高校MSM人群HIV感染学生生存质量分析  

Quality of life among HIV-infected college students among men who have sex with men

作　　者：景正伟 宁艳[2] 常文辉[3] 周超[4] 任强[3] 董丽芳[3] 贾华[3] 许诗瑶 王志锋[1,5] JING Zhengwei;NING Yan;CHANG Wenhui;ZHOU Chao;REN Qiang;DONG Lifang;JIA Hua;XU Shiyao;WANG Zhifeng(School of Public Health,Peking University,Beijing 100191,China;Chinese Center for Health Education,Beijing 100011,China;Shaanxi Provincial Center for Disease Control and Prevention,Xi'an,Shaanxi 710054,China;Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;Center for Health Policy and Technology Assessment,Peking University Health Science Center,Beijing 100191,China)

机构地区：[1]北京大学公共卫生学院,北京100191 [2]中国健康教育中心,北京100011 [3]陕西省疾病预防控制中心,陕西西安710054 [4]重庆市疾病预防控制中心,重庆400042 [5]北京大学医学部卫生政策与技术评估中心,北京100191

出　　处：《预防医学》2023年第4期291-294,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：国家自然科学基金(71774004)。

摘　　要：目的了解高校男男性行为人群(MSM)艾滋病病毒(HIV)感染学生的生存质量并分析其影响因素,为提高该人群生存质量提供依据。方法采用方便抽样方法抽取陕西省、重庆市和广东省疾病预防控制中心随访管理的高校MSM人群HIV感染学生为调查对象。通过问卷调查收集人口学信息、艾滋病相关知识、态度和行为等资料;采用中文版世界卫生组织生存质量测定量表简表评价生理、心理、社会关系、环境4个领域和总体生存质量,并采用多重线性回归模型分析其影响因素。结果调查高校MSM人群HIV感染学生182例,其中陕西省、重庆市和广东省分别为39、48和95例;年龄M(Q_(R))为21(3)岁;本科及以上128例,占70.33%。总体生存质量评分为(15.54±2.61)分,生理、心理、社会关系和环境领域生存质量评分分别为(14.53±2.28)、(14.26±2.51)、(14.14±2.56)和(14.51±2.15)分。多重线性回归分析结果显示:艾滋病相关知识知晓率(β’=0.175)可影响总体生存质量;受教育程度(β’=0.188)和近6个月男性性伴数(β’=-0.161)可影响生理领域生存质量;对男男商业性行为态度(β’=0.149)可影响心理领域生存质量;调查地区(陕西:β’=-0.211;重庆:β’=-0.150)和艾滋病相关知识知晓率(β’=0.197)可影响环境领域生存质量。结论高校MSM人群HIV感染学生生存质量总体较好,地区、受教育程度、艾滋病相关知识知晓率、对男男商业性行为态度和男性性伴数是高校MSM人群HIV感染学生生存质量的主要影响因素。Objective To investigate the quality of life and its influencing factors among HIV-infected college students among men who have sex with men(MSM),so as to provide the evidence for improving the quality of life among HIV-infected MSM college students.Methods HIV-infected MSM college students were sampled from those with follow-up management by Shaanxi,Chongqing and Guangdong Centers for Disease Control and Prevention using a convenience sampling method,and participants'demographics,AIDS-related knowledge,attitude and practice were collected using questionnaire surveys.The scores for physical,psychological,social and environmental domains,and the overall quality of life were measured using the Chinese version of the World Health Organization Quality of Life-Brief(WHOQOL-BREF),and their influencing factors were identified using a multivariable linear regression model.Results Totally 182 HIV-infected MSM college students were enrolled,including 39 students from Shaanxi Province,48 students from Chongqing Municipality and 95 students from Guangdong Province.The participants had a median age of 21 years(in⁃terquartile range,3 years),and included 128 students with a degree of bachelor and above(70.33%).The score for the overall quality of life score was(15.54±2.61)points,and the scores for physical,psychological,social and environmental domains were(14.53±2.28),(14.26±2.51),(14.14±2.56)points and(14.51±2.15)points,respectively.Multivariable linear regression analysis showed that awareness of AIDS-related knowledge affected the overall quality of life(β'=0.175),edu⁃cational level(β'=0.188)and number of male sexual partners in the past six months(β'=-0.161)affected the quality of life in the physiological domain,attitudes towards commercial sexual behaviors between men and men affected the quali⁃ty of life in the psychological domain(β'=0.149),and the study area(Shaanxi:β'=-0.211;Chongqing:β'=-0.150)and awareness of AIDS-related knowledge(β'=0.197)affected the quality of life in the environmental domain.

关 键 词：男男性行为人群 艾滋病病毒 大学生 生存质量 

分 类 号：R512.91[医药卫生—内科学]