南宁市MSM人群拥有同性固定性伴的影响因素及心理特征分析用

发布时间：2018-05-19 08:07

本文选题：男男性行为 + 同性固定性伴　；参考：《广西医科大学》2017年硕士论文

【摘要】：背景及目的在中国,艾滋病(AIDS)己进入快速增长期,且流行形势日趋严峻。近年来我国由男男同性性行为引起的艾滋病传播和感染的人数比例上升明显,男性性行为人群(Men who have sex with men,MSM)中艾滋病呈高水平流行趋势。MSM多性伴现象普遍,性行为方式多样,安全套使用率低,是HIV感染和传播的重点人群。随着社会文化多元发展,国内社会对同性恋包容性有所增加,越来越多的MSM开始追求个人情感上的满足,男性固定伴侣逐渐成为MSM人群崇尚的亚文化。同性固定性伴对减少MSM性伴数量、偶然性行为,预防控制HIV在男男性行为人群中流行具有重要作用。MSM人群由于同性性取向和艾滋病感染高风险等多种因素长期不被社会所接受,较普通人承受更大的来自周围环境的歧视和压力,该人群的心理健康问题尤为突出。为了解MSM人群拥有男性固定性伴现状,分析MSM确定固定性伴关系的影响因素,探讨该人群拥有男性固定性伴与其心理健康状况间的关系,本研究在南宁市进行了相关调查。方法本研究采用横断面调查的方法,通过“滚雪球”等方式在广西南宁市招募年龄在16岁及以上、近6个月有过男男性行为的445名MSM,对研究对象进行匿名问卷调查,获得有效答卷440份。问卷的主要内容包括一般人口学特征、性行为特征、接受艾滋病干预服务情况、心理状况等。使用抑郁自评量表、焦虑自评量表、生活满意度量表对MSM心理状况进行调查。将研究对象分成拥有男性固定性伴和无固定性伴两组,调查南宁市MSM人群拥有男性固定性伴现状并探讨其影响因素,分析该人群的心理特征(包括抑郁症状、焦虑症状、生活满意度)。应用SPSS22.0软件进行卡方检验、t检验及多因素Logistic回归分析处理资料。结果本次招募的调查对象中拥有男性固定性伴的比例为35.7%(157/440),无男性固定性伴比例占64.3%(283/440)。年龄范围在16-48岁之间,平均年龄为(23.12±5.76)岁,年龄在35岁以下的占83.2%(366/440),67.3%(296/440)为大专及以上文化程度,职业为非体力劳动者的比例为49.7%(219/440),未婚者占44.5%(196/440),在本市居住一年以上的比例为61.4%(270/440),自认为是同性性取向者占52.5%(231/440)。单因素分析结果显示与调查对象拥有男性固定性伴的相关因素(P0.05)包括年龄、婚姻状况、个人月收入、本市居住时间、首次男男性行为年龄、首次男男性行为至今时间、HIV抗体检测状况、有过同性性行为的网友数量、加入男同交友软件聊天群状况、接受艾滋病干预措施情况、最后一次接受干预措施至今时间、最近1年独居状况。多因素Logistic回归分析结果表明,在本市居住时间≥1年(OR=2.35,95%CI=1.56~3.81),首次男男性行为至今≥3年(OR=2.86,95%CI=1.32~6.23),近一年独居(OR=5.87,95%CI=3.80~9.06),个人月收入≥3000元(OR=3.24,95%CI=1.15~5.62)使MSM拥有固定性伴的可能性增加;有过同性性行为的网友数量≥10(OR=0.28,95%CI=0.15~0.58),加入男同qq/微信/blue等同伴聊天群(OR=0.08,95%CI=0.04~0.16)降低MSM确定固定性伴的可能性。对MSM心理健康状况的调查发现,43.5%(185/435)的调查对象存在抑郁症状,37.0%(158/427)存在焦虑症状;无男性固定性伴的调查对象出现抑郁、焦虑的症状比例(47.5%、42.2%)均高于拥有男性固定性伴者(分别为33.5%、27.3%),差异均具有统计学意义(P0.05);拥有男性固定性伴的调查对象SDS标准得分(38.71士15.45)低于无男性固定性伴者(45.72士15.07),生活满意度评分(14.44士4.49)高于无男性固定性伴者(12.77士4.82),差异均具有统计学意义(P0.05)。结论本次调查发现南宁市MSM拥有男性固定性伴的比例为35.7%。本市居住时间、首次男男性行为至今时间、有过同性性行为的网友数量、加入男同交友软件聊天群状况、近一年独居状况、月收入是MSM拥有男性固定性伴的影响因素。今后应注重对影响MSM确定固定性伴的因素进行探讨,采取针对性的干预措施促进MSM伴侣关系的的稳定,减少艾滋病高危行为的发生。MSM人群存在不良心理的现象较为普遍,其中拥有男性固定性伴的MSM出现抑郁、焦虑症状比例较无男性固定性伴者少并且对生活的满意程度更高,需加强对没有固定性伴的MSM的社会和心理支持,同时创造对MSM宽容的社会环境,增加MSM发展固定伴侣关系的机会。
[Abstract]:Background and purpose in China, AIDS (AIDS) has entered a rapid growth period, and the epidemic situation is becoming increasingly severe. In recent years, the proportion of AIDS transmission and infection caused by male sex behavior in our country has risen obviously. The high prevalence trend of AIDS in the male sex population (Men who have sex with men, MSM) is a high prevalence trend of.MSM multiple partners. It is common, the diversity of sexual behavior and low use of condoms is the key population of HIV infection and transmission. With the development of social and cultural diversity, homosexual inclusiveness has increased in domestic society, and more and more MSM began to pursue personal emotional satisfaction. The male fixed partner gradually became the subculture of the MSM crowd. The importance of reducing the number of MSM sexual partners, incidental behavior, prevention and control of the prevalence of HIV in men's men's behavior, the.MSM population is not accepted by the society for a long time because of homosexual sexual orientation and high risk of AIDS infection, and the general people are subjected to more discrimination and pressure from the surrounding environment. In order to understand the current status of the MSM population with male fixed partners, the factors affecting the determination of the fixed partner relationship by MSM were analyzed, and the relationship between the male fixed partner and the mental health status of the population was discussed. The study was conducted in Nanning. In Nanning, Guangxi, we recruited 445 MSM aged 16 and above and had male male behavior in the last 6 months. An anonymous questionnaire survey was conducted to obtain 440 valid answers. The main contents of the questionnaire included general demographic characteristics, sexual behavior characteristics, acceptance of AIDS intervention services, psychological status, and so on. The psychological status of MSM was investigated by self rating Anxiety Scale and life satisfaction scale. The subjects were divided into two groups of male fixed partners and unfixed partners. The status of male fixed partners in Nanning MSM was investigated and its influencing factors were investigated. The psychological characteristics of the population (including depressive symptoms, anxiety symptoms and life) were analyzed. SPSS22.0 software was used for chi square test, t test and multiple factor Logistic regression analysis. Results the proportion of male fixed partners was 35.7% (157/440), 64.3% (283/440), the age range was between 16-48 years, and the average age was (23.12 + 5.76) years. The age under 35 years was 83.2% (366/440), 67.3% (296/440) was college and above, the proportion of non manual workers was 49.7% (219/440), unmarried persons accounted for 44.5% (196/440), and the proportion of people living in this city was 61.4% (270/440) for more than one year, and 52.5% (231/440). Related factors (P0.05) including age, marital status, personal monthly income, the city residence time, the first male male behavior age, the first male male behavior age, the first male male behavior time, the HIV antibody test status, the number of netizens with the same sex sex, the status of the male and the same friend software chat group, and the AIDS intervention. Measures, the last time for the intervention, the last 1 years of living alone. The results of multiple factor Logistic regression analysis showed that the residence time in this city was more than 1 years (OR=2.35,95%CI=1.56~3.81), the first male male behavior was more than 3 years (OR=2.86,95%CI=1.32~6.23), only one year alone (OR=5.87,95%CI=3.80~9.06), and the individual monthly income was more than 3000. The possibility of OR=3.24,95%CI=1.15~5.62 to make MSM have a fixed partner increased; the number of netizens with sex sex was more than 10 (OR=0.28,95%CI=0.15~0.58), and the same qq/ WeChat /blue and other peer chat groups (OR=0.08,95%CI=0.04~0.16) reduced the possibility of MSM determination of fixed partners. A survey of the mental health of MSM found that 43.5% (185/43) 5) the subjects were depressive symptoms and 37% (158/427) had anxiety symptoms; the subjects without male fixed partners had depression, and the proportion of anxiety symptoms (47.5%, 42.2%) were higher than those with male fixed partners (33.5%, 27.3% respectively), and the difference had the significance of unified planning (P0.05); the SDS standard for the investigation of male fixed partners The scores (38.71 men and 15.45) were lower than those without male fixer (45.72 and 15.07), and the life satisfaction score (14.44) was higher than those without male fixer (12.77. 4.82). The difference was statistically significant (P0.05). Conclusion this survey found that the proportion of MSM with male sex partners in Nanning was 35.7%. city residence time, the first male male So far, the number of netizens who have sex sex, the status of the chat group of male and female friends, the status of living alone in the last year, the monthly income is the influence factor of MSM with male fixed partners. In the future, we should pay attention to the factors affecting the determination of the fixed partner of MSM, and take the targeted intervention measures to promote the MSM partner relationship. Stability, reducing the incidence of high risk behavior of AIDS in the.MSM population is more common, in which the MSM of male fixed partner has depression, the proportion of anxiety symptoms is less than that of no male fixer, and the satisfaction of life is higher. It is necessary to strengthen the social and psychological support for the MSM without a fixed partner, at the same time Create a tolerant social environment for MSM and increase MSM's chances of developing a fixed partnership.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R512.91

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