摘要
目的了解绵阳市男男性行为人群(MSM)压力感受现状,分析影响因素。方法2015年3―10月以绵阳市MSM为对象,采用滚雪球抽样方法招募调查对象,进行问卷调查和血清学检测。调查内容包括:人口学特征、艾滋病知识、预防服务、压力感受、压力来源、性伴及性行为等内容。影响因素单因素分析采用2检验,多因素分析采用非条件logistic回归分析。结果共调查1 209人,调查对象47.8%有压力感受。压力来自人际关系占38.4%(270/703)、经济占34.1%(240/703)、家庭占33.0%(232/703)、工作占28.4%(200/703)、健康占26.2%(184/703)、性取向认同占14.8%(104/703)、适应占7.5%(53/703)。面对压力积极处理占65.4%(460/703)、寻求社会支持占31.9%(224/703)、逃避占9.5%(67/703)、消极等待占3.1%(22/703)、攻击他人占0.7%(5/703)。没有和有压力感受者HIV感染率分别为4.0%(25/631)、8.3%(48/578),差异有统计学意义(P<0.01)。多因素分析结果显示,文化程度、婚姻状况、艾滋病知识、寻找性伴场所、近6个月肛交次数、近1周肛交次数、近6个月肛交有无保护性、是否感染HIV是压力感受的独立影响因素(P<0.05或P﹤0.01)。结论绵阳市MSM压力感受与文化程度、婚姻状况以及艾滋病高危行为相关,应充分关注MSM压力感受的负面效应,积极营造降低压力的社会环境,有针对性地进行减压引导。
Objective To understand the current status of stress perception in MSM and analyze the influencing factors. Methods From March to October 2015, men who have sex with men (MSM) in Mianyang City, Sichuan Province was recruited by snowball sampling method for questionnaire survey and serological detection. The survey contents included demographic characteristics, HIV/AIDS knowledge, preventive services, stress perception, stress source, sexual partners, and sexual behaviors. Single factor analysis of influencing factors was conducted using chi-square test and multi-factors were identified by muh- ivariate unconditional logistic regression analysis. Results A total of 1 209 MSM were investigated, of whom 47.8% had stress perception. Of the stress sources, 38.4% (270/703) from interpersonal relation-ship, 34.1% (240/703) from financial condition, 33.0% (232/703) from the family, 28.4% (200/703) were from work, 26.2% (184/703) from health, ld. 8% (104/703) from the sexual orientation, and 7.5 % (53/703) from adaption. Of all the subjects, 65.4% (460/703) would actively deal with the stress, 31.9% (224/703) would seek social support, 9.5% (67/703) escape the negative impact of stress, 3.1% (22/703) passively wait, and 0.7% (5/703) take aggressive behavior. HIV infection rates were 4.0% (25/631) for those without stress perception and 8.3% (48/578) for those with it (P 〈 0. 01 ). The result of muhi-factor analysis showed that the educational level, marital status, HIV/AIDS knowledge, looking for partner site, the number of anal sex in the last six months, the number of anal sex in the last one week, anal sex with or without protection in the last six months, and HIV infection were independent factors of stress perception (P 〈 0.05 or P 〈 0.01 ) . Conclusion The stress perception of MSM in Mian-yang was associated with the educational level, marital status, and HIV/AIDS high-risk behavior. Full attention should be paid to the negative effects of stress perception of the MSM and a lower stress social envi- ronment should be created actively to reduce the stress.
出处
《华南预防医学》
2017年第3期201-205,共5页
South China Journal of Preventive Medicine
基金
四川省艾滋病防治社会动员项目[2014(中)-M-05]