北京市男性性工作者生存质量及其影响因素分析

Life quality of MSWs and the related factors in Beijing

目的了解北京市男性性工作者（MSW）的生存质量及其影响因素,为提高该人群的生存质量及开展艾滋病性病防控工作提供依据。方法由社区小组联络MSW聚集场所,使用＂世界卫生组织生存质量测定量表简表（WHOQOL-BREF）＂对MSW进行调查。结果共调查167个MSW。被调查者生理领域得分为（14.08±2.46）分,心理领域得分为（13.78±2.54）分,环境领域得分为（12.52±2.50）分,社会关系领域得分为（14.02±2.67）分。生理领域得分低于国内常模的（15.10±2.30）分,其他领域得分与常模比较差异无统计学意义。多因素分析结果显示,生理领域的影响因素是月收入和在京居住时间;心理领域的影响因素是月收入、家庭摩擦和首次性行为性伴的性别;环境领域的影响因素是月收入、在京居住时间和首次性行为性伴的性别;社会关系领域的影响因素为近一年居住情况和艾滋病性病检测情况。结论北京市MSW总体生存质量一般。MSW定期进行艾滋病性病相关检测,对提高其生存质量和控制艾滋病性病传播具有重要意义。

Objective To investigate the quality of life among male sex workers（MSWs）in Beijing and analyze the related factors to provide evidence for further measures in HIV/AIDS prevention and control.Methods Convenience sampling was used for data collection of MSWs in Beijing and their life quality was analyzed based on a selfadministered questionnaire according to the Chinese version of WHOQOL-BREF.Results 167 valid questionnaires were collected.The scores in physio-domain,psycho-domain,environmental factor domain and social relationship domain were 14.08±2.46,13.78±2.54,12.52±2.50,and 14.02±2.67 respectively.Compared with the norm,the score in physio-domain was rather low,whereas other domains showed no statistically significant difference.The main factors influencing psychological score were monthly income and the first sexual partner.The main factors influencing the environmental scoring were monthly income,residence time in Beijing and first sexual partner.The main factors influencing the score of social relations were residential status and HIV/STD testing in recent years.Conclusion The MSWs＇ life quality in Beijing is not satisfactory.It is important to test MSWs regularly to improve their life quality and control HIV/STD spreading among them.