior year) were categorized as 0, 1, 2–11, ≥ 12. We fit linear regression models to quantify the associations between MHS use and PHQ-9 scores, with an interaction term for sexual identity (GBM and heterosexual men). Models were adjusted for socioeconomic and health-related indicators. Among 21,383 men, 97.3% self-identified as heterosexual and 2.7% as GBM. Compared to heterosexual men, GBM used any MHS (21% vs. 10%, p < 0.05) and consulted ≥ 2 health professionals for their mental health (6% vs. 2%, p < 0.05) in the preceding year more frequently. Overall, mean PHQ-9 scores were higher among GBM compared to heterosexual men (3.9 vs. 2.3, p < 0.05). Relative to no consultations, higher MHS use (2–11, ≥ 12 consultations) was associated with higher PHQ-9 scores (1.4–4.9 points higher). Associations between MHS use and PHQ-9 scores did not differ statistically between GBM and heterosexual men. Our findings were inconclusive in demonstrating a difference between heterosexual men and GBM for the association between MHS use and PHQ-9 scores. However, GBM consistently had higher average PHQ-9 scores for every category of consultations. Considering the higher use of MHS and higher burden of depressive symptoms among GBM, more research is needed. The online version contains supplementary material available at 10.1007/s00127-022-02362-3.
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DOI：
10.1503/cmaj.202642
发表时间：
2021-04-19
期刊：
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
影响因子：
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作者：
Schreiber M;Ahmad T;Scott M;Imrie K;Razack S
通讯作者：
Razack S
影响因子：
4.4
作者：
Bromberg DJ;Paltiel AD;Busch SH;Pachankis JE
通讯作者：
Pachankis JE
影响因子：
4.4
作者：
King M;Semlyen J;Tai SS;Killaspy H;Osborn D;Popelyuk D;Nazareth I
通讯作者：
Nazareth I
影响因子：
3.9
作者：
Boswell, James F.;McAleavey, Andrew A.;Locke, Benjamin D.
通讯作者：
Locke, Benjamin D.
影响因子：
2.7
作者：
Ferlatte, Olivier;Salway, Travis;Ogrodniczuk, John S.
通讯作者：
Ogrodniczuk, John S.