男男性行为者生存质量及与人口学特征和社会活动网络的关系研究

Study on the Quality of Life of MSM and its Relationship with Demographic Characteristics and Social Network

目的了解男男性行为者(MSM)生存质量。方法采用滚雪球抽样法,在MSM活动场所用生存质量测定量表WHOQOL-BREF中文版进行生存质量及相关因素的招募和寻问式匿名现场调查。结果共合格调查400人,各领域得分:生理领域(15.03±1.48)、心理领域(13.16±1.35)、社会关系领域(15.22±1.78)、环境领域(13.26±1.30),总分(14.82±1.90)。调查对象生理领域得分与年龄、文化、户籍、收入相关(t/F=3.075、3.283、-2.115、4.087,P<0.05),年龄较小、高中及以上文化、月收入不高、外地户籍得分较高。心理领域得分与户籍、职业、收入、性取向相关(t/F=-4.846、6.506、3.692、2.202,P<0.01或P<0.05),外地户籍、其他职业、高收入、性取向为同伴及其他者心理领域得分较高。环境领域得分与职业相关(F=4.422,P=0.013),商业/工人/农民较低。认识当地MSM朋友数、介绍参加调查关系与生理领域、心理领域得分相关(F=13.294、13.438、11.983、8.719,P<0.01),认识当MSM朋友数较多,介绍参加调查的关系为性伴及其他关系者生理领域、心理领域得分较高;参加活动目的与生理领域、心理领域、环境领域得分相关(F=4.366、10.013、6.957,P<0.05或P<0.01),以了解知识/为HIV防治出力为参加调查目的者生理领域、心理领域、环境领域得分较高。结论 MSM总体生存质量不高,受人口学特征及社会活动网络影响。

Objective The paper was attempted to understand the quality of life of MSM and its relationship with demographic characteristics and social network. Methods The research objects were recruited in MSM venues by snowball sampling.An anonymous questionnaire survey was conducted to investigate the quality of their life and related factors with the WHOQOL-BREF quality of life assessment. Results Totally,400 MSM were surveyed.Their score in each domain was 15.03±1.48 in physiology,13.16±1.35 in psychology,15.22±1.78 in social relations,and 13.26±1.30 in environment.The total score was 14.82＋1.90.The score in physiology domain was related to age,culture,household register and income（t/F=3.075,3.283,-2.115 and 4.087 respectively,P0.05）.Those who were younger,who had senior or higher education,whose income was not high and who were nonlocal household registers gained higher scores.The score in psychology was related to household register,occupation,income and sexual orientation（t/F=-4.846, 6.506,3.692 and 2.202 respectively,P0.01 or P0.05）.Those who were nonlocal household registers,who had other occupations,who had higher incomes and who had homosexual orientation gained higher scores.The score in environment was related to occupation（F=4.422,P0.05）,and the score of businessmen,workers and peasants was lower.The number of MSM friends and the relationship between the introducer and the participant were related to the score in physiology（F=13.294 and 11.983,both P0.01） and psychology（F=13.438 and 8.719,both P0.01）.Those who had more MSM friends,who had sexual partner or other relationships with the introducer got higher scores in physiology and psychology.The purpose of participating in the activities were related to the scores in physiology,psychology and environment（F=4.366,10.013 and 6.957 respectively, P0.05 or P0.01）.For those whose purpose of participation was to understand the knowledge of MSM and HIV control,the scores in physiology,psychology and environment were higher. Conclusions The life quality of MSM is not high.It is affected by demographic characteristics and social network.