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 alpha>0.8)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。
Objective To understand the impact of psychosocial factors on safer sex of men who have sex with men （MSM）, effective psycho-social scales need to be tested in the China context and then identify the possible pre- dictors of preventive behaviors of MSM in China. Methods A respondent-driven sampling （RDS） method was used for 500 participants recruited in Beijing. Cronbach＇s alpha value was calculated for scale reliability test. Univariate and multivariate logistic regression models were performed to identify the predictors of safer sex, as well test the va- lidity of the scale. Results Both scales of condom social norms and attitudes and perceptions toward safer sex had good reliability （Cronbach＇s alpha above 0.8） and validity by univariate analysis aside from the ＂stigma and discrim- ination＂ scale, for consistent condom use, higher score of attitude and perception on safer sex （aOR ~ 3.64）, hav- ing medical insurance （aOR = 1.87）, having casual sex partner （aOR = 2.43）, seeking sex partners via Internet （aOR = 1.69）were more likely taking safer sex behaviors according to multi-variate logistic regression analysis. While being married with a woman （aOR =0.29）, and drinking alcohol before sex （aOR=0.45）were less likely to using condoms consistently. Conclusion Both scales of condom social norms and attitudes and perceptions toward safer sex scales have been proven with good reliability and validity targeting China MSM. Stigma and discrimination,and especially equity section, needs to be adapted to China context. Alcohol use before sex compromised consistent condom use and which reminded us that so- cial networking venues should be targeted places for in- tervention service delivery to increase the effectiveness of the intervention efforts.
出处
《中国艾滋病性病》
CAS
北大核心
2015年第6期505-508,共4页
Chinese Journal of Aids & STD
基金
美国国立卫生研究院(NIH)基金项目(1R01AI078933-01)~~
