摘要
目的 探讨HIV阳性中青年MSM社会疏离现状及其影响因素.方法 采取便利抽样,应用一般资料调查问卷、一般疏离感量表、痛苦表露指数量表、HIV/AIDS相关羞辱和歧视量表、领悟社会支持量表,对2023年9-12月在南京市某三级甲等医院感染科门诊随访的HIV阳性中青年MSM进行问卷调查,采用多元线性回归分析社会疏离影响因素.结果 共180例HIV阳性中青年MSM纳入本研究,年龄为(32.03±6.89)岁,本科及以上文化程度95人(52.78％),工作状态为在职149人(82.78％).该群体的社会疏离得分为(38.39±5.82)分.多元线性回归分析显示,文化程度、工作状态、自我表露、HIV/AIDS相关羞辱和歧视、社会支持是其社会疏离的影响因素(P＜0.05).其中工作状态为无业/病休(t=2.944,P=0.004)、学生(t=2.731,P=0.007),HIV/AIDS 相关羞辱和歧视水平较高(t=8.962,P＜0.001)是社会疏离的危险因素;文化程度较高(t=-2.651,P=0.009),自我表露水平较高(t=-2.584,P=0.011),社会支持水平较高(t=-3.870,P＜0.001)是社会疏离的保护因素.结论 HIV阳性中青年MSM社会疏离水平处于中等偏上,需重点关注该群体中文化程度低、无业/病休、学生、低自我表露、HIV/AIDS相关羞辱和歧视水平高、社会支持水平低的亚群,采取针对性干预措施降低其社会疏离水平.
Abstract
Objective This study aims to explore the current status of social alienation among HIV-positive young and middle-aged men who have sex with men(MSM)and its influencing factors.Methods Convenience sampling was used to survey HIV-positive young and middle-aged MSM who attended follow-up visits at the infectious diseases department of a tertiary hospital in Nanjing from September to December 2023.The survey included a demographic questionnaire,the General Alienation Scale,the Distress Disclosure Index,the HIV/AIDS-related Stigma and Discrimination Scale,and the Perceived Social Support Scale.Multiple linear regression analysis was conducted to identify factors influencing social alienation.Results A total of 180 HIV-positive young and middle-aged MSM with a mean age of(32.03±6.89)years were included in the study.Among them,95 participants(52.78％)had a bachelor's degree or higher,and 149(82.78％)were employed.The mean social alienation score for this group was(38.39±5.82).Multiple linear regression analysis showed that educational level,employment status,self-disclosure,HIV/AIDS-related stigma and discrimination,and social support were factors influencing social alienation(P＜0.05).Specifically,being unemployed/on sick leave(t=2.944,P=0.004),being a student(r=2.731,P=0.007),and experiencing higher levels of HIV/AIDS-related stigma and discrimination(t=8.962,P＜0.001)were risk factors for social alienation.On the other hand,higher education level(t=-2.651,P=0.009),higher self-disclosure level(r=-2.584,P=0.011),and higher social support level(t=-3.870,P＜0.001)were protective factors against social alienation.Conclusions The level of social alienation among HIV-positive young and middle-aged MSM is relatively high.It is crucial to pay attention to subgroups with lower education levels,unemployment/sick leave status,student status,lower self-disclosure levels,higher levels of HIV/AIDS-related stigma and discrimination,and lower levels of social support.Targeted interventions should be implemented to reduce social isolation among this population.
基金项目
南京市卫生科技发展专项资金项目(YKK19111)
南京市第二医院人才托举工程资助项目(RCMS23014)
NETL
NSTL
万方数据