绵阳市MSM人群的生存质量及其影响因素研究

目的了解绵阳市男男性行为人群（MSM）的生存质量及其影响因素。方法采用滚雪球抽样法招募MSM,在MSM活动场所,用生存质量测定量表WHOQOL-BREF中文版进行生存质量及相关因素的寻问式匿名现场调查。结果共调查400人,平均（28.19±10.48）岁,生理、心理、社会关系、环境领域得分分别为（15.03±1.48）、（13.16±1.35）、（15.22±1.78）、（13.26±1.30）,总得分（14.82±1.90）。经多因素分析,影响生理领域的因素有：近1年是否接受过同伴教育、性病检查或治疗、HIV咨询或检测,近6个月性伴是否主要是男朋友、主要是偶然性伴,是否不知道近6个月性伴的健康状况,近6个月有否无保护性主动肛交、是否以家庭型认识性伴,认识当地MSM朋友数;影响心理领域的因素有：职业、收入、性取向,近1年是否做过HIV检测并知道结果、接受过性病检查或治疗、HIV知识信息来自咨询服务,认识当地MSM朋友数,近6个月有否无保护性口交;影响社会关系领域的因素有：是否本地户籍、近1年是否做过HIV检测并知道结果、近6个月有否无保护性口交、近6个月性伴数;影响环境领域的变量有：参加调查的目的、职业、认识当地MSM朋友数、近6个月是否以公园型认识性伴、近6个月性伴有无健康问题。结论 MSM人群总体生存质量不高,受人口特征、社会活动网络、性行为及预防性服务影响。减少社会歧视,积极开展HIV防治有利于改善MSM的生存质量。

A study on the quality of life of MSM and related impact factors in Mianyang City

Objective To survey the quality of life of men who have sex with men（MSM） and related impact factors.Method MSM were recruited by snowball sampling,and their quality of life and related impact factors were surveyed on site with anonymous questionnaire interviews and by using Quality of Life Scale WHOQOL-BREF Chinese version.Result A total of 400 cases with the average age of（28.19±10.48） years were interviewed,and the scores of their physiological and psychological states,social relations and environmental aspects were（15.03±1.48）,（13.16±1.35）,（15.22±1.78） and（13.26±1.30）,respectively,with the total score of（14.82±1.90）.Multivariate analysis indicated that the factors affecting MSM＇ s physiological states were： whether peer education,sexually transmitted diseases（STDs） examination or treatment,HIV counseling or testing were provided in the past year;whether the sexual partners,mainly causal sexual partners were males in the last six months;whether the health status of their sexual partners in the recent six months were made known;whether unprotected initiative anal sex took place in the recent six months;whether the sexual partners were home based ones and how many local MSM partners were acquainted.The factors affecting MSM＇ s the psychological states were： occupations,incomes and sexual orientation;taking an HIV test in the past year and knowing the results;receiving STDs examination or treatment;sources of information from voluntary counseling and testing（VCT） services;the number of local sexual partners and the occurrence of unprotected anal sex in the last six months.The factors affecting MSM＇ s social relations included： local household register or otherwise;taking HIV test in the past year and knowing the results;having had unprotected oral sex in the recent six months or not;number of sexual partners in the last six months.Variables affecting environmental aspects included： purpose of participating in the survey,occupations,number of local MSM partners,acquaintance with park-based sexual partners in the recent six months,sexual partners with or without health problems in the recent six months.Conclusion The quality of life of the surveyed MSM is not high in general and is affected by their demographic characteristics,social activity networks,sexual behavior and access to preventive services.Reduction of social discrimination,and active HIV prevention and treatment will help to improve the quality of life of MSM.