Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China
Abstract
:1. Introduction
2. Methods
Study Design, Population, and Sampling
3. Measures
3.1. Demographic and HIV-Related Characteristics
3.2. COVID-19-Related Knowledge, Attitudes, and Behaviors
3.3. COVID-19-Related Risk Perception
3.4. Epidemic Exposure
3.5. The Psychological Questionnaire for Emergent Events of Public Health (PQEEPH)
3.6. Statistical Analysis
4. Results
5. Discussion
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Dimensions | Items | Score |
---|---|---|
Depression | Cronbach’s α = 0.934 | |
(1) | Feeling dispirited, slowed down, inattentive, poor memory | 1–4 |
(2) | Energy is worse than before | 1–4 |
(3) | Mental fatigue and not easy to recover | 1–4 |
(4) | No appetite and significant weight loss | 1–4 |
(5) | The brain is not as flexible as before | 1–4 |
(6) | Headache and muscle aches all over the body | 1–4 |
Neurasthenia | Cronbach’s α = 0.905 | |
(1) | No interest in anything | 1–4 |
(2) | Thinking without control | 1–4 |
(3) | Feel annoyed and easily lose temper | 1–4 |
(4) | Feeling that I am useless | 1–4 |
(5) | Poor sleep (difficulty sleeping, dreamy, no relief after waking, sleep rhythm disorder) | 1–4 |
Fear | Cronbach’s α = 0.774 | |
(1) | Fear of infection for yourself and your family | 1–4 |
(2) | Repeatedly washing hands and scrubbing things, but always feel that they are not clean enough | 1–4 |
(3) | I feel scared and my heart beats faster when I come across something related to COVID-19 | 1–4 |
(4) | Feeling nervous and anxious in places where people gather, especially near hospitals | 1–4 |
(5) | Very concerned about any physical discomfort | 1–4 |
(6) | Try not to go to hospitals or places where people gather, and always wear a mask when in contact with people | 1–4 |
Anxiety | Cronbach’s α = 0.910 | |
(1) | Feeling a rapid heartbeat, sweating and blushing | 1–4 |
(2) | Symptoms of dizziness, panic, bloating, constipation or diarrhea | 1–4 |
(3) | I know it won’t help, but I can’t help thinking about it and washing my hands again and again | 1–4 |
(4) | Unable to control excessive nervousness and fear | 1–4 |
(5) | Want to die | 1–4 |
(6) | Thinking about something related to COVID-19 doesn’t make you want to do anything else | 1–4 |
Hypochondria | Cronbach’s α = 0.708 | |
(1) | Symptoms associated with COVID-19, suspected of being infected | 1–4 |
(2) | Go to the hospital to determine if you are already infected | 1–4 |
Total | Cronbach’s α = 0.961 |
Variables | n | % |
---|---|---|
Demographic characteristics | ||
Age | ||
18~35 | 248 | 60.19 |
35~50 | 142 | 34.47 |
≥50 | 22 | 5.34 |
Household location | ||
Urban | 388 | 94.17 |
Rural | 24 | 5.83 |
Ethnicity | ||
Han ethnicity | 373 | 90.53 |
Minority | 39 | 9.47 |
Educational level | ||
High school or below | 61 | 14.80 |
Vocational school | 150 | 36.41 |
College or above | 201 | 48.79 |
Employment status | ||
Employed | 315 | 76.46 |
Unemployed/Retirement | 73 | 17.72 |
Student | 24 | 5.82 |
Marital status | ||
Married | 68 | 16.50 |
Unmarried | 344 | 83.50 |
Monthly personal income | ||
1000~5000 RMB | 201 | 48.79 |
5000~10,000 RMB | 139 | 33.74 |
≥10,000 RMB | 72 | 17.47 |
HIV-related characteristics | ||
Sexual role | ||
Mainly “Top” | 158 | 38.35 |
Both of it | 72 | 17.48 |
Mainly “Bottom” | 182 | 44.17 |
Number of male sexual partners in the last month | ||
0 | 227 | 55.10 |
1 | 123 | 29.85 |
≥2 | 62 | 15.05 |
Self-reported HIV infection status | ||
Positive | 38 | 9.23 |
Negative | 358 | 86.89 |
Unknown | 16 | 3.88 |
Psychological Status Dimension | Score Range | Score (Mean ± SD) | Higher Risk of Mental Health Problem n (%) |
---|---|---|---|
Depression | 6–24 | 9.91 ± 4.33 | 70 (16.99) |
Neurasthenia | 5–20 | 8.17 ± 3.50 | 58 (14.08) |
Fear | 6–24 | 11.27 ± 3.64 | 69 (16.75) |
Anxiety | 6–24 | 8.44 ± 3.64 | 68 (16.50) |
Hypochondria | 2–8 | 2.73 ± 1.14 | 75 (18.20) |
Variables | Higher Risk of Depression (n = 70) | Higher Risk of Neurasthenia (n = 58) | Higher Risk of Fear (n = 69) | Higher Risk of Anxiety (n = 68) | Higher Risk of Hypochondria (n = 75) |
---|---|---|---|---|---|
p-Value (χ2) | p-Value (χ2) | p-Value (χ2) | p-Value (χ2) | p-Value (χ2) | |
COVID-19-related knowledge | |||||
I am well-informed about the causes of COVID-19 | 0.064 (3.42) | 0.155 (2.02) | 0.288 (1.12) | 0.082 (3.03) | 0.487 (0.48) |
I am well-informed about the transmission routes of COVID-19 | 0.388 (0.74) | 0.499 (0.45) | 0.254 (1.30) | 0.142 (2.15) | 0.050 (3.80) |
I am well-informed about the infectiousness of COVID-19 | 0.781 (0.08) | 0.605 (0.27) | 0.081 (3.05) | 0.644 (0.21) | 0.084 (2.99) |
I am well-informed about the effectiveness of preventive measures for COVID-19 | 0.943 (<0.01) | 0.246 (1.35) | 0.947 (<0.01) | 0.084 (2.99) | 0.088 (2.91) |
I am well-informed about the effectiveness of cure of COVID-19 | 0.327 (0.96) | <0.001 (11.36) | 0.040 (4.20) | 0.047 (3.96) | 0.054 (3.70) |
I am well-informed about the reinfection of COVID-19 after cure | 0.359 (0.84) | 0.095 (2.79) | 0.287 (1.12) | 0.620 (0.25) | 0.915 (0.01) |
COVID-19-related attitudes | |||||
I think COVID-19 is very contagious | 0.567 (0.33) | 0.984 (<0.01) | 0.014 (6.00) | 0.893 (0.02) | 0.379 (0.77) |
I think COVID-19 is very prevalent where I live | 0.213 (1.55) | 0.110 (2.53) | 0.215 (1.54) | 0.001 (10.63) | 0.017 (5.71) |
I am afraid of COVID-19 | 0.014 (6.00) | 0.029 (4.80) | <0.001 (25.91) | 0.006 (7.51) | 0.237 (1.40) |
I think COVID-19 is very close to me | 0.013 (6.24) | 0.030 (4.67) | <0.001 (20.16) | 0.002 (9.86) | 0.036 (4.42) |
I felt nervous when I went out during the outbreak | 0.002 (9.46) | 0.016 (5.86) | <0.001 (22.94) | <0.001 (15.68) | 0.001 (10.18) |
The outbreak is considered to be under effective control | 0.011 (6.51) | 0.027 (4.88) | 0.336 (0.92) | 0.003 (8.70) | 0.002 (9.27) |
I think there will be another small epidemic | 0.003 (8.66) | 0.019 (5.48) | 0.020 (5.43) | 0.029 (4.75) | 0.065 (3.39) |
I think the outbreak will cause me financial losses | 0.040 (4.26) | 0.007 (7.24) | 0.007 (7.40) | 0.269 (1.22) | 0.040 (4.22) |
I think COVID-19 can be cured | 0.674 (0.18) | 0.089 (2.90) | 0.301 (1.06) | 0.098 (2.74) | 0.066 (3.39) |
I think it is possible to be reinfected after COVID-19 is cured | 0.015 (5.88) | 0.240 (1.38) | 0.051 (3.80) | 0.142 (2.13) | 0.050 (3.84) |
If I get infected, I will not be able to handle daily activities | 0.100 (2.69) | 0.034 (4.49) | <0.001 (16.71) | 0.075 (3.17) | 0.068 (3.33) |
I am very worried about another outbreak | 0.013 (6.18) | <0.001 (12.53) | <0.001 (25.13) | 0.033 (4.53) | 0.065 (3.40) |
COVID-19-related behavior | |||||
Had a COVID-19 test * | 0.937 (0.01) | 0.617 (0.25) | 0.851 (0.04) | 0.902 (0.02) | 0.296 (1.09) |
Risk perception | |||||
Controllability | |||||
I can take protective measures such as home isolation, wearing masks and washing hands regularly | 0.057 (3.63) | 0.219 (1.51) | 0.839 (0.04) | 0.240 (1.39) | 0.181 (1.80) |
I can ensure that I am not infected with COVID-19 | 0.324 (0.97) | 0.151 (2.06) | 0.200 (1.64) | 0.037 (4.33) | 0.073 (3.20) |
I can control the loss caused by COVID-19 | 0.465 (0.535) | 0.002 (9.551) | 0.127 (2.341) | 0.532 (0.384) | 0.395 (0.723) |
Possibility | |||||
I’m very likely to get infected with COVID-19 | 0.685 (0.16) | 0.544 (0.37) | 0.696 (0.15) | 0.906 (0.01) | 0.725 (0.12) |
Susceptibility | |||||
I am more likely than others to get COVID-19 | 0.015 (5.92) | 0.018 (5.59) | 0.003 (8.99) | 0.002 (9.49) | 0.005 (7.73) |
Severity | |||||
I think COVID-19 is very serious | 0.380 (0.88) | 0.429 (0.62) | 0.036 (4.44) | 0.466 (0.52) | 0.030 (4.72) |
Epidemic exposure * | 0.001 (10.74) | 0.007 (7.36) | 0.018 (5.64) | 0.024 (5.10) | 0.022 (5.23) |
Variables | cOR | 95%CI | p-Value | AOR | 95%CI | p-Value |
---|---|---|---|---|---|---|
Depression | ||||||
I am well-informed about the causes of COVID-19 | ||||||
Not quite agree vs. Totally agree (reference) | 2.08 | 0.88–4.89 | 0.041 | 2.69 | 1.06–6.80 | 0.020 |
Epidemic exposure | ||||||
Yes vs. No (reference) | 2.45 | 1.42–4.24 | 0.001 | 2.26 | 1.27–4.02 | 0.006 |
Neurasthenia | ||||||
I am well-informed about the effectiveness of cure of COVID-19 | ||||||
Totally disagree vs. Totally agree (reference) | 7.81 | 2.57–23.74 | <0.001 | 9.59 | 2.29–32.54 | <0.001 |
Fear | ||||||
I am afraid of COVID-19 | ||||||
Totally agree vs. Totally disagree (reference) | 7.22 | 2.02–25.77 | <0.001 | 4.71 | 1.27–17.56 | <0.001 |
Anxiety | ||||||
I think COVID-19 is very prevalent where I live | ||||||
Totally agree vs. Totally disagree (reference) | 3.00 | 1.29–6.99 | 0.001 | 2.79 | 1.12–6.92 | 0.003 |
I am more likely than others to get COVID-19 | ||||||
Quite agree vs. Totally disagree (reference) | 5.26 | 1.83–15.11 | 0.002 | 8.54 | 2.60–28.06 | <0.001 |
I am well-informed about the causes of COVID-19 | ||||||
Totally disagree vs. Totally agree (reference) | 2.65 | 0.94–7.47 | 0.020 | 4.02 | 1.32–12.24 | 0.005 |
Hypochondria | ||||||
The outbreak is considered to be under effective control | ||||||
Totally disagree vs. Totally agree (reference) | 7.09 | 1.51–33.24 | 0.054 | 28.47 | 2.59–312.67 | 0.017 |
I am more likely than others to get COVID-19 | ||||||
Quite agree vs. Totally disagree (reference) | 5.42 | 1.49–19.69 | <0.001 | 4.81 | 1.70–13.58 | <0.001 |
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Lin, B.; Liu, J.; He, W.; Pan, H.; Zhong, X. Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China. Int. J. Environ. Res. Public Health 2023, 20, 1333. https://doi.org/10.3390/ijerph20021333
Lin B, Liu J, He W, Pan H, Zhong X. Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China. International Journal of Environmental Research and Public Health. 2023; 20(2):1333. https://doi.org/10.3390/ijerph20021333
Chicago/Turabian StyleLin, Bing, Jiaxiu Liu, Wei He, Haiying Pan, and Xiaoni Zhong. 2023. "Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China" International Journal of Environmental Research and Public Health 20, no. 2: 1333. https://doi.org/10.3390/ijerph20021333