基于马斯洛需求层次理论的绵阳市男男性行为者需求层次调查

目的了解男男性行为者(men who have sex with men,MSM)需求层次,分析不同层次结构的人口学特征、艾滋病病毒(HIV)感染现状的差异。方法以四川省绵阳市辖区MSM为对象,采用滚雪球抽样法招募调查对象,在MSM社区组织办公场所和临时茶园,进行自填式匿名行为学调查及血清学检测。结果合格调查1 172人,需求层次结构:生理需求20.1%、安全需求66.2%、交友需求8.4%、尊重需求2.5%、自我实现需求2.8%。优势需求为生理需求、安全需求、交友需求、尊重需求/自我实现需求者HIV阳性率分别为11.4%、4.5%、7.1%和3.2%,差异有统计学意义(χ~2=15.113,P<0.05)。不同年龄、文化程度、婚姻状况、性取向、社区朋友数、影响最大防治信息来源、HIV感染预期认知评价者其需求层次差异有统计学意义(分别有χ~2=18.905、48.248、16.348、28.241、8.272、81.969、54.376,P<0.05)。结论 MSM处于低级需求层次,安全需求突出,生理需求仍较明显。人口学特征与需求层次相关,优势需求为生理需求者HIV感率染较高。

The Investigation of Needs of Men Who Have Sex With Men in Mianyang City Based on Maslow's Hierarchy of Needs

WANG Yi;LI Liulin;FAN Jing;ZHAO Xihe;WANG Xiao li;DU chanjuan;LIU Jiang;YANG Ganjing;LI Wei;JIA Xiuwei*;WANG Hongming;REN Yanfei;LIAO Ping(Mianyang Center for Disease Control and Prevention, Mianyang 621000, Sichuan Province, China;Yanting Center for Disease Control and Prevention, Mianyang 621600, Sichuan Province, China;Pingwu Center for Disease Control and Prevention, Mianyang 622500, Sichuan Province, China;Mianyang Gay Community Organization, Mianyang 621000, Sichuan Province, China;Fucheng Center for Disease Control and Prevention, Mianyang 621000, Sichuan Province, China;Youxian Center for Disease Control and Prevention , Mian ya ng 621000, Sichuan Province, China;Jiangyou Center for Disease Control and Prevention, Mianyang 621700, Sichuan Province, China;Santai Center for Disease Control and Prevention, Mianyang 621100, Sichuan Province, China;Anchau Center for Disease Control and Prevention, Mianyang 622650, Sichuan Province, China;Beichuan Center for Disease Control and Prevention, Mianyang 622750, Sichuan Province, China;Zitong Center for Disease Control and Prevention, Mianyang 622150, Sichuan Province, China)