哈尔滨市HIV阳性MSM生存质量和社会支持状况调查

Survey of quality of life and social support condition among HIV-positive MSM in Harbin city

目的了解哈尔滨市艾滋病病毒(HIV)阳性男男性行为人群(MSM)的生存质量和社会支持状况。方法对在哈尔滨市某综合医院就诊的HIV阳性MSM,采用WHOQOL-HIV-Brief生存质量简表及社会支持评定量表(SSRS)进行回顾性问卷调查,通过描述性分析方法了解哈尔滨市HIV阳性MSM的生存质量及社会支持状况。结果92例HIV阳性MSM中,年龄<30岁者最多,占51.1%(47/92),以未婚者(68.5%,63/92)和城市户籍为主(56.5%,52/92),大学文化者占51.1%(47/92)。生存质量调查中:MSM年龄<30岁、每月家庭收入>3000元、受教育程度高、接受抗病毒治疗、CD+4T淋巴细胞计数>350个/μL者,生存质量得分较高。社会支持状况调查中:MSM年龄<30岁、已婚、城市户籍、受教育程度高、每月家庭收入>3000元、有宗教信仰、周围人知道自己是HIV感染者及接受抗病毒治疗者,具有较高的社会支持得分。社会支持状况中的客观支持与生存质量中的社会关系领域相关性最高(r=0.40);主观支持与社会关系领域和环境领域相关性最高(r均为0.31);对社会支持的利用度与心理领域的相关系数最高(r=0.40)。典型相关分析结果显示:第一对典型变量中V1,主要由社会关系领域和环境领域决定,W1主要由对支持的利用度和客观支持所决定,可以解释原变量60%的信息。结论应加强HIV阳性MSM的社会支持力度以提高他们的生存质量,尤其是向该人群提供可利用的客观支持,并提高他们对这些客观支持的利用程度,对提高他们的生存质量具有重要意义。

Objective To know the quality of life and social support condition among HIV-positive MSM in Har- bin city. Methods WHOQOL-HIV-Brief scale and social support rating scale （SSRS） were adopted, through ret- rospectively questionnaire survey and descriptive analysis methods to understand the quality of life and social support condition among MSM living with HIV-infection in a comprehensive hospital in Harbin city. Results Among 92 cases of MSM with HIV- infection, most age 〈 30 years old （51.1% ,47/92）, unmarried （68.5% ,63/92） and ur- ban residents （56.5 %,52/92） accounted for the majority, the education level above college accounted for 51.1% （47/92）. Results of quality of life investigation showed that MSM with age 〈 30 years old, monthly household in-come 〉3000 yuan, high level of education, under antiviral therapy, CD4＋ count 〉 350 had higher survival quality score. Results of social support investi- gation showed that MSM with age 〈 30 years old, married, urban household registration, high degree of education, monthly household income 〉 3000 yuan, have religious beliefs, status of HIV-infection is known by other people and receiving antiretroviral treatment owned higher social support score. The domains of ob- jective support and social relations owned the highestcorrelation （r = 0.40） ; subjective support and environmental and social relations domains owned the highest coeffi- cient （both value are 0.31） ; Utilization of social support and psychological fields owned the highest correlation coef- ficient （r = 0.40）. Canonical correlation analysis showed that the first pair of canonical variables in V1 is mainly de- termined by the social relationship and the field of environment, Wl is mainly determined by the utilizing of support and objective support, which can explain 60% information of the original variables. Conclusion We should strengthen social support to HIV-positive MSM to increase their quality of life especially for improving their objec- tive support scores as well as enhance the degree of utilization of these objective supports which is important to im- prove their quality of life.