男男性行为者自杀行为相关危险因素Logistic分析  

LOGISTIC ANALYSIS FOR RELATIVELY RISKY FACTORS OF SUICIDAL BEHAVIORS OF MSM

作　　者：王毅[1] 张洪波[2] 徐杰[3] 李志军 张光贵 杨宏武[1] 樊静[6] 

机构地区：[1]绵阳市疾病预防控制中心,绵阳621000 [2]安徽医科大学公共卫生学院 [3]中国疾病预防控制中心性病艾滋病控制中心 [4]美国CDC全球艾滋病项目中国办事处 [5]绵阳市卫生局 [6]绵阳同志关爱小组

出　　处：《现代预防医学》2011年第12期2220-2223,共4页Modern Preventive Medicine

基　　金：卫生部艾滋病防治应用性研究项目资助(WA2005-04)

摘　　要：[目的]了解男男性行为者(MSM)人群自杀行为及相关危险因素。[方法]采用应答者趋动招募抽样法(RDS)对MSM人群进行招募和自填式匿名调查,用非条件Logistic回归分析进行影响自杀行为的危险因素分析。[结果]共调查201人,最近6个月自杀意念、自杀计划、自杀未遂报告率分别为9%、4.5%、3.5%。单因素Logistic回归分析,影响自杀行为的危险因素分别为:自杀意念13个、自杀计划11个、自杀未遂7个。多因素分析,自杀意念主要危险因素是因同性恋被家人训斥、肯定有抑郁症状、BF性伙伴数多、接受过HIV检测、认为同性恋伤害家庭;自杀计划主要危险因素是因同性恋被家人训斥、肯定有抑郁症状、文化程度低;自杀未遂的主要危险因素是经常参加MSM朋友的家庭聚会、因同性恋被家人训斥、文化程度低。[结论]减少社会家庭歧视,针对性开展心理疏导,可降低MSM人群自杀行为发生。[Objective]To learn MSM group about suicidal behavior and relatively risky factors.[Methods]Research Development and Statistics（RDS）was used to recruit and self-administered-anonymous investigate MSM group.Unconditioned Logistic regression analysis was used to analyze risky factors influencing suicidal behaviors.[Results]We investigated a total of 201 cases for the last 6 months,the rate of suicidal ideation was reported of 9%,the suicidal plan reported the rate of 4.5% and suicide attempted reported the rate of 3.5%.For logistic regression analysis of single factor,the risky factors influencing suicidal behaviors were 13 for suicidal ideation,11 for suicidal plan and 7 for suicide attempted.For analysis of multi-factors,the reasons for the main risky factors of suicidal ideation were rebuked by families for homosexuality,certainly having depressive symptoms,several of BF partners,having been received HIV test,considering homosexuality harming the families.The reason for the main factors of suicidal plan were rebuked by families,certainly having depressive symptoms and lower level of education.The main risky factors of suicide attempted were frequently participating in family party of MSM friends,and rebuked by families for homosexuality and low level of education.[Conclusion]To reduce family and social discrimination and targeted to develop psychological counseling,can reduce suicidal behaviors of MSM group.

关 键 词：男男性行为者 自杀行为 危险因素 LOGISTIC分析 

分 类 号：R181.23[医药卫生—流行病学]