新确诊感染HIV的中青年男男同性性行为人群压力现状及影响因素研究  

Factors associated with the HIV-related stress experienced by young-middle aged men who have sex with men with newly confirmed HIV infection and related factors

作　　者：李潇[1] 韩晶[2] 王克荣[2] 史君洁 刘宇[1] LI Xiao;HAN Jing;WANG Ke-rong;SHI Jun-jie;LIU Yu(Beijing University of Chinese Medicine,Beijing 100029,China;不详)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京地坛医院

出　　处：《中国预防医学杂志》2021年第7期538-543,共6页Chinese Preventive Medicine

基　　金：社会组织参与艾滋病防治项目(2019-2020110105NGOPLWH003253,2021-2022110105NGOPLWH106856)。

摘　　要：目的了解新确诊感染人类免疫缺陷病毒(human immunodeficiency virus, HIV)的中青年男男同性性行为人群(men who have sex with men, MSM)压力现状,并探讨其影响因素。方法采用便利抽样法选取新确诊感染HIV的中青年MSM,采用HIV/AIDS压力评量表对感染者压力水平进行测评,采用一般情况调查表、艾滋病相关知识问卷、社会支持量表、医学应对方式量表、Berger艾滋病感知歧视量表、慢性病自我效能量表收集可能影响中青年MSM中HIV感染者/AIDS患者压力的社会心理因素,并利用多元回归方程等探讨这些因素与HIV/AIDS压力之间的关系。结果新确诊HIV阳性的中青年MSM压力得分为24.00(13.00~35.00)分,社会压力为其主要的压力源;影响新确诊HIV阳性中青年MSM压力水平的主要因素有饮酒频率(t=2.102,P=0.036)、HIV相关临床症状(t=2.889,P=0.004)、屈服(t=10.717,P=0.000)和回避(t=2.900,P=0.004)、自我效能(t=-3.233,P=0.001)及社会支持(t=-2.889,P=0.004)。结论新确诊感染HIV的中青年MSM普遍面临着HIV相关压力,社会组织及医务工作者应采取针对性的措施,缓解其压力水平。Objective To understand the status of HIV-related stress experienced by young-middle aged men who have sex with men(MSM) with newly diagnosed HIV/AIDS, and to discuss the related factors. Methods The convenience sampling method was used to recruit 289 young-middle aged MSM with newly diagnosed HIV/AIDS and HIV-related stress was assessed using HIV/AIDS stress scale(SS-HIV).Factors related to the stress were analyzed based on the information collected in a questionnaire survey using HIV/AIDS knowledge scale, social support rating scale(SSRS), medical coping modes questionnaire(MCMQ), Berger HIV stigma scale(BHSS) and self-efficacy for managing chronic disease(SMCD). Results The overall score of HIV-related stress of young and middle-aged MSM with newly diagnosed HIV/AIDS was 24.00( P;=13.00,P;=35.00), and social stress was the predominant source of stress.The major factors related to the stress were drinking frequency(t=2.102,P=0.036), HIV related clinical symptoms(t=2.889,P=0.004), surrender(t=10.717, P=0.000)and avoidance(t=2.900,P=0.004), self-efficacy(t=-3.233,P=0.001) and social support(t=-2.889,P=0.004). Conclusions Young and middle-aged MSM with newly diagnosed HIV/AIDS usually face HIV-related stress, especially social stress.Relevant social organizations and health providers should help to alleviate their pressure level.

关 键 词：获得性免疫缺陷综合征 人类免疫缺陷病毒 男男同性性行为人群 压力 

分 类 号：R512.91[医药卫生—内科学]