摘要
目的了解男男性行为人群(MSM)应对方式现状,分析影响因素。方法 2015-03/10采用滚雪球抽样法,选取简易应付方式问卷(SCSQ)对四川省绵阳市MSM进行匿名问卷调查和血清学检测。结果共收集合格问卷1 205份,各维度得分分别为:积极应对(1.64±0.46)分、消极应对(1.21±0.51)分。HIV检测阳性、阴性消极应对得分分别为(1.34±0.60)分、(1.20±0.50)分,差异有统计学意义(P<0.05)。多元线性回归分析结果显示:文化程度(标准化β=0.21)、距近1次检测时间>6个月(标准化β=0.13)、近1次肛交无保护性(标准化β=0.07)对积极应对呈正向关联,婚姻状况已婚(标准化β=-0.11)、居住地区县级城市(标准化β=-0.09)、肛交数(标准化β=-0.09)呈负向关联;距近1次检测时间>6个月(标准化β=0.19)、肛交数(标准化β=0.09)对消极应对呈正向关联,年龄(标准化β=-0.17)、户籍外省(标准化β=-0.08)、性取向双性恋及其他(标准化β=-0.07)、寻找性伴场所酒吧/公园/朋友型(标准化β=-0.10)呈负向关联。结论 MSM应对方式趋向积极,受人口学特征和性行为影响,与性行为关系具复杂性,消极应对增大HIV感染风险。
Objective To understand coping styles in men who have sex with men （MSM） and analyze influencing factors. Methods Using the Simplified Coping Style Questionnaire （SCSQ）, an anonymous questionnaire - based survey together with serological testing was conducted among the MSM in Mianyang City of Sichuan Province included by the snowball sampling method from March to October in 2015. Results A total of 1 205 valid questionnaires were collected. Scores of different dimensions were ： active coping, 1.64 ± 0. 46 ; passive coping, 1.21 ±0.51. The passive coping cores for positive and negative HIV tests were 1.34 ±0.60 and 1.20 ±0. 50, respectively ; the difference was statistically significant （ P 〈 0. 05 ）. Multiple Linear Regression Analysis （MLRA） results showed that the educational background （ standardized β= 0. 21 ）, time 〉 6 months after the previous test （standardized β= 0. 13 ） and the previous unprotected anal sex （standardized β= 0. 07） were positively correlated to active coping; being married （ standardized β = - 0. 11 ）, living in county - level cities （ standardized β= - 0. 09 ） and frequency of having anal sex （ standardized β = - 0. 09 ） were negatively correlated to active coping; time 〉 6 months after the previous test （ standardized β= 0. 19 ） and frequency of having anal sex （standardized β = 0. 09 ） were positively correlated to passive coping; age （ standardized β = - 0. 17）, census register in other provinces （ standardized β= - 0. 08 ）, bisexuality and other sexual orientation （ standardized β = - 0. 07 ） and seeking sexual partners in bars, parks or friendship （standardized β= -0. 10） were negatively correlated to passive coping. Conclusion MSM＇s coping styles show a tendency to become active, are influenced by demographic characteristics and sexual behaviors and in complicated association with sexual behaviors. Passive coping increases the risk of HIV infection.
作者
王毅
李六林
樊静
赵西和
王晓丽
刘江
杨干金
李伟
贾秀伟
王洪明
笪旭辉
任延飞
廖平
WANG Yi;LI Lulin;FAN Jin;ZHAO Xihe;WANG Xiaoli;LIU Jiang;YANG Ganjin;LI Wei;JIA Xiuwei;WANG Hongming;DA Xuhui;REN Yanfei;LIAO Ping(Mianyang Center for Disease Prevention ＆ Control, Mianyang 621000, Sichuan Province, China.;Mianyang Gay Love Group, Mianyang 621000, Sichuan Province, China.;Fucheng District Center for Disease Prevention and Control, Mianyang 621000, Sichuan Province, China.;Jiangyou County Center for Disease Prevention and Control , Mianyang 621700, Sichuan Province, China;Santa/County Center for Disease Prevention and Control, Mianyang 621100, Sichuan Province, China.;AnzhouDistrict Center for Disease Prevention and Control, Mianyang 622600, Sichuan Province, China.;Beichuan County Center for Disease Prevention and Control, Mianyang 622700, Sichuan Province, China.;Zitong County Center for Disease Prevention and Control, 622100, Sichuan Province, Mianyang China.;Youxian District Center for Disease Prevention and Control, Mianyang 621000, Sichuan Province, China.;Yanting County Center for Disease Prevention and Control , Mianyang 621600, Sichuan Province, China.;1 Pingwu County Center for Disease Prevention and Control, Mianyang 622500, Sichuan Province, China)
出处
《预防医学情报杂志》
CAS
2018年第5期557-563,共7页
Journal of Preventive Medicine Information
基金
四川省艾滋病防治社会动员项目(2014(中)-M-05)
