上海市376例HIV抗体阳性男男性行为者的生存质量及其影响因素研究

Quality of life and influencing factors of MSM infected with HIV

目的了解艾滋病病毒(HIV)抗体阳性的男男性行为者(MSM)的生存质量现状,探讨其影响因素,为制定相关政策提供依据。方法采用简体中文版HIV感染者医学结局健康调查表(MOS-HIV),对上海市376例感染HIV的MSM进行自填式问卷调查,采用SAS 9.1进行统计分析。结果 HIV抗体阳性的MSM的生理健康总分为(53.9±8.44)分,心理健康总分为(50.1±8.77)分。年龄小、文化程度高、收入高、未婚的人群,在躯体功能、角色功能、社会功能、生理健康总评分上相对较高,躯体功能评分分别为84.6分、85.3分、89.3分、85.3分;角色功能评分分别为93.8分、93.3分、97.3分、92.3分;社会功能评分分别为85.4分、85.4分、86.8分、85.9分;生理健康总评分分别为55.3分、55.7分、57.3分、55.2分。因HIV感染者身份受到歧视者在健康感受、健康压力、健康转换、心理健康评分上较低,分别为58.0分、70.3分、62.2分、61.9分;因同性恋身份受到歧视者在健康感受、健康压力、健康转换、心理健康评分上较低,分别为56.3分、70.5分、60.3分、63.1分。免疫水平较高者在生理健康总分和心理健康总分上较高,分别为54.9分和51.1分;治疗依从性较好者在生理健康总分和心理健康总分上较高,分别为54.4分和50.9分。差异有统计学意义(P<0.05)。结论 HIV抗体阳性的MSM生存质量水平较低,受多个因素影响,应加强心理关怀和社会支持。

Objective To learn quality of life about MSM with HIV and explore its influencing factors,in order to provide basis for relevant policy development.Methods 376 MSM with HIV were investigated by medical outcomes study-HIV health survey（MOS-HIV）.SAS 9.1software was used for statistical analysis.Results The total score for physiology was 53.9±8.44,and that for psychology was 50.1±8.77.Scores for physical function,role function,social function,the total score of physiology in HIV infected MSM of lower age,higher education and higher income were significantly higher than those in compared groups（P〈0.05）.Conclusion Quality of life（QOL）of MSM with HIV is relatively lower,and affected by many factors.It＇s necessary to strengthen psychological care and social support for the MSM infected with HIV/AIDS.