淮安市HIV抗体阳性男男性行为者生存质量干预效果评估

Evaluation of intervention effect on survival quality of HIV antibody positive MSM in Huai'an city

目的评估对HIV抗体阳性的男男性行为者(MSM)生存质量干预的效果。方法在艾滋病综合防治信息系统中,选取淮安市2014年7月1日前报告为经同性途径感染HIV,且参加过2014年首轮生存质量调查的MSM,开展一般情况及生存质量访谈,并利用汉化版MOS-HIV评价生存质量。结果有不良生活习惯者占比由干预前的45.14%下降到33.33%,其中无保护性性行为占比由5.56%降为0;近1个月内出现过焦虑、恐惧、抑郁、绝望等负面情绪者构成比由干预前的61.81%下降到19.44%,差异均有统计学意义(P值均<0.05)。与干预前相比,告知率无明显上升;遇到烦恼时愿意向家人或朋友倾诉占比由干预前的51.39%上升至干预后的65.97%;遇到困难时愿意寻求或接受帮助占比由干预前的32.64%上升至干预后的82.64%,差异均有统计学意义(P值均<0.05)。干预后,生理健康总分及心理健康总分均得到了显著提高,总体感觉、社会功能、精神健康、精力/疲惫、生活质量等5个维度得分也明显提高,差异均有统计学意义(P值均<0.05)。结论心理及行为方式的干预在提高HIV抗体阳性MSM生存质量方面行之有效,可在今后的病例管理工作中继续推行。

Objective To evaluate the intervention effect on survival quality of HIV antibody positive MSM.Methods In the AIDS prevention and control information system,MSM reported to infect HIV by homosexual route before Jul 1 st,2014 in Huaian city and participated in life quality investigation in the first round of the 2014 were selected and subjected to life assessment interviews for general situation and life quality.The Chinese version of the MOS-HIV was used for evaluate life quality.Results After intervention：the ratio of MSM with bad living habits decreased from 45.14%to 33.33%,among which unprotected sexual behavior ratio deceased from 5.56%to 0;composition of MSM with negative emotions such as worry,fear,depression and despair decreased from 61.81%to 19.44%,all with statistical difference（all P〈0.05）;the notification rate did not increase.When they were in trouble,the proportion of MSM confided in family members or friends increased from 51.39%to 65.97%;the proportion would seek and accept help increased from 32.64%to 82.64%,all with statistical difference（all P〈0.05）.The total mental health scores and the physiological health scores increased significantly;the scores of 5 dimensions such as general feeling,social function,mental health,energy/exhaustion and quality of life improved significantly,all with statistical difference（all P〈 0.05）.Conclusion Psychological and behavioral interventions are effective in improving the quality of life of HIV antibody positive MSM,which can be promoted for case management in the future.