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目的了解在校大学生男同性恋者(MSM)生存质量及其同性恋性身份认同情况,为在该人群中开展有针对性的健康干预措施提供参考。方法分别采用同伴推动、“滚雪球”抽样和分层抽样方法对符合纳入标准的广州大学城在校大学生MSM和普通大学生进行面对面匿名问卷调查。结果共调查233名大学生MSM,其生理、心理、社会关系、环境领域和生存质量总分分别为(13.52±1.59)、(13.43±1.95)、(13.14±2.77)、(12.63±1.89)、(13.18±1.58);共调查519名普通男性大学生,其生理、心理、社会关系、环境领域和生存质量总分分别为(14.11±1.97)、(14.06±2.39)、(13.67±2.83)、(13.38±2.11)、(13.81±1.89);大学生MSM生存质量各领域和生存质量总分均低于普通男性大学生得分,差异有统计学意义(P<0.05))。家庭经济状况差、与家人同住、性角色为“0”及多数时间性角色为“0”的大学生MSM生存质量总分均较低,差异有统计学意义(P<0.05))。59.66%的大学生MSM对自己同性恋性身份持认同的态度。结论改善大学生MSM的主观感受,为其提供一个宽松的学习、生活环境,根据不同人口学特征特别是家庭经济状况差、与家人同住、性角色为“0”及多数时间性角色为“0”的大学生MSM进行有针对性的干预,有利于提高其生存质量。
Objective To understand the quality of life and the homosexuality of homosexuals (MSM) among undergraduates in university and to provide a reference for carrying out targeted health interventions in this population. Methods Peer-to-peer, “snowball” sampling and stratified sampling methods were used to conduct face-to-face anonymous questionnaire surveys between MSM and ordinary college students who met the inclusion criteria in Guangzhou University City. Results A total of 233 undergraduates were enrolled in this study. The total score of MSM was (13.52 ± 1.59), (13.43 ± 1.95), (13.14 ± 2.77) and (12.63 ± 1.89) respectively in the fields of physiology, psychology, social relations, 13.18 ± 1.58). A total of 519 male undergraduates were enrolled in this study. Their total scores of physical, psychological, social, environmental and quality of life were (14.11 ± 1.97), (14.06 ± 2.39), (13.67 ± 2.83) and ± 2.11), (13.81 ± 1.89). The scores of MSM quality of life and quality of life in undergraduates were all lower than that of normal male students, with significant difference (P <0.05). The total score of MSM quality of college students who lived in family with poor family economic status, lived with family members, sex role was “0”, and most of the time role was “0” were lower, with significant difference (P <0.05) ). 59.66% of university students MSM agree with their own homosexuality attitude. Conclusion To improve the subjective feelings of college students MSM, to provide a relaxed learning and living environment, according to different demographic characteristics, especially the poor family economy, living with family, the role of “0 ” and most of the time role “0 ” college students MSM targeted intervention, help to improve their quality of life.