上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

上海社区男性生殖健康与焦虑抑郁关系的调查分析

朱艳雯1,高华1,李青1,田琦1,王文静1,洪祖蓓1,陈斌2,王鸿祥2,黄燕平2,狄文1   

  1. 上海交通大学 医学院附属仁济医院 1.妇产科， 上海市妇科肿瘤重点实验室, 2.泌尿科， 上海 200127
  • 出版日期:2016-05-28 发布日期:2016-05-26
  • 通讯作者: 狄文, 电子信箱: diwen163@163.com。
  • 作者简介: 朱艳雯（1990—）， 女， 博士生; 电子信箱: carolinepbl@163.com。
  • 基金资助:

    上海市卫生和计划生育委员会（2013-KJ-03）; 公共卫生三年行动计划重点学科—妇产科学（15GWZK0701）

Investigation and analysis of correlation between male reproductive health and anxiety and depression in Shanghai communities

ZHU Yan-wen1, GAO Hua1, LI Qing1, TIAN Qi1, WANG Wen-jing1, HONG Zu-bei1, CHEN bin2, WANG Hong-xiang2, HUANG Yan-ping2, DI Wen1   

  1. 1.Department of Obstetrics and Gynecology, Shanghai Key Laboratory of Gynecologic Oncology, 2.Department of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2016-05-28 Published:2016-05-26
  • Supported by:

    Shanghai Municipal Commission of Health and Family Planning, 2013-KJ-03; Key Subjects of Action Plan for Public Health in Three Years—Obstetrics and Gynecology, 15GWZK0701

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摘要：

目的 了解上海社区20~85岁男性的生殖健康（更年期症状、前列腺症状和性功能）与焦虑抑郁的关系。方法 采用多阶段整群随机抽样法，2013年11月—2014年1月在上海市黄浦区、嘉定区、普陀区、浦东新区抽取的29个街道中共抽取1 366名符合入选条件的调查对象，采用中国中老年男性筛查迟发型性腺功能减退症推荐调查表（SILOH）、老年男子症状问卷（AMS）、国际前列腺症状评分表（IPSS）、慢性前列腺炎症状评分表（NIH-CPSI）、国际勃起功能指数-5表（IIEF-5）、早泄诊断工具（PEDT）、中国早泄患者性功能评价表（CIPE-5）、焦虑自评量表（SAS）和抑郁自评量表（SDS）分别调查男性更年期症状、前列腺症状、性功能和心理健康情况。其中大于40岁者填写SILOH和AMS。分析各种男性生殖健康症状和焦虑抑郁的关系。结果 SAS（或SDS）阳性组与SAS（或SDS）正常组比较，SILOH、AMS、IPSS、NIH-CPSI、IIEF-5、PEDT和CIPE-5各表的得分较差，且各男性生殖问题阳性率较高，差异具有统计学意义。SILOH、AMS、IPSS、NIH-CPSI、IIEF-5、PEDT和CIPE-5各表阳性组与阴性组比较， SAS和SDS的得分较差，且焦虑抑郁的阳性率较高，差异具有统计学意义。结论 男性生殖健康状况与焦虑抑郁等心理问题相互影响。焦虑抑郁加重男性生殖健康状况；生殖健康状况出现问题，易造成焦虑抑郁。

关键词: 生殖健康, 男性, 焦虑, 抑郁, 问卷调查, 社区

Abstract:

Objective To investigate the correlation between reproductive health (climacteric symptoms, prostate symptoms, and sexual function) and anxiety and depression in males aged 20-85 years in Shanghai communities. Methods The multi-stage cluster random sampling was used and 1 366 eligible respondents were randomly enrolled during Nov. 2013 to Jan. 2014 from 29 sub-districts in Huangpu District, Jiading District, Putuo District, and PuDong New District in Shanghai. Symptomatic Inventory for Screening Late Onset Hypogonadism in Males (SILOH), Aging Male Symptoms Scale (AMS), International Prostate Symptom Score (IPSS), National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), International Index of Erectile Function-5 (IIEF-5), Premature Ejaculation Diagnostic Tool (PEDT), Chinese Index of Sexual Function for Premature Ejaculation-5 (CIPE-5), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale(SDS) were used to investigate climacteric symptoms, prostate symptoms, sexual function, and mental health. Those over 40 years old were surveyed with SILOH and AMS. The correlation between male reproductive health and anxiety and depression was analyzed.  Results Compared with the normal SAS(or SDS) group, scores of SILOH, AMS, IPSS, NIH-CPSI, IIEF-5, PEDT, and CIPE-5 in the SAS(or SDS) positive group were less satisfactory and the positive rate of male reproductive problems was higher. The differences were statistically significant. The positive groups in SILOH, AMS, IPSS, NIH-CPSI, IIEF-5, PEDT, and CIPE-5 had less satisfactory scores of SAS and SDS and higher positive rate of anxiety and depression as compared with the negative groups. The differences were statistically significant. Conclusion Male reproductive health interacts with mental problems such as anxiety and depression, which results in worse male reproductive health, while reproductive health problems are apt to cause anxiety and depression.

Key words: reproductive health, male, anxiety, depression;questionnaire, commnunity