广州市青少年男男性行为者社会支持状况及影响因素分析

目的了解广州市青少年男男性行为者(man who have sex with man,MSM)社会支持状况,并探究其影响因素。方法利用社会支持评定量表对广州市477名青少年MSM进行评定;采用t检验、方差分析、多元线性逐步回归分析对该人群的社会支持状况进行单因素和多因素分析。结果477名青少年MSM社会支持评定量表总分为(33.93±7.02)分,其中客观支持(6.40±2.36)分、主观支持(20.39±3.83)分、社会支持利用度(7.14±2.65)分。多因素分析显示,安全套使用频率与社会支持利用度和社会支持总分相关;同性性伴数量与客观支持、社会支持利用度和社会支持总分相关;饮酒频率与客观支持、主观支持和社会支持总分相关;性伴侣选择为配偶或固定伴侣在客观支持、主观支持、社会支持利用度和社会支持总分高于临时和商业性伴,P值均<0.05。结论广州市青少年MSM的各维度社会支持得分普遍较低。建议有关部门要尽可能地改善该重点人群的社会支持状况,联合社会、学校和家庭提供针对性支持措施以提高其社会支持水平,进而提高生活质量。

Status of social support and its influencing factors among adolescent MSM in Guangzhou City

Objective To explore the current situation of social support and its influencing factors among adolescent men who have sex with men (MSM) in Guangzhou City. Methods Social Support Rating Scale (SSRS) was used to evaluate the situation of social support in 477 adolescent MSM. T test, variance analysis and multiple linear regression analysis as single and multiple factor analyses were used to analyze the status of social support in the MSM. Results The total score of SSRS in the 477 adolescent MSM was (33.93±7.02), of which the scores of Objective support, subjective support and social support availability were (6.40±2.36), (20.39±3.83) and (7.14±2.65), respectively. Multiple linear stepwise regression analysis revealed that the frequency of condom use was correlated with social support availability and the total score of social support. The number of homosexual partners was related to Objective support, social support availability and the total score of social support. Drinking frequency was associated with Objective support, subjective support and the total score of social support.As for sexual partner selection, the status of Objective support, subjective support, social support availability and the total score of social support were better in spouse or regular sexual partners than in temporary and commercial sexual partners (all P<0.05). Conclusion The scores of all dimensions of social support in the adolescent MSM in Guangzhou City are generally low. It is suggested that the relevant departments should try their best to improve social support of the key population, and provide targeted support measures together with the society, schools and families to improve the level of social support and thus improve their quality of life.