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Original Research

Open Access

The characteristics of the vulnerable Chinese gay men with depression and anxiety: a cross-sectional study

  • Xiaojun Liu1,2,†
  • Dongdong Jiang2,3,†

1Department of Health Management, School of Public Health, Fujian Medical University, 350122 Fuzhou, Fujian, China

2Global Health Institute, Wuhan University, 430072 Wuhan, Hubei, China

3School of Public Health, Zhejiang University, 310058 Hangzhou, Zhejiang, China

DOI: 10.31083/jomh.2021.091

Submitted: 23 April 2021 Accepted: 08 July 2021

Online publish date: 13 August 2021

*Corresponding Author(s): Xiaojun Liu E-mail: xiaojun_liu@fjmu.edu.cn
*Corresponding Author(s): Dongdong Jiang E-mail: dongdjiang@zju.edu.cn

† These authors contributed equally.

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Abstract

Background and objective: Depression and anxiety are the most common mental disorders for human health, especially for gay men. This study aimed to assess the status and characteristics of Chinese gay men who were vulnerable to depression, anxiety, or the comorbidity of the two disorders.

Material and methods: A total of 367 samples from a cross-sectional survey conducted between November and December 2017 were included. The Chinese version of SCL-90-R was used to measure the levels of anxiety and depression. The unadjusted associations of demographic characteristics with anxiety, depression, and comorbidity were evaluated by chi-square test. The most predictive factors of the respondents' depression, anxiety and the comorbidity were identified using multivariable logistic regression models.

Results: The prevalence rates of depression, anxiety, and comorbidity were 36.51%, 27.79%, and 26.16%, respectively among gay men. Age, being the only child at home, personal monthly income, sexual orientation disclosure status, and source of participants were related to the prevalence of depression, anxiety, and comorbidity (all p < 0.05).

Conclusions: Depression and/or anxiety are highly prevalent among Chinese gay men. Prevention strategies should be developed to target the related factors in the gay men population to thwart or slow down the situation. It is also crucial for social and family members to increase the acceptance of Chinese gay men.

Keywords

Chinese gay men; Depression; Anxiety; Comorbidity; Characteristics

Cite and Share

Xiaojun Liu,Dongdong Jiang. The characteristics of the vulnerable Chinese gay men with depression and anxiety: a cross-sectional study. Journal of Men's Health. 2021.doi:10.31083/jomh.2021.091.

References

[1] Belzer K, Schneier FR. Comorbidity of anxiety and depressive disorders: Issues in conceptualization, assessment, and treatment. Journal of Psychiatric Practice. 2004; 10: 296–306.

[2] World Health Organization. Depression and Other Common Mental Disorders Global Health Estimates. 2017. Available at: https://www.who.int/mental_health/management/depression/prevalence_global_health_estimates/en/ (Accessed: 13 May 2020).

[3] Beesdo K, Pine D, Lieb R, Wittchen H-U. Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder. Archives of General Psychiatry. 2010; 67: 47–57.

[4] Scott KM. Depression, anxiety and incident cardiometabolic diseases. Current Opinion in Psychiatry. 2014; 27: 289–293.

[5] Strandberg RB, Graue M, Wentzel-Larsen T, Peyrot M, Rokne B. Relationships of diabetes-specific emotional distress, depression, anxiety, and overall well-being with HbA1c in adult persons with type 1 diabetes. Journal of Psychosomatic Research. 2014; 77: 174–179.

[6] Rhebergen D, Batelaan NM, de Graaf R, Nolen WA, Spijker J, Beekman ATF, et al. The 7-year course of depression and anxiety in the general population. Acta Psychiatrica Scandinavica. 2011; 123: 297–306.

[7] Oude Voshaar RC, van der Veen DC, Hunt I, Kapur N. Suicide in late-life depression with and without comorbid anxiety disorders. International Journal of Geriatric Psychiatry. 2016; 31: 146–152.

[8] Werner-Seidler A, Perry Y, Calear AL, Newby JM, Christensen H. School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis. Clinical Psychology Review. 2017; 51: 30–47.

[9] Vink D, Aartsen MJ, Schoevers RA. Risk factors for anxiety and depression in the elderly: a review. Journal of Affective Disorders. 2008; 106: 29–44.

[10] Staneva AA, Bogossian F, Wittkowski A. The experience of psycho-logical distress, depression, and anxiety during pregnancy: A meta-synthesis of qualitative research. Midwifery. 2015; 31: 563–573.

[11] Liu JX, Choi K. Experiences of social discrimination among men who have sex with men in Shanghai, China. AIDS and Behavior. 2006; 10: S25–S33.

[12] Stonewall. Lesbian, Gay & Bisexual People in Later Life. 2011. Available at: https://www.stonewall.org.uk/sites/default/files/LGB_people_in_Later_Life__2011_.pdf (Accessed: 13 May 2020).

[13] Kwok DK, Wu J. Chinese attitudes towards sexual minorities in Hong Kong: Implications for mental health. International Review of Psychiatry. 2015; 27: 444–454.

[14] Choi K, Steward WT, Miège P, Hudes E, Gregorich SE. Sexual Stigma, Coping Styles, and Psychological Distress: A Longitudinal Study of Men who have Sex with Men in Beijing, China. Archives of Sexual Behavior. 2015; 45: 1483–1491.

[15] Cohen JM, Blasey C, Barr Taylor C, Weiss BJ, Newman MG. Anxiety and Related Disorders and Concealment in Sexual Minority Young Adults. Behavior Therapy. 2016; 47: 91–101.

[16] Miles-Johnson T, Wang Y. ’Hidden identities’: perceptions of sexual identity in Beijing. British Journal of Sociology. 2018; 69: 323–351.

[17] Lindström M, Nystedt TA, Rosvall M, Fridh M. Sexual orientation and poor psychological health: a population-based study. Public Health. 2020; 178: 78–81.

[18] Pew Research Center. The global divide on homosexuality. 2013. Available at: https://www.pewglobal.org/2013/06/04/the-global-divide-on-homosexuality/ (Accessed: 13 May 2020).

[19] Brewer PR. Public Opinion about Gay Rights and Gay Marriage. International Journal of Public Opinion Research. 2014; 26: 279–282.

[20] Gao MT, Xiao CC, Cao Y, Yu B, Li SY, Yan H. Associations between sexual sensation seeking and AIDS-related knowledge, attitudes and behaviors among young men who have sex with men in China. Psychology, Health & Medicine. 2017; 22: 596–603.

[21] Mi G, Wu Z, Zhang B, Zhang H. Survey on HIV/AIDS-related high risk behaviors among male sex workers in two cities in China. Acquired Immunodeficiency Syndrome. 2007; 21: S67–S72.

[22] Liu X, Jiang D, Chen X, Tan A, Hou Y, He M, et al. Mental Health Status and Associated Contributing Factors among Gay Men in China. International Journal of Environmental Research and Public Health. 2018; 15: 1065.

[23] Blued. Big Data White Paper of Chinese Gay Community in 2015. Available at: http://www.199it.com/archives/428104. html/ (Accessed: 13 May 2020).

[24] Chi X, Hawk ST. Attitudes toward same-Sex Attraction and Behavior among Chinese University Students: Tendencies, Correlates, and Gender Differences. Frontiers in Psychology. 2016; 7: 1592.

[25] Valdiserri RO, Holtgrave DR, Poteat TC, Beyrer C. Unraveling Health Disparities among Sexual and Gender Minorities: A Commentary on the Persistent Impact of Stigma. Journal of Homosexuality. 2019; 66: 571–589.

[26] Jiang D, Hou Y, Chen X, Wang R, Fu C, Li B, et al. Interpersonal Sensitivity and Loneliness among Chinese Gay Men: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health. 2019; 16: 2039.

[27] Tan H, Lan X, Yu N, Yang X. Reliability and validity assessment of the revised Symptom Checklist 90 for alopecia areata patients in China. Journal of Dermatology. 2015; 42: 975–980.

[28] Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: A step in the validation of a new self-report scale. British Journal of Psychiatry. 1976; 128: 280–289.

[29] Parker RD, Lõhmus L, Valk A, Mangine C, Rüütel K. Outcomes associated with anxiety and depression among men who have sex with men in Estonia. Journal of Affective Disorders. 2015; 183: 205–209.

[30] Sereda Y, Dembitskyi S. Validity assessment of the symptom checklist SCL-90-R and shortened versions for the general population in Ukraine. BMC Psychiatry. 2016; 16: 300.

[31] Lewis NM. Mental health in sexual minorities: Recent indicators, trends, and their relationships to place in North America and Europe. Health & Place. 2009; 15: 1029–1045.

[32] Xu W, Zheng L, Xu Y, Zheng Y. Internalized homophobia, mental health, sexual behaviors, and outness of gay/bisexual men from Southwest China. International Journal for Equity in Health. 2017; 16: 36.

[33] Hildebrandt T. The one-Child Policy, Elder Care, and LGB Chinese: A Social Policy Explanation for Family Pressure. Journal of Homosex-uality. 2019; 66: 590–608.

[34] Suen YT, Chan RCH, Wong EMY. Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay, and bisexual people in Hong Kong. Psychiatry Research. 2020; 292: 113365.

[35] Klein A, Golub SA. Family Rejection as a Predictor of Suicide Attempts and Substance Misuse among Transgender and Gender Nonconforming Adults. LGBT Health. 2016; 3: 193–199.

[36] Melkevik O, Hauge LJ, Bendtsen P, Reneflot A, Mykletun A, Aaro LE. Associations between delayed completion of high school and educational attainment and symptom levels of anxiety and depression in adulthood. BMC Psychiatry. 2016; 16: 64.

[37] Ryan C, Huebner D, Diaz RM, Sanchez J. Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics. 2009; 123: 346–352.

[38] Ragins BR, Cornwell JM. Pink triangles: antecedents and conse-quences of perceived workplace discrimination against gay and lesbian employees. Journal of Applied Psychology. 2001; 86: 1244–1261.

[39] Nugraheni P, Tobing H, Kusumadewi I, Siste K. “Is it important to assess mental health problem in MSM?”. Asian Journal of Psychiatry. 2020; 48: 101584.

[40] Tinney J, Dow B, Maude P, Purchase R, Whyte C, Barrett C. Mental health issues and discrimination among older LGBTI people. International Psychogeriatrics. 2015; 27: 1411–1416.

[41] Zhengjia R, Chi X, Yang C, Liu Y, Zhang R. The Effects of Homophobia, Partnership, Sexual Self-Labels, and Involvement of LGBT Center Activity on Coming Out in Various Social Relationships among Chinese Gay Men. Journal of Men’s Health. 2020; 16: 1–17.

[42] Escobar-Viera CG, Whitfield DL, Wessel CB, Shensa A, Sidani JE, Brown AL, et al. For Better or for Worse? a Systematic Review of the Evidence on Social Media Use and Depression among Lesbian, Gay, and Bisexual Minorities. JMIR Mental Health. 2018; 5: e10496.

[43] Han X, Han W, Qu J, Li B, Zhu Q. What happens online stays online?—Social media dependency, online support behavior and offline effects for LGBT. Computers in Human Behavior. 2019; 93: 91–98.

[44] Priebe G, Svedin CG. Online or off-line victimisation and psycho-logical well-being: a comparison of sexual-minority and heterosexual youth. European Child & Adolescent Psychiatry. 2012; 21: 569–582.

[45] Lewis RJ, Derlega VJ, Brown D, Rose S, Henson JM. Sexual Minority Stress, Depressive Symptoms, and Sexual Orientation Conflict: Focus on the Experiences of Bisexuals. Journal of Social and Clinical Psychology. 2009; 28: 971–992.

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