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目的 了解年轻男男性行为者(YMSM)焦虑、抑郁症状现状.方法 以四川省绵阳市15～24周岁男男性行为者为对象,用滚雪球抽样法进行招募调查和血清学检测.采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行焦虑、抑郁症状测评.结果 SAS、SDS分别测定356人、355人,SAS量表标准分总分平均(42.96±10.81)分,焦虑症状检出23.60%(84/356);SDS量表严重指数总分平均(0.46±0.12)分,抑郁症状检出40.00%(142/355),焦虑、抑郁共病率19.20%(67/349).不同抑郁症状检出程度HIV、梅毒感染率均差异均有统计学意义(P<0.05),随焦虑、抑郁程度上升HIV感染率上升趋势差异均有统计学意义(分别有趋势检验X2=6.614、7.701,P均<0.05).不同文化程度、职业、户籍焦虑症状检出,不同文化程度、职业、收入、性取向抑郁症状检出差异均有统计学意义(P<0.05).结论 YMSM焦虑、抑郁普遍存在,心理健康状况差,增加了HIV感染风险,应强化心理干预.“,”Objective To explore anxiety and depression symptoms among YMSM(young men who have sex with men).Methods The snowball sampling method was used to recruit YMSM aged 15-24 in Mianyang of Sichuan Province ,to perform investigation and serological testing.SAS(self-rating anxiety scale)and SDS(self-rating depression scale)were applied to measure anxiety and depression symptoms.Results SAS and SDS were used to determine 356 people and 355 people respectively,the total average score of SAS standard score was(42.96±10.81),the prevalence of anxiety was 23.60%(84/356);the total average score of SDS severity index was(0.46±0.12),the prevalence of depression was 40.00%(142/355),anxiety/depression infection was 19.20%(67/349).It showed statistically significant(P<0.05)on HIV and syphilis infection among different depression symptom,there was a statistically significant increase in the incidence of HIV infection with increased anxiety and depression(trend tests of X2 were 6.614 and 7.701 respectively,P<0.05).Statistically significant was found in education levels,occupations,checking out anxiety symptoms and education level,occupations,income,depression symptoms of sexual orientation(P<0.05).Conclusion Our study reveals that,because of anxiety depression is widespread and bad status of mental health,increase the risk of HIV infection,psychological intervention should be strengthened.