艾滋病患者中男男同性性传播人群心理健康状况及其影响因素分析

Analysis of mental health status and influencing factors of MSM in AIDS patients

目的分析艾滋病患者中男男同性性传播人群的心理健康状况及其影响因素。方法采用症状自评量表(SCL-90)对西安市第八医院2015年11月至2016年5月收治的269例艾滋病感染者男男同性性传播人群进行调查。结果269例男男同性性传播艾滋病患者中,以20~40岁年龄人群为主,文化程度较高,未婚居多,独生子女比例较低。SCL-90各因子得分显著高于常模,其中以饮食和睡眠、人际关系、焦虑、抑郁最为突出;回归分析显示,影响艾滋病患者各因子分的主要原因是低生活质量,高学历患者更容易产生抑郁与焦虑两种心理情绪。结论艾滋病患者中男男同性性传播人群存在着一定的心理问题,应给予必要的心理干预措施。

Objective To analyze the mental health status of men who have sex with men(MSM)population among acquired immunodeficiency syndrome(AIDS)patients.Methods A face-to-face questionnaire survey was conducted to investigate the general information,symptom check list-90(SCL-90)questionnaire and scale of 269 MSM patients with AIDS in the Eighth Hospital of Xi'an city from November 2015 to May 2016.Results Among the 269 cases of MSM with human immunodeficiency virus(HIV)/AIDS,the majority were 20-40 years old,with higher education level,mostly unmarried and nonsingleton.The scores of each factor of SCL-90 were significantly higher than that of the norm,among which diet and sleep,interpersonal relationship,anxiety and depression were the most prominent;regression analysis showed that the main reason affecting the scores of each factor among AIDS patients was the low quality of life,and the patients with high education were more likely to have depression and anxiety.Conclusions MSM has its own special characteristics among AIDS patients,and there are many psychological problems.Necessary psychological intervention measures should be given.