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目的了解男男性行为人群(men who have sex with men,MSM)应对方式的现状,分析不同人口学特征应对方式差异。方法 2015年3~10月采用滚雪球抽样法,选取简易应付方式问卷(SCSQ)对四川省绵阳市MSM进行匿名问卷调查和艾滋病病毒(HIV)、梅毒(TP)血清学检测。结果调查对象各维度分值分别为:积极应对(1.64±0.46)分、消极应对(1.21±0.51)分,差异有统计学意义(t=32.492,P=0.000),均高于常模(P均<0.01)。HIV阳性率6.06%,TP阳性率6.49%;HIV感染与否消极应对得分差异有统计学意义(P<0.05),感染者消极应对得分较高。年龄与积极应对、消极应对均呈负相关(P均<0.01)。不同文化程度、婚姻状况、户籍、性取向、本地居住时间、居住地区积极应对得分,不同婚姻状况、户籍、性取向消极应对得分差异有统计学意义(P均<0.05)。结论 MSM应对方式倾向积极,应对方式与人口学特征相关,消极应对增大了HIV感染风险。
Objective To understand the status quo of coping strategies of men who have sex with men (MSM) and to analyze the differences of coping styles among different demographic traits. Methods From March to October 2015, a snowball sampling method was used to investigate the MSM in Mianyang City, Sichuan Province. Anonymous questionnaires and serological tests of HIV and syphilis (TP) were conducted using the SCSQ questionnaire. Results The scores of each dimension of the surveyed subjects were: positive response (1.64 ± 0.46), negative response (1.21 ± 0.51), the difference was statistically significant (t = 32.492, P = 0.000) All <0.01). The positive rate of HIV was 6.06% and the positive rate of TP was 6.49%. There was a statistically significant difference (P <0.05) between HIV positive and negative coping scores, and the negative coping scores of those infected were higher. There was a negative correlation between age and positive coping and negative coping (P <0.01). There were significant differences in negative coping scores between different education levels, marital status, household registration, sexual orientation, local residence time, living area active coping score, different marital status, household registration and sexual orientation (all P <0.05). Conclusion MSM coping style tends to be positive, coping style and demographic characteristics are correlated, and negative coping increases the risk of HIV infection.