Open AccessSocial support and depressive symptoms among 'money' boys and general men who have sex with men in Shanghai, China
Author(s) -
Yan Hong,
Frank Y. Wong,
Tony Zheng,
Ning Zhang,
Yingying Ding,
Eric J. Nehl,
Lavinia Lin,
Na He
Publication year - 2014
Publication title -
sexual health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.117
H-Index - 43
eISSN - 1449-8987
pISSN - 1448-5028
DOI - 10.1071/sh14017
Subject(s) - medicine , odds ratio , social support , confidence interval , demography , men who have sex with men , depression (economics) , epidemiology , population , center for epidemiologic studies depression scale , psychiatry , gerontology , psychology , depressive symptoms , syphilis , human immunodeficiency virus (hiv) , anxiety , environmental health , family medicine , social psychology , sociology , economics , macroeconomics
The primary objective was to examine prevalence and correlates of social support and depressive symptoms among male sex workers (known as 'money boys' (MBs)) and general men who have sex with men (MSM) in Shanghai. The Social Provision Scale (SPS), which consists of 24 items, scored out of 4 for social provision, was used to evaluate the functions of social relationships. The score for each item ranges from 1 to 4, with a higher score indicating more social provision. The overall mean SPS score was 68.1 (s.d.=6.53) for MBs and 69.3 (s.d.=6.99) for general MSM. Depression was measured with a 12-item version of the Center for Epidemiological Studies Depression Scale (CES-D), where a score of 9 has been recommended as the cutoff score to indicate possible depressive symptoms. The prevalence of depressive symptoms was 57.9%, with MBs having a higher level of depressive symptoms than general MSM (70.0% v. 46.1%) (odds ratio=1.86, 95% confidence interval=1.07-3.24). Social support was a protective factor for depressive symptoms (odds ratio=0.92, 95% confidence interval=0.89-0.96). MSM in China, particularly MBs, are vulnerable to low social support and high depressive symptoms, highlighting the need for tailored psychological programs targeting this population.