Social alienation status and influencing factors among HIV-positive young and middle-aged MSM
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.
HIVmen who have sex with men(MSM)young and middle-agedsocial alienation
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