同伴支持降低男男性行为HIV感染者自我歧视的效果研究

Effectiveness of peer support in reducing stigma among men who have sex with men living with HIV

目的:分析同伴支持改善男男性行为HIV感染者自我歧视的效果。方法:采用便利抽样法选取于2016年3月至2017年11月在北京市某三级甲等医院就诊和随访的64名男男性行为HIV感染者为研究对象,应用随机数字表法分为干预和对照组各32例。干预组接受连续4周,以小组为单位,采用微信、线下活动形式的同伴支持,对照组接受医院常规关怀,包括艾滋病知识、服药、生活方式指导等。两组研究对象均在干预结束时、干预后1个月、3个月接受随访。测量其自我歧视、负性情绪和控制感得分。结果:干预组与对照组相比,研究对象在干预后自我歧视、负性情绪得分下降,控制感得分上升,两组差异有统计学意义(P<0.05)。结论:同伴支持可有效降低男男性行为HIV感染者的自我歧视、负性情绪水平,提升其自我控制。该干预方法实际可行性好,可作为HIV感染者心理健康促进的重要措施。

Objective:To confirm the effectiveness of peer support to stigma among men who have sex with men living with HIV.Methods:Sixty four men who have sex with men living with HIV were selected from a tertiary grade A hospital in Beijing from March 2016 to November 2017.They were divided into intervention(n=32)and control group(n=32)randomly.The intervention group received peer support in the form of Wechat and offline activities in groups for 4 consecutive weeks,while the control group received routine hospital care like knowledge of the disease,medicine and living with AIDS.Both groups were followed up at the end of the intervention,1 month and 3 months after the intervention.The scores of stigma,negative emotion and mastery were measured.Results:Compared with the control group,the scores of stigma,negative emotion in the intervention group decreased significantly,meanwhile mastery increased significantly(P<0.05).Conclusion:Peer support can effectively reduce research objects'stigma and negative emotion,and improve their mastery.This intervention method is practical and feasible,and can be used as an important measure to promote the mental health of patients living with HIV in the future.