|
|
Quality of life among HIV-infected college students among men who have sex with men |
JING Zhengwei1, NING Yan2, CHANG Wenhui3, ZHOU Chao4, REN Qiang3, DONG Lifang3, JIA Hua3, XU Shiyao1, WANG Zhifeng1,5
|
1. School of Public Health, Peking University, Beijing 100191, China; 2. Chinese Center for Health Education, Beijing 100011, China; 3. Shaanxi Provincial Center for Disease Control and Prevention, Xi'an, Shaanxi 710054, China; 4. Chongqing Center for Disease Control and Prevention, Chongqing 400042, China; 5. Center for Health Policy and Technology Assessment, Peking University Health Science Center, Beijing 100191, China |
|
|
Abstract Objective To investigate the quality of life and its influencing factors among HIV-infected college students among men who have sex with men (MSM), so as to provide the evidence for improving the quality of life among HIV-infected MSM college students. Methods HIV-infected MSM college students were sampled from those with follow-up management by Shaanxi, Chongqing and Guangdong Centers for Disease Control and Prevention using a convenience sampling method, and participants' demographics, AIDS-related knowledge, attitude and practice were collected using questionnaire surveys. The scores for physical, psychological, social and environmental domains, and the overall quality of life were measured using the Chinese version of the World Health Organization Quality of Life-Brief (WHOQOL-BREF), and their influencing factors were identified using a multivariable linear regression model. Results Totally 182 HIV-infected MSM college students were enrolled, including 39 students from Shaanxi Province, 48 students from Chongqing Municipality and 95 students from Guangdong Province. The participants had a median age of 21 years (interquartile range, 3 years), and included 128 students with a degree of bachelor and above (70.33%). The score for the overall quality of life score was (15.54±2.61) points, and the scores for physical, psychological, social and environmental domains were (14.53±2.28), (14.26±2.51), (14.14±2.56) points and (14.51±2.15) points, respectively. Multivariable linear regression analysis showed that awareness of AIDS-related knowledge affected the overall quality of life (β'=0.175), educational level (β'=0.188) and number of male sexual partners in the past six months (β'=-0.161) affected the quality of life in the physiological domain, attitudes towards commercial sexual behaviors between men and men affected the quality of life in the psychological domain (β'=0.149), and the study area (Shaanxi: β'=-0.211; Chongqing: β'=-0.150) and awareness of AIDS-related knowledge (β'=0.197) affected the quality of life in the environmental domain. Conclusions The overall quality of life is high among HIV-infected MSM college students. Area, educational level, awareness of AIDS-related knowledge, attitudes towards commercial sexual behaviors between men and men and number of male sexual partners are main factors affecting the quality of life among HIV-infected MSM college students.
|
Received: 27 October 2022
Revised: 21 February 2023
Published: 17 April 2023
|
|
|
|
|
[1] CARDONA-ARIAS J A,HIGUITA-GUTIÉRREZ L F. Impact of HIV/AIDS on quality of life:meta-analysis 2002-2012[J]. Rev Esp Salud Public,2014,88(1):87-101. [2] 张兴亮,陈珺芳,许珂,等. 杭州市HIV/AIDS病例生活质量调查及影响因素分析[J]. 预防医学,2022,34(1):27-32. [3] 刘治,唐邦伦,林嘉. 胸腺五肽联合HAART治疗对艾滋病患者免疫功能及生存质量的影响[J]. 中国性科学,2019,28(4):117-121. [4] 韩瑜,谭婷,施玉华,等. 云南省昆明市427例HIV抗体阳性男男性行为者生存质量及影响因素分析[J]. 卫生软科学,2019,33(3):85-89. [5] 蔡畅,汤后林,陈方方,等. 我国2010—2019年新报告青年学生HIV/AIDS基本特征及趋势分析[J]. 中华流行病学杂志,2020,41(9):1455-1459. [6] 罗艳,赵刚,金洁,等. 2016—2019年杭州市青年学生艾滋病疫情及知信行分析[J]. 预防医学,2020,32(10):1034-1037. [7] 方积乾,郝元涛,李彩霞. 世界卫生组织生活质量量表中文版的信度与效度[J]. 中国心理卫生杂志,1999,13(4):203-205. [8] 任田,胡锦梁,黄茂娟,等. 贫困、疾病及精准健康扶贫政策:基于贫困居民生命质量评价[J]. 中国卫生政策研究,2018,11(5):61-64. [9] 孙燕鸣,赵月娟,李洋,等. MSM人群中HIV感染者/病人生存质量现状及影响因素初探[J]. 现代预防医学,2013,40(16):2964-2966. [10] 薛建,程晓松,林荣,等. 烟台市HIV/AIDS病例生命质量及影响因素分析[J]. 预防医学,2019,31(5):493-498. [11] KHADEMI N,ZANGANEH A,SAEIDI S,et al.Quality of life of HIV-infected individuals:insights from a study of patients in Kermanshah,Iran[J]. BMC Infect Dis,2021,21(1):1-12. [12] DESSIE Z G,ZEWOTIR T,MWAMBI H,et al.Multivariate multilevel modeling of quality of life dynamics of HIV infected patients[J]. Health Qual Life Out,2020,18(1):1-14. [13] 林菲菲,王俊,杨瑛,等. 上海市暗娼生存质量与艾滋病知识相关分析[J]. 中国公共卫生,2015,31(1):112-114. [14] 王毅,李六林,张光贵,等. 绵阳市MSM人群的生存质量及其影响因素研究[J]. 中国艾滋病性病,2013,19(3):180-184,194. [15] 胡春梅,王蕾. 感觉寻求人格特质研究综述[J]. 重庆文理学院学报(社会科学版),2018,37(4):65-72. [16] 江洪波,黎静,谭芷敏,等. 广州市男男性行为人群性感觉寻求与高危性行为的关联[J]. 中华疾病控制杂志,2019,23(7):818-821. [17] 覃杏霏,唐振柱,蓝文展,等. 2010—2015年广西艾滋病防治人力资源现状及公平性分析[J]. 现代预防医学,2016,43(14):2593-2597. [18] 母凤婷. HIV/AIDS患者卫生服务利用公平性研究[D]. 昆明:昆明医科大学,2021. |
|
|
|