摘要
目的了解北京市MSM主观幸福感(SWB)及相关因素。方法2018年12月至2019年6月,采用方便抽样方法调查了302名至社区组织接受HIV咨询检测服务的MSM。结果调查对象SWB得分为(80.45±15.14)分,与全国男性常模(75±15)分之间的差异有统计学意义(t=6.35,P<0.01)。多重线性回归结果显示年龄组、性向、性角色、近6个月发生同性肛交性行为时安全套使用频率、近6个月是否与异性发生性行为与SWB得分显著相关(标准化回归系数分别为0.17、0.14、0.17、0.19和0.19,P均<0.05):年龄较小(<29岁)、性向为同性恋、性角色为插入及被插入者、近6个月发生同性肛交性行为时没有坚持使用安全套、近6个月发生过异性性行为的MSM的SWB得分较低。结论本研究中MSM的SWB较高,但其中一些亚组人群(年龄较小、性向为同性恋、性角色为插入及被插入者的MSM)的心理健康状态,以及不良的心理状态与艾滋病高危性行为的关系值得注意。研究结果提示MSM艾滋病干预应结合心理咨询和心理支持,以期取得更好的效果。
Objective To evaluate subjective well-being(SWB)and its correlates among men who have sex with men(MSM)in Beijing.Methods We used the convenience sampling method to recruit study participants through two MSM community-based organizations.The SWB was measured by the general well-being scale.Results 302 MSM were recruited.The average SWB score of study participants was 80.45±15.14,statistically higher than the national male average(t=6.35,P<0.01).The univariate analysis showed that the SWB scores were statistically different in age,length of local residence,occupational status,sexual identity,sexual role,gender of first sexual partner,condom use in anal intercourse during last 6 months,and the drug use during last 6 months(P<0.05).There were differences in SWB for monthly income,marriage status,and heterosexual activity during the last 6 months but without statistical significance(P<0.10).In the multiple linear regression model,age(standardized coefficient(SC=0.17,P<0.01),sexual identity(SC=0.14,P<0.05),sexual role(SC=0.17,P<0.01),condom use in anal intercourse during the last 6 months(SC=0.19,P<0.01),and heterosexual activity during last 6 months(SC=0.19,P<0.01)were independently correlated with SWB scores.MSM with younger ages(<29 years),gay identity,being an insertive or receptive sexual role,having unprotected anal intercourse during the last 6 months,and having heterosexual intercourse during the last 6 months had lower SWB scores.Conclusion The level of SWB was generally high in our study population.However,special attention should be given to the subgroups with younger age,being a gay identity,being insertive or receptive sex role,or having HIV-related high-risk behaviors.Psychological counseling and support should be integrated into routine HIV interventions for MSM.
作者
宋亮
高彦杰
丁海峰
袁胜男
李欣格
王丽娟
魏云芳
SONG Liang;GAO Yanjie;DING Haifeng;YUAN Shengnan;LI Xinge;WANG Lijuan;WEI Yunfang(Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2021年第8期836-840,共5页
Chinese Journal of Aids & STD
基金
国家科技重大专项(2018ZX10715005)。
