男男性行为人群生存质量及影响因素分析  

Analysis of quality of life and its influencing factors among MSM

作　　者：陈江鹏[1] 王宏[1] 廖紫珺 韩明明[1] 刘靓[1] 熊伟翔[2] 

机构地区：[1]重庆医科大学公共卫生与管理学院妇幼与儿童少年卫生学教研室,重庆400016 [2]重庆蓝宇工作组

出　　处：《卫生研究》2014年第1期54-57,共4页Journal of Hygiene Research

基　　金：重庆市全球基金艾滋病项目社区组织项目(No.2012-29)

摘　　要：目的了解重庆市男男性行为者(MSM)的生存质量现状,并分析相关影响因素。方法采用"滚雪球"抽样和网络调查相结合的方法,抽取重庆市共803名MSM,使用世界卫生组织生存质量测定量表简表(WHOQOL-BREF)、社会支持评定量表(SSRS)对MSM进行匿名自填式问卷调查。结果 MSM生理领域、心理领域、社会关系领域、环境领域和生存质量总得分分别为(14.03±2.14)、(13.38±2.44)、(13.45±2.88)、(12.52±2.48)和(13.29±2.05)。除环境领域外,MSM其他各领域的生存质量得分均低于国内普通人群(P<0.05)。MSM的社会支持各因素与生存质量各领域均呈正相关(P<0.05)。多因素逐步回归分析表明,月收入/生活费及社会支持总分与研究人群生存质量各领域均有关系,安全套使用频率、客观支持、对支持的利用度、有无固定性伴侣、圈内朋友个数、是否是独生子女、籍贯、职业、是否了解艾滋病自愿咨询检测(VCT)服务等因素则对个别领域有影响。结论根据不同人口学特征,对MSM进行艾滋病健康教育的同时加强心理干预有利于提高MSM的生存质量。Objective To investigate the quality of life （QOL） and its influencing factors among men who have sex with men（MSM）in Chongqing city. Methods Snowball sampling and internet investigation techniques were applied to recruit MSM and 803 MSM in Chongqing were collected. The WHOQOL-BREF and SSRS questionnaire were used among MSM. Results Scores of the physiological domain, psychological domain, social relation domain, environmental domain and total score of QOL were （ 14.03 -＋ 2.14） , （13.38 ＋2.44）,（13.45＋2.88）, （12.52 _＋2.48） and （13.29 ＋2.05）,respectively. Except for the environmental domain, scores of other domains of MSM were lower than that of common residents. The factors of social support and the domains of the quality of life were positive correlation. The multivariate analysis indicated that the main factors involved in influenced the QOL of the MSM were monthly income and scores of total social support. Frequency of condom, objective support, presence of regular homo-sex partners, the number of friends in gay circles, presence of regular sexual partner, the situation of only child,utilization of support, profession, knowing the VCT or not, native place had impacts on a few domains of the QOL. Conclusion According to different demographic characteristics, and combining HIV health education and psychological intervention is helpful to improve the quality of life among MSM.

关 键 词：男男性行为者 生存质量 影响因素 

分 类 号：R167[医药卫生—公共卫生与预防医学] R181.22