张林, 孙美艳, 周莹, 沈蕾, 沈银忠, 张建良, 曹广文, 卢洪洲. 具有同妻婚姻关系的艾滋病男男同性恋人群焦虑状况分析[J]. 上海预防医学, 2019, 31(4): 294-300. DOI: 10.19428/j.cnki.sjpm.2018.19406
引用本文: 张林, 孙美艳, 周莹, 沈蕾, 沈银忠, 张建良, 曹广文, 卢洪洲. 具有同妻婚姻关系的艾滋病男男同性恋人群焦虑状况分析[J]. 上海预防医学, 2019, 31(4): 294-300. DOI: 10.19428/j.cnki.sjpm.2018.19406
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ZHANG Lin, SUN Mei-yan, ZHOU Ying, SHEN Lei, SHEN Yin-zhong, ZHANG Jian-liang, CAO Guang-wen, LU Hong-zhou. Anxiety states of homosexual AIDS men who have heterosexual marriage[J]. Shanghai Journal of Preventive Medicine, 2019, 31(4): 294-300. DOI: 10.19428/j.cnki.sjpm.2018.19406
Citation: ZHANG Lin, SUN Mei-yan, ZHOU Ying, SHEN Lei, SHEN Yin-zhong, ZHANG Jian-liang, CAO Guang-wen, LU Hong-zhou. Anxiety states of homosexual AIDS men who have heterosexual marriage[J]. Shanghai Journal of Preventive Medicine, 2019, 31(4): 294-300. DOI: 10.19428/j.cnki.sjpm.2018.19406
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具有同妻婚姻关系的艾滋病男男同性恋人群焦虑状况分析

Anxiety states of homosexual AIDS men who have heterosexual marriage

    摘要
  • 摘要:
    目的了解艾滋病男男同性性行为(MSM)人群在同妻婚姻关系以及抗病毒治疗过程中的压力、抑郁、焦虑等心理情绪的真实体验，为艾滋病临床诊疗以及全程化管理提供依据和参考。
    方法使用定量调查与定性访谈相结合的研究方法。定量调查采用方便抽样上海市公共卫生临床中心、江苏省无锡市第五人民医院、浙江省杭州市西溪医院自愿咨询检测(VCT)门诊艾滋病MSM已婚者267例，定性访谈采用目的抽样的方法选择上海市公共卫生临床中心VCT门诊长期随访的有同妻婚姻关系的艾滋病男男同性恋10例为研究对象。
    结果定量调查研究发现，该人群压力、焦虑及抑郁情绪检出率分别为68.07%、57.58%和92.50%。定性访谈结果提炼出：疾病自我歧视与压力、担心妻子被传播疾病而产生焦虑、同妻婚姻关系为治疗带来压力和希望、不知道如何与妻子相处带来抑郁等6个相关主题。定量与定性研究结果能够互为佐证。
    结论该人群存在抑郁、焦虑心理情绪，同妻婚姻关系为其带来心理压力，对治疗带来影响，需要多学科会诊和全程照顾。

     

    Abstract:
    Objective To investigate the psychological experience of homosexual men with HIV/AIDS during the maintenance of their heterosexual marriage and their anti-viral treatment, in order to provide reference for optimization of whole-process management for AIDS.
    Methods Quantitative investigation and qualitative interview were combined to carry out this study.A total of 267 homosexual and heterosexually married men with HIV/AIDS were selected for quantitative investigation by purposive sampling from Shanghai Public Health Clinical Center, Wuxi Fifth People′s Hospital in Jiangsu province and Hangzhou Xixi Hospital in Zhejiang province.In the qualitative interview, semi-structured interviews were conducted among 10 homosexual men with HIV/AIDS who had married wives.
    Results In the quantitative investigation, the proportion of psychological stress, anxiety and depression in this population were 68.07%, 57.58%, and 92.50%, respectively.The survey results of qualitative interview were summarized into 6 main topics including 'self-discrimination and stress''worrying about the infection to his wife''pressure and also hope brought from marriage for treatment''depression resulted from unknowing how to get along with his wife'.
    Conclusion The depression and anxiety of relationship with wife brings psychological pressure to homosexual men, which has an impact on their behaviors during the treatment.This specific population requires multi-disciplinary treatments and whole-process care.

     

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