上海市264名男男性行为者孤独感与多性伴行为研究

Sense of loneliness associated with multiple sex partners among 264 men who have sex with men in Shanghai

目的了解男男性行为者（MSM）孤独心理并探讨其与艾滋病高危多性伴性行为的关系。方法2015年3—6月，采用滚雪球抽样的方法对上海市264名MSM进行一般人口学信息，多性伴行为，孤独感评定的问卷调查。结果MSM人群孤独检出比例为17．4％，多性伴检出比例为52．7％，单因素、多因素logistic回归分析均显示，非本地户籍（OR=2．08，95％CI：1．20～3．63）和高孤独感（OR=2．00，95％CI：1．01～3．94）是发生多性伴行为的危险因素。结论对MSM人群进行艾滋病高危行为干预时，应当注意他们的孤独心理的问题。

Objective To study the loneliness among men who have sex with men（MSM} and to explore the relationship between feeling lonely and having multiple sex partners. Methods A crosssectional study using snowball sampling techniques was conducted among 264 MSM in Shanghai from March 2015 to June 2015. Socio-demographic information, number of sexual partners, evaluation of the sense of loneliness were collected by questionnaires. Results The proportion of loneliness was 17.4% , and that of multiple sex partners was 52.7%. Univariate as well as multivariate logistic regression analysis showed non-local household registration （ OR = 2. 08, 95% CI： 1. 20 - 3. 63 ） , and high lonely sense （ OR = 2. 00, 95 % CI： 1.01 -3.94） were risk factors for multiple sexual partners behavior. Conclusion Attention should be paid to loneliness problem during the behavior intervention among MSM.