哈尔滨市HIV阳性MSM生存质量和社会支持状况调查

发布时间：2019-04-13 12:15

【摘要】：目的了解哈尔滨市艾滋病病毒(HIV)阳性男男性行为人群(MSM)的生存质量和社会支持状况。方法对在哈尔滨市某综合医院就诊的HIV阳性MSM,采用WHOQOL-HIV-Brief生存质量简表及社会支持评定量表(SSRS)进行回顾性问卷调查,通过描述性分析方法了解哈尔滨市HIV阳性MSM的生存质量及社会支持状况。结果92例HIV阳性MSM中,年龄30岁者最多,占51.1%(47/92),以未婚者(68.5%,63/92)和城市户籍为主(56.5%,52/92),大学文化者占51.1%(47/92)。生存质量调查中:MSM年龄30岁、每月家庭收入3000元、受教育程度高、接受抗病毒治疗、CD+4T淋巴细胞计数350个/μL者,生存质量得分较高。社会支持状况调查中:MSM年龄30岁、已婚、城市户籍、受教育程度高、每月家庭收入3000元、有宗教信仰、周围人知道自己是HIV感染者及接受抗病毒治疗者,具有较高的社会支持得分。社会支持状况中的客观支持与生存质量中的社会关系领域相关性最高(r=0.40);主观支持与社会关系领域和环境领域相关性最高(r均为0.31);对社会支持的利用度与心理领域的相关系数最高(r=0.40)。典型相关分析结果显示:第一对典型变量中V1,主要由社会关系领域和环境领域决定,W1主要由对支持的利用度和客观支持所决定,可以解释原变量60%的信息。结论应加强HIV阳性MSM的社会支持力度以提高他们的生存质量,尤其是向该人群提供可利用的客观支持,并提高他们对这些客观支持的利用程度,对提高他们的生存质量具有重要意义。
[Abstract]:Objective to investigate the quality of life (QOL) and social support of (HIV)-positive men with (MSM) in Harbin. Methods A retrospective survey of HIV-positive MSM, in a general hospital in Harbin was conducted by using WHOQOL-HIV-Brief quality of life summary table and social support rating scale (SSRS). The quality of life and social support of HIV-positive MSM in Harbin were studied by descriptive analysis. Results among 92 cases of HIV positive MSM, 51.1% (47 / 92) were 30 years old, mainly unmarried (68.5%, 63 / 92) and urban domicile (56.5%, 52 / 92). College culture accounted for 51.1% (47 / 92). In the survey of quality of life (QOL), MSM was 30 years old, the family income was 3000 yuan per month, and the education level was high. The patients who received antiviral therapy and CD-4T lymphocyte count had a higher quality of life (QOL). In the social support survey: MSM is 30 years old, married, registered in the city, highly educated, has a monthly household income of 3000 yuan, has religious beliefs, and people around him know that they are infected with HIV and those who receive anti-viral treatment. Have a high score of social support. Objective support in social support status had the highest correlation with social relations field in quality of life (r = 0.40), subjective support had the highest correlation with social relations field and environment field (r = 0.31). The correlation coefficient between the utilization of social support and psychological field was the highest (r = 0.40). The results of canonical correlation analysis show that, in the first pair of typical variables, V1 is mainly determined by the domain of social relations and environment, and W1 is mainly determined by the utilization of support and objective support, which can explain 60% of the information of the original variable. Conclusion the social support of HIV-positive MSM should be strengthened in order to improve their quality of life, especially to provide the available objective support to the population, and to improve their utilization of these objective support. It is of great significance to improve their quality of life.
【作者单位】：吉林医药学院公共卫生学院流行病教研室;哈尔滨医科大学附属第四医院感染科;吉林医药学院药学院基础化学教研室;哈尔滨医科大学附属第三医院药学部;哈尔滨医科大学公共卫生学院流行病教研室;哈尔滨医科大学公共卫生学院卫生事业管理教研室;哈尔滨四合健康管理咨询有限公司;
【基金】：黑龙江省卫生计生委项目(2014-389)~~
【分类号】：R512.91

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