男男性行为者自杀行为及相关影响因素分析

Analysis on Suicidal Behavior of MSM and Its Influencing Factors

目的了解男男性行为者(MSM)人群自杀行为现状及个体行为影响因素。方法采用应答者趋动招募抽样法(RDS)对MSM人群进行招募和自填式匿名调查。结果共调查201人,最近6个月自杀意念报告率为9%,自杀计划报告率为4.5%,自杀未遂报告率为3.5%。自杀意念报告率在不同年龄、文化、职业等人口学特征间分布差异无统计学意义(P>0.05),自杀计划、自杀未遂报告率在不同年龄、文化间分布差异有统计学意义(P<0.05),年龄小、文化低自杀计划报告率较高;不同收入自杀计划报告率差异有统计学意义(P<0.05)。自杀意念报告率与固定性伴(BF)、偶然性伴(419)、男男肛交性伴数、性病史、HIV检测和接受性病诊疗服务相关。自杀计划、自杀未遂报告率与BF、男男肛交数和性病诊疗服务相关(P<0.05)。性伴数多、有性病史、接受过HIV检测和性病诊疗服务者自杀行为报告率较高。结论 MSM人群自杀行为报告率较高,与MSM个体行为特征有关,应针对性开展自杀行为预防干预,减少自杀行为的发生。

Objective To know the current status of suicidal behaviour among the MSM group and its influencing factors on individual acts.Methods Research Development and Statistics （RDS） was used to recruit MSM group and then self-administered-anonymous questionnaire was used to survey the respondents.Results Totally 201 individuals were investigated.For the last 6 months,the rate of suicidal ideation was reported by 9%,suicidal plan reported by 4.5% and suicide attempt reported by 3.5%.No statistically significant distribution difference was found in the reporting rate of suicidal ideation in different ages,cultures,occupations and other demographic characters （P〉0.05）.There were statistically significant distribution differences in the reporting rates of suicidal plan and suicide attempt in different ages and cultures （P〈0.05）.The reporting rate of suicidal plan of low age and low education people was much higher.There were statistically significant differences in the reporting rate of suicidal plan in people with different income levels （P〈0.05）.The reporting rate of suicidal ideation was related to boyfriend （BF）,one night partner,the number of men who have sex with men,STD history,HIV test and receiving STD examination service.The reporting rates of suicidal plan and suicide attempt were correlated with BF,the number of men who have sex with men and STD examination service （P〈0.05）.For those people with several sexual partners and STD history,received HIV test and STD examination service,had much higher reporting rate of suicidal behavior.Conclusions The reporting rate of suicidal behavior of MSM group is higher,which is related to MSM’s individual behavior characters.Targeted prevention intervention should be developed against suicidal behavior to reduce the occurrence of suicidal behavior.