辽宁省MSM的社会支持现状分析

发布时间：2018-06-23 11:37

本文选题：男男性行为人群 + 同伴推动抽样法　；参考：《中国艾滋病性病》2015年11期

【摘要】：目的分析男男性行为人群(MSM)的社会支持现状,提高MSM的生活质量,并有效预防艾滋病病毒(HIV)感染。方法采用同伴推动抽样方法(RDS),于2008年4-9月,在沈阳、丹东、鞍山、本溪抽取807名年龄在18~70岁的MSM,采用社会支持量表对其进行社会支持状况评定,并对其人口学信息、性行为等进行问卷调查。采用RDS专用软件加权后进行t检验、单因素方差分析、分层线性回归分析。结果 MSM的社会支持评定量表总分为(33.31±7.33)分,其中客观支持(6.90±2.89)分,主观支持(19.42±4.81)分,支持利用度(7.06±1.93)分。总分随年龄增加而降低,随受教育程度及收入降低而降低。离异(28.44±6.74)分、在酒吧活动(31.24±7.11)分及患有精神障碍者总分低。多元分层回归分析显示:患精神障碍者与SSRS总分之间存在显著的负向影响作用(P0.001),解释力增加最多(14.20%);双性恋及未确定性取向者与SSRS总分之间存在显著的正向影响作用(P0.05),解释力增加12.38%。结论辽宁省MSM的社会支持情况略低,客观支持低。MSM隐匿的轻型精神障碍的控制应作为提高该人群社会支持度的重点。
[Abstract]:Objective to analyze the status of social support in MSM, improve the quality of life and prevent HIV infection. Methods from April to September 2008, 807 MSMs aged 1870 years in Shenyang, Dandong, Anshan and Benxi were selected by peer driven sampling (RDS), and their social support status was evaluated by social support scale, and their demographic information was evaluated. A questionnaire survey was conducted on sexual behavior. T test, single factor analysis of variance and hierarchical linear regression analysis were carried out by weighted RDS software. Results the total score of MSM was (33.31 卤7.33), including objective support (6.90 卤2.89), subjective support (19.42 卤4.81) and support utilization (7.06 卤1.93). The total score decreased with age, education and income. The scores of divorce (28.44 卤6.74), bar activities (31.24 卤7.11) and people with mental disorders were low. Multiple stratified regression analysis showed that there was a significant negative effect between the patients with mental disorders and the total score of SSRS (P0.001), with the greatest increase in explanatory power (14.20%), and there was a significant positive effect between bisexual and uncertain sexual orientation and the total score of SSRS. With (P0.05), the explanatory power increased 12.38%. Conclusion the social support of MSM in Liaoning Province is slightly lower, and the control of mild mental disorder with low objective support should be taken as the key point to improve the social support degree of this population.
【作者单位】：辽宁省疾病预防控制中心;鞍山市疾病预防控制中心;丹东市疾病预防控制中心;沈阳市疾病预防控制中心;本溪市疾病预防控制中心;
【基金】：辽宁省科技厅重点项目(2004225001)~~
【分类号】：R512.91

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