桂林市男男性行为者焦虑症状现状及影响因素分析

Analysis on influencing factors associated with anxiety symptom among MSM in Guilin City

目的了解男男性行为者(MSM)中焦虑症状的状况及MSM焦虑症状的影响因素。方法采用滚雪球法收集样本,自制结构性问卷收集研究对象的资料如社会人口学特征,社会支持,行为因素与及自评焦虑量表获得研究对象的自评焦虑分值。结果 400例MSM人群中24.5%的人有自评焦虑症状。多因素Logistic分析结果显示社会支持的利用度得分对MSM自评焦虑症状的影响存在统计学意义(相对于3~分,4.2~分与7~11分的OR值分别为0.04和0.03,其95%CI分别为0.02~0.07与0.01~0.07,P均<0.01)。相对于居住时间2年或以下,2年以上的OR值为0.41(95%CI:0.17~0.97,P<0.05)。结论今后有必要加强MSM心理干预,促进MSM的心理健康,同时今后的干预工作可考虑社会支持这一因素对MSM心理健康的影响。

Objective To understand the prevalence of anxiety among MSM, and explore the association between social support and anxiety among MSM. Methods Snowball sampling method was used. Data were collected with self-administered structured questionnaire, including demographic characteristics, social support, behavior factors and the score of self-rating anxiety with self-rating anxiety scale. Results 24. 5% of MSM suffered from self-rating anxiety trend. The availability of social support were associated with anxiety trend, the OR values of score of 4. 2 - and 7 - 11 were 0.04 （95% CI： 0. 02 -0.07, P 〈0.01 ） and 0.03 （95% CI： 0. 01 -0. 07, P 〈0. 01 ）. In addition, the residence time also was correlated with anxiety trend （OR = 0.41, 95% CI： 0. 17 -0.97, P 〈 0.05）. Other variables didn＇t influence anxiety. Conclusion There is high prevalence of anxiety among MSM. And it is need to strengthen intervention activities on mental health among MSM population. We also need to focus on the role of social support in mental health in future.