摘要
目的为了了解男男性行为者(men who have sex with men,MSM)人群中曾受过同伴教育的比例及其影响因素。方法采用自制的结构性问卷收集MSM社会人口学特征、行为因素、社会支持、自评焦虑与抑郁得分及是否接受过同伴教育。采用单因素与多因素Logistic回归分析分析同伴教育的影响因素。结果研究对象的年龄为(32.5±9.2)岁,社会支持的总得分为(25.75±3.87)。其中客观支持得分为(5.88±2.47);主观支持得分为(14.11±2.45);对社会支持利用度得分为(5.76±1.75)。35.0%的MSM未接受过同伴教育。多因素Logistic分析结果显示:相对于18~25岁,26~35岁的MSM更愿意接受同伴教育(OR=0.51,95%CI=0.30~0.84,P=0.009),36~67岁的MSM也较18~25岁组更愿意接受同伴教育(OR=0.38,95%CI=0.22~0.68,P=0.001)。相对本地居住时间2年或以下,2年以上的MSM更不愿意接受同伴教育(OR=2.18,95%CI=1.01~4.69,P=0.046)。相对于分数31~56,得分57~65的MSM更不愿意接受同伴教育(OR=2.44,95%CI=1.22~4.90,P=0.012)。社会支持中的客观支持对MSM未接受同伴教育的影响无统计学意义(X^2=3.53,P=0.060)。结论应加强MSM人群心理健康状态来改善同伴教育状况,从而使MSM人群更好地远离人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染。
Objective To understand the prevalence of utilization of peer education and the correlates of peer education among MSM. Methods Structured questionnaire was used to collect data such as demographic characteristics,behavior factors,self-rating anxiety score,self-rating depression score and peer education. Univariate and multivariate Logistic analyses were used to determine the correlates of peer education. Results The age was（ 32. 5 ± 9. 2） years old. The score of social support was（ 25. 75 ± 3. 87）. 35. 0% of participants never utilized peer education. Self-rating anxiety score was positively associated with never utilized peer education（ OR = 2. 44,95% CI = 1. 22-4. 90,P = 0. 012）. Age was negatively connected with never utilized peer education. Regarding aged 18-25 group as reference,the OR value of aged 26-35 years old and aged 36-67 years old was 0. 51 and 0. 38,respectively. Resident time was positively linked to never utilized peer education. Other factors didn＇t influence peer education（ OR = 2. 18,95% CI = 1. 01-4. 69,P = 0. 046）. Conclusions There is a need for us to improve the situation of peer education among MSM through strengthening mental health,and subsequently prevent MSM away from HIV infection.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2017年第11期1132-1135,1144,共5页
Chinese Journal of Disease Control & Prevention
基金
国家自然科学基金(81360441)
桂林市科技局科学研究与技术开发项目(20150126-9)
广西艾滋病防治重点实验室项目(gklapt201503)
广西卫生厅医疗卫生适宜技术研究与开发项目(S201316-09)
2015年广西教育厅教育科学"十二五规划"项目(2015c386)
关键词
性行为
心理学
社会
流行病学方法
Sexual behavior
Psychology, social
Epidemiologic methods
