绵阳市男男性行为者领悟社会支持及与其相关因素的关系研究

Perceived social support and its related factors among men who have sex with men in Mianyang City

目的了解男男性行为者(MSM)领悟社会支持现状,分析与相关因素的关系。方法用“滚雪球”抽样法,对四川省绵阳市MSM领悟社会支持等问卷调查和血清学检测。结果有效问卷1060份,领悟社会支持平均得分为家庭内支持(19.76±3.97)分、家庭外支持(39.44±6.55)分、总得分(59.20±9.78)分,低、中、高支持状态分别占1.79%、46.32%、51.89%。在家庭外支持及支持总得分方面,艾滋病病毒(HIV)阳性者低于HIV阴性MSM(P<0.05)。多因素分析结果,年龄≥25岁(OR=1.536)、文化程度高中及以上(OR=2.407)、性取向双性恋及其他(OR=2.042)、本地居住时间>2年(OR=3.750)、近1年未接受同伴教育(OR=1.744)、互联网为主要寻找性伴方式(OR=2.114)者领悟社会支持高支持状态的可能更大,职业工人/农民/商业服务(OR=0.374)、艾滋病知识不全知晓(OR=0.364)、近6个月肛交无保护(OR=0.613)、近6个月肛交人数≥2(OR=0.756)者领悟社会支持低/中支持状态的可能更大。结论MSM领悟社会支持不高,领悟社会支持与人口学特征及性行为相关,领悟社会支持低/中支持状态者HIV感染风险大,应有效促进MSM领悟社会支持提高。

Objective To understand the status quo of perceived social support(PSSS)of men who have sex with men(MSM),and to analyze related factors.Methods The snowball sampling method was adopted to carry out questionnaire survey on the perceived social support and serological tests among MSM in Mianyang City,Sichuan Province.Results There were 1060 valid questionnaires,and the average score of perceived social support was(19.76±3.97)points for family support,(39.44±6.55)points for outside family support,and(59.20±9.78)points for total support.Low,medium and high support state accounted for 1.79%,46.32%,51.89%,respectively.The scores of outside family support and total support were lower in HIV-positive MSM patients than that in HIV-negative MSM.Multivariate analysis results showed that age≥25 years old(OR=1.536),high school education and above(OR=2.407),bisexuality/others(OR=2.042),local living time>2 years(OR=3.750),not receiving peer education for nearly 1 year(OR=1.744)and the internet as the main method of finding sexual partners(OR=2.114)had the greater possibility of perceiving high status of social support.Professional as staff/farmers/business service(OR=0.374),incomplete awareness of HIV/AIDS(OR=0.364),unprotected anal sex in the past 6 months(OR=0.613),the number of people who had anal sex in the past 6 months≥2(OR=0.756)had the greater possibility of perceiving low/medium status of social support.Conclusion The PSSS of MSM is not high,and demographic characteristics and sexual behavior were related to the perceived social support.People with low/medium status of social support were at high risk of HIV infection.Perceived social support should be effectively promoted.