MSM相关心理社会因素对安全性行为影响的探讨

发布时间：2018-12-13 09:13

【摘要】：目的了解男男性行为人群(MSM)的相关心理社会因素,对安全性行为的影响,测试适应中国环境下针对MSM的心理社会量表的有效性。方法采用同伴驱动调查的方法,在北京调查了500名MSM,运用Cronbach’s’alpha值确定了量表的信度;通过单变量和多变量Logistic回归,分析了心理社会量表有关得分与安全性行为的关系,检验了量表的效度;探讨了对安全性行为有影响的社会人口学以及心理社会学因素。结果除了耻辱和歧视量表外,单变量分析安全套社会规范和对安全性行为的态度和感知评分量表有很好的信度(Cronbach’s alpha0.8)和效度。多变量分析显示,对安全性行为的态度和感知评分高者[调整比值比(aOR)=3.64]和有医保者(aOR=1.87)、与临时性伴发生性行为者(aOR=2.43)及从互联网上寻求性伴者,更能坚持使用安全套(aOR=1.69);而已婚者(aOR=0.29)、发生性关系前饮酒者(aOR=0.45)不容易坚持使用安全套。结论安全套使用社会规范量表和对安全性行为的态度和感知评分量表,在中国MSM中有良好的信度和效度,但是耻辱与歧视部分需要根据中国的社会文化进行改进。性关系前饮酒对坚持使用安全套有负面影响,提示今后需要加强预防HIV经性传播干预设计的针对性。
[Abstract]:Objective to investigate the psychosocial factors related to (MSM) in men who have sex with men and their influence on safe sex, and to test the effectiveness of the psychosocial scale for MSM in Chinese environment. Methods A peer-driven survey was conducted in 500 MSM, patients in Beijing to determine the reliability of the scale by using the Cronbach's'alpha value. Through univariate and multivariate Logistic regression, this paper analyzed the relationship between the scores of psycho-social scale and safe behavior, tested the validity of the scale, and discussed the social demographics and psycho-sociological factors that have influence on safe behavior. Results in addition to stigma and discrimination scale, univariate analysis of condom social norms and attitude and perception of safe sex rating scale has a good reliability (Cronbach's alpha0.8) and validity. Multivariate analysis showed that people with high scores of attitude and perception about safe sex [adjustment ratio: (aOR) = 3. 64] and insured persons (aOR=1.87), those who had sex with temporary partners (aOR=2.43) and those who sought sexual partners from the Internet, More consistent use of condoms (aOR=1.69); Married people (aOR=0.29), sexual relations before drinking (aOR=0.45) is not easy to adhere to condom use. Conclusion the social norm scale for condom use and the score scale for attitude and perception of safe sex have good reliability and validity in Chinese MSM, but the stigma and discrimination should be improved according to Chinese social culture. Alcohol consumption before sexual relations had a negative effect on condom use, suggesting that the prevention of HIV through sexual transmission intervention design should be strengthened in the future.
【作者单位】：中国疾病预防控制中心性病艾滋病预防控制中心;泸州医学院循证医学中心;国家传染病重点实验室;
【基金】：美国国立卫生研究院(NIH)基金项目(1R01AI078933-01)~~
【分类号】：R512.91

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