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目的:了解男同性恋人群性别角色与精神健康的关系。方法:采用同伴推动抽样法收集男同性恋样本,调查采用自填问卷一对一的方式进行。按年龄、性别和受教育程度1:1配对对照组,最终收回有效样本420对。结果:χ~2检验结果显示,男同性恋组与对照组在生活满意度、耻辱感、自尊感、社会支持、男性化、女性化、现在是否有固定伴侣、过去6个月内是否有过临时伴侣、过去12个月是否有性病史、抑郁、焦虑、应激、亲密关系暴力、自杀意念等各项指标差异均有统计学意义;420名男同性恋者当中,抑郁、焦虑、应激水平较高,29.3%在过去1年内有过自杀的想法,36.5%遭遇过亲密关系暴力。控制了其他变量后,性别角色是男同性恋者抑郁、焦虑、应激、自杀及遭遇亲密关系暴力的危险因素。结论:性别角色是男同性恋人群精神健康的一个重要影响因素,在进行心理危机干预过程中有必要考虑其性别角色。
Objective: To understand the relationship between the gender roles and mental health of gay men. Methods: Companion-driven sampling method was used to collect gay men’s samples. The survey was conducted on a one-on-one self-administered questionnaire. Paired control group according to age, sex and educational attainment 1: 1, 420 pairs of valid samples were finally recovered. Results: The results of χ ~ 2 test showed that there was no significant difference between the gay group and the control group in the aspects of life satisfaction, stigma, self-esteem, social support, masculinity and feminization. Companion, history of sexually transmitted diseases in the past 12 months, depression, anxiety, stress, intimate relationship violence, suicide ideation and other indicators were statistically significant; 420 gay men, depression, anxiety, stress level High, 29.3% had suicidal thoughts in the past year and 36.5% had violent intimacy. After controlling for other variables, the gender role is a risk factor for gay men being depressed, anxious, stressed, committed suicide and exposed to intimate relationships. Conclusions: The gender role is an important factor affecting the mental health of gay men and it is necessary to consider their gender roles in the process of psychological crisis intervention.