武汉市在校大学生男男性行为者心理健康状况研究

Mental health situation of men who have sex with men among university students

目的分析武汉市在校大学生男男性行为者（MSM）心理健康状况，为高危行为群体艾滋病干预提供参考依据。方法采用“滚雪球”的方式，应用心理健康症状自评量表（SCL-90）测量目标人群，并结合心理访谈研究目标人群心理健康状况，采用SPSS11．5软件对数据进行描述性分析及t检验。结果共测量120名大学生MSM，其SCL-90测试的总均分为2．73（s=0．51）；MSM已公开性向比未公开者心理健康水平好（t=17．325，P〈0．01）；有稳定同性伴侣的MSM比无稳定同性伴侣者心理健康水平好（t=7．286，P〈0．05）；接受相关心理辅导和参加相关心理援助活动对改善MSM的心理健康水平有显著影响（F=31．54，P〈0．01）。结论大学生MSM普遍存在中等甚至严重的心理困扰，应开展相应心理辅导。

Objective To study the mental health situation on men who have sex with men （MSM） among university students. Methods Snowballing method was used to recruit the target people, and to use both symptom checklist （SCL-90） and psychological interview for measurement. SPSS 11.5 and t-test were used for descriptive analysis. Results Measurement of 120 MSM at colleges, the average SCL-90 test appeared as 2.73 （s=0.51）. Mental health situation of the MSM who had been out of the ＇closet＇ was better than those who had not （t= 17.325, P〈0.01 ）. Among MSM who had had stable same-sex partners was in better situation than those without （t=7.286, P〈 0.05）. There appeared significant effect in improving the mental health situation of MSM who had received psychological counseling and participating in those activities relevant to psychological assistance （F=31.54, P〈0.01）. Conclusion Moderate or severe psychological distress often seen in the MSM college students, suggesting that psychological counseling provided to these people was verv important.