Current status of social networks and social support in HIV-positive men who have sex with men in Shenzhen
SUN Qun-lu1, AN Xia2, RAO Zhao-wei1, TU Yu-shan1, RAO Zhan-hong1, MAO Mei-ling1, LI Tong2, LI Xiao-wen2, LIN Ai-hua2
1. Baoan District Center for Disease Control and Prevention, Shenzhen, Guangdong 518100, China; 2. School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China
摘要目的 分析HIV阳性男男性行为者(men who have sex with men, MSM)的社会网络特征和社会支持现况及其影响因素,为改善该人群的社会支持提供依据。 方法 收集2017—2018年在深圳市宝安区疾病预防控制中心转介治疗的HIV阳性的MSM的相关资料,采用描述性流行病学方法进行分析。 结果 110例HIV阳性MSM中,报告105个核心社会网络,提名249个网络成员,网络大小(3.37±1.43),网络密度(0.86±0.21)。社会支持总分为(26.42±7.74)分,主观支持得分(15.24±4.88)分,客观支持得分(4.98±2.62)分,支持利用度得分(6.20±1.98)分。方差或t检验分析显示,不同社会网络大小,网络成员的性别、社会关系种类、文化程度构成、性取向构成以及是否和网络成员有性行为的HIV阳性MSM社会支持得分差异有统计学意义。多重线性回归分析显示,网络成员的文化程度构成、性取向构成、关系亲密度和网络成员有性行为是社会支持得分的影响因素。 结论 应尽可能提高HIV阳性MSM的社会支持。
Abstract:Objective To analyze the characteristics of social networks, current situation of social support and their influencing factors among HIV-positive men who have sex with men (MSM) so as to provide evidence for improving social support of MSM. Methods Data concerning HIV-positive MSM who were transferred to Baoan District Center for Disease Control and Prevention in Shenzhen from 2017 to 2018 were collected, and then analyzed by descriptive epidemiological methods. Results One hundred and five core social networks were reported by 110 HIV-positive MSM, and 249 network members were nominated. The network size was (3.37±1.43), and the network density was (0.86±0.21). The total score of social support and the scores of subjective support, Objective support and availability of support were (26.42±7.74),(15.24±4.88),(4.98±2.62)and(6.20±1.98), respectively. Variance test or t-test showed that there were statistically significant differences in the score of social support among HIV-positive MSM with different characteristics of social networks, including different sizes of social networks, network members' gender, different social relationships, educational level, sexual orientation and sexual behavior with network members. Multiple linear regression analysis revealed that network members' educational level, sexual orientation, relationship intimacy and sexual behavior with network members were the factors influencing the score of social support. Conclusion Social support for HIV-positive MSM populations should be improved as much as possible.
孙群露, 安霞, 饶兆伟, 涂玉山, 饶展宏, 毛美玲, 李彤, 李晓雯, 林爱华. 深圳市HIV阳性男男性行为者的社会网络和社会支持现况研究[J]. 实用预防医学, 2020, 27(9): 1064-1067.
SUN Qun-lu, AN Xia, RAO Zhao-wei, TU Yu-shan, RAO Zhan-hong, MAO Mei-ling, LI Tong, LI Xiao-wen, LIN Ai-hua. Current status of social networks and social support in HIV-positive men who have sex with men in Shenzhen. , 2020, 27(9): 1064-1067.
[1] 2018年8月全国艾滋病性病疫情[J].中国艾滋病性病,2018,24(10):965. [2] 张双,陈艳芳,陈梦施,等. HIV感染者/AIDS患者的社会支持状况及影响因素分析[J]. 卫生研究, 2011,40(3):338-341. [3] 杨昊,袁琦,王宇扬,等.四川省HIV阳性男男性行为者社会支持及心理健康[J].四川大学学报(医学版),2018,49(6):966-969. [4] 肖水源.《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994,4(2):98-100. [5] 赵烨,马颖,韦晓岑,等. 402例男男性行为者社会网络与高危行为的关系研究[J]. 中华疾病控制杂志, 2013,17(7):567-570. [6] 朱军礼,张洪波,郑迎军,等. 男男性接触者社会网络与艾滋病高危行为关系[J]. 中国公共卫生, 2008,24(4):400-402. [7] Lee SS, Tam DK, Ho RL, et al. Social network methodology for studying HIV epidemiology in men having sex with men[J]. J Infect Public Health, 2009,2(4):177-183. [8] 王毅,周万明,樊静,等.绵阳市不同寻找性伴场所男男性行为者HIV感染状况及社会行为特征[J].中国热带医学, 2019,19(8):747-751. [9] 朱军礼.年轻MSM社会网络特征及其HIV危险行为同伴干预研究[D]. 合肥:安徽医科大学, 2008. [10] 孙扬. MSM人群高危性行为、生存质量与社会支持状况研究[D]. 大连:大连医科大学, 2015. [11] 邵冰,宋波,杜娟,等.哈尔滨市HIV阳性MSM生存质量和社会支持状况调查[J].中国艾滋病性病,2015,21(9):777-781. [12] 王毅,李六林,张光贵,等.绵阳城区男男性行为者社会支持现状研究[J].实用预防医学,2016,23(4):399-401. [13] Brown MJ, Serovich JM, Kimberly JA. Depressive symptoms, substance use and partner violence victimization associated with HIV disclosure among men who have sex with men[J].AIDS Behav, 2016,20(1), 184-192. [14] Stahlman S, Grosso A, Ketende S, et al. Depression and social stigma among MSM in Lesotho: implications for HIV and sexually transmitted infection prevention[J]. AIDS Behav, 2015,19(8):1460-1469. [15] Su X, Zhou AN, Li J, et al. Depression, loneliness, and sexual risk-taking among HIV-negative/unknown men who have sex with men in China[J]. Arch Sex Behav,2018,47(7):1959-1968. [16] Sarafian I. Process assessment of a peer education programme for HIV prevention among sex workers in Dhaka, Bangladesh: a social support framework[J]. Soc Sci Med,2012,75(4):668-675. [17] 曾澄波,刘聪,乔佳颖,等.广州市HIV/AIDS病人亲密度社会支持与抑郁的结构方程模型分析[J].中国艾滋病性病,2017,23(11):1050-1053. [18] 肖敏,黄金,王红红,等.HIV阳性男男性行为者医学应对方式和社会支持的相关性研究[J].中国艾滋病性病,2019,25(5):476-479. [19] Kapadia F, Siconolfi DE, Barton S, et al. Social support network characteristics and sexual risk taking among a racially/ethnically diverse sample of young, urban men who have sex with men[J]. AIDS Behav,2013,17(5):1819-1828.