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目的了解艾滋病病毒(HIV)抗体阳性的男男性行为者(MSM)的生存质量现状,探讨其影响因素,为制定相关政策提供依据。方法采用简体中文版HIV感染者医学结局健康调查表(MOS-HIV),对上海市376例感染HIV的MSM进行自填式问卷调查,采用SAS 9.1进行统计分析。结果 HIV抗体阳性的MSM的生理健康总分为(53.9±8.44)分,心理健康总分为(50.1±8.77)分。年龄小、文化程度高、收入高、未婚的人群,在躯体功能、角色功能、社会功能、生理健康总评分上相对较高,躯体功能评分分别为84.6分、85.3分、89.3分、85.3分;角色功能评分分别为93.8分、93.3分、97.3分、92.3分;社会功能评分分别为85.4分、85.4分、86.8分、85.9分;生理健康总评分分别为55.3分、55.7分、57.3分、55.2分。因HIV感染者身份受到歧视者在健康感受、健康压力、健康转换、心理健康评分上较低,分别为58.0分、70.3分、62.2分、61.9分;因同性恋身份受到歧视者在健康感受、健康压力、健康转换、心理健康评分上较低,分别为56.3分、70.5分、60.3分、63.1分。免疫水平较高者在生理健康总分和心理健康总分上较高,分别为54.9分和51.1分;治疗依从性较好者在生理健康总分和心理健康总分上较高,分别为54.4分和50.9分。差异有统计学意义(P<0.05)。结论 HIV抗体阳性的MSM生存质量水平较低,受多个因素影响,应加强心理关怀和社会支持。
Objective To understand the status quo of quality of life of HIV-positive men who have sex with men (MSM) and to explore the influencing factors to provide the basis for the formulation of relevant policies. Methods A self-administered questionnaire was conducted on 376 HIV-infected MSM patients in Shanghai using the Simplified Chinese version of HIV-infected Medical Outcomes Questionnaire (MOS-HIV), and SAS 9.1 was used for statistical analysis. Results The total score of physical health of HIV antibody positive MSM was (53.9 ± 8.44) and the score of mental health was (50.1 ± 8.77). The groups with younger age, higher education, higher income and unmarried people had relatively higher body function, role function, social function and physical health score. The body function scores were 84.6 points, 85.3 points, 89.3 points and 85.3 points respectively. The scores of role function were 93.8 points, 93.3 points, 97.3 points and 92.3 points respectively. The social function scores were 85.4 points, 85.4 points, 86.8 points and 85.9 points respectively. The physical health scores were 55.3 points, 55.7 points, 57.3 points and 55.2 Minute. Those who were discriminated against because of HIV infection had lower scores in terms of health perception, health stress, health transition and mental health scores, which were 58.0 points, 70.3 points, 62.2 points and 61.9 points, respectively. Their homosexuals’ Pressure, health conversion, mental health scores lower, respectively, 56.3 points, 70.5 points, 60.3 points, 63.1 points. The higher level of immunity was higher in the total scores of physical health and mental health, which were 54.9 and 51.1 respectively; those with better treatment compliance were higher in the scores of physical health and mental health, 54.4 and 54.1 Points and 50.9 points. The difference was statistically significant (P <0.05). Conclusion HIV antibody-positive MSM has a low quality of life and is influenced by many factors. Psychological care and social support should be strengthened.